Routes from largest cities in North America to Middle Island, Saint Kitts and Nevis
- Mexico City, Mexico Middle Island
- New York City, United States Middle Island
- Los Angeles, United States Middle Island
- Chicago, United States Middle Island
- Toronto, Canada Middle Island
- Brooklyn, United States Middle Island
- Borough of Queens, United States Middle Island
- Santo Domingo, Dominican Republic Middle Island
- Havana, Cuba Middle Island
- Houston, United States Middle Island
- Iztapalapa, Mexico Middle Island
- Ecatepec, Mexico Middle Island
- Guadalajara, Mexico Middle Island
- Montréal, Canada Middle Island
- Puebla, Mexico Middle Island
- Philadelphia, United States Middle Island
- Ciudad Juárez, Mexico Middle Island
- Manhattan, United States Middle Island
- Phoenix, United States Middle Island
- The Bronx, United States Middle Island
- Tijuana, Mexico Middle Island
- San Antonio, United States Middle Island
- San Diego, United States Middle Island
- Port-au-Prince, Haiti Middle Island
- Ciudad Nezahualcoyotl, Mexico Middle Island
- Santiago de los Caballeros, Dominican Republic Middle Island
- Dallas, United States Middle Island
- Gustavo A. Madero, Mexico Middle Island
- Gustavo A. Madero, Mexico Middle Island
- Monterrey, Mexico Middle Island
- León, Mexico Middle Island
- Calgary, Canada Middle Island
- Guatemala City, Guatemala Middle Island
- Zapopan, Mexico Middle Island
- Managua, Nicaragua Middle Island
- San Jose, United States Middle Island
- Kingston, Jamaica Middle Island
- Tegucigalpa, Honduras Middle Island
- Naucalpan de Juárez, Mexico Middle Island
- Indianapolis, United States Middle Island
- Jacksonville, United States Middle Island
- Ottawa, Canada Middle Island
- Chihuahua, Mexico Middle Island
- San Francisco, United States Middle Island
- Austin, United States Middle Island
- Columbus, United States Middle Island
- Fort Worth, United States Middle Island
- Charlotte, United States Middle Island
- Álvaro Obregón, Mexico Middle Island
- Guadalupe, Mexico Middle Island
- Mérida, Mexico Middle Island
- Tlalnepantla, Mexico Middle Island
- Detroit, United States Middle Island
- Edmonton, Canada Middle Island
- Santo Domingo Oeste, Dominican Republic Middle Island
- San Luis Potosí, Mexico Middle Island
- Culiacán, Mexico Middle Island
- Mississauga, Canada Middle Island
- Aguascalientes, Mexico Middle Island
- Acapulco de Juárez, Mexico Middle Island
- El Paso, United States Middle Island
- Memphis, United States Middle Island
- New South Memphis, United States Middle Island
- North York, Canada Middle Island
- Winnipeg, Canada Middle Island
- Coyoacán, Mexico Middle Island
- Santiago de Querétaro, Mexico Middle Island
- Saltillo, Mexico Middle Island
- Baltimore, United States Middle Island
- Boston, United States Middle Island
- Seattle, United States Middle Island
- Tlalpan, Mexico Middle Island
- Washington, D.C., United States Middle Island
- Denver, United States Middle Island
- Vancouver, Canada Middle Island
- Scarborough, Canada Middle Island
- Mexicali, Mexico Middle Island
- Hermosillo, Mexico Middle Island
- Milwaukee, United States Middle Island
- Morelia, Mexico Middle Island
- New Kingston, Jamaica Middle Island
- Portland, United States Middle Island
- Las Vegas, United States Middle Island
- Oklahoma City, United States Middle Island
- South Boston, United States Middle Island
- Veracruz, Mexico Middle Island
- Santiago de Cuba, Cuba Middle Island
- Albuquerque, United States Middle Island
- Cancún, Mexico Middle Island
- Nashville, United States Middle Island
- Québec, Canada Middle Island
- San Salvador, El Salvador Middle Island
- Santa María Chimalhuacán, Mexico Middle Island
- Torreon, Mexico Middle Island
- Cuauhtémoc, Mexico Middle Island
- Ciudad López Mateos, Mexico Middle Island
- Tucson, United States Middle Island
- Hamilton, Canada Middle Island
- Toluca, Mexico Middle Island
- Reynosa, Mexico Middle Island
- Fresno, United States Middle Island
- Tlaquepaque, Mexico Middle Island
- San Pedro Sula, Honduras Middle Island
- Tuxtla Gutiérrez, Mexico Middle Island
- Cuautitlán Izcalli, Mexico Middle Island
- Mixco, Guatemala Middle Island
- Staten Island, United States Middle Island
- Sacramento, United States Middle Island
- Long Beach, United States Middle Island
- Kansas City, United States Middle Island
- Victoria de Durango, Mexico Middle Island
- Heroica Matamoros, Mexico Middle Island
- Venustiano Carranza, Mexico Middle Island
- San Nicolás de los Garza, Mexico Middle Island
- Carrefour, Haiti Middle Island