The winner of this round on aggregate, qualified as Americas 2. The loser moved to the Repechage tournament as Americas 3 for a second chance to qualify. Twenty teams competed during for the 2019 Rugby World Cup – Americas qualification; teams world rankings are prior to the first Americas qualification match on 5 March 2016 and bold nations denotes teams have previously played in a Rugby World Cup. The qualifying match between Jamaica and St Vincent and the Grenadines was the first qualifying match for the 2019 tournament, three-and-a-half years before the start of the tournament. Jamaica defeated St Vincent and the Grenadines 48–0, eliminating them from qualifying. The match was played in front of a record crowd of 1,000 at Arnos Vale Sports Complex, and was refereed by Nigel Owens who had refereed the 2015 Rugby World Cup Final. The victory boosted Jamaica to a World Rugby ranking of 72, their highest ever. Mexico, as winners, advance to the Round 1 final. The 2016 South American Rugby Championship "B" was held in October 2016 and hosted by Peru in Lima. Colombia, as winners, advance to the round 2 final. Paraguay, as winners, advance to round 3A. The United States, as winners, qualify for the Rugby World Cup. Canada, as runners-up, qualify for the Americas repechage play-off. Uruguay, as winners, qualify for the Rugby World Cup, their first time without an international play-off. Canada, as runners-up, qualify for the Repechage qualifying tournament.