It has been held since 1985, and is similar in form/origin to the track & field/athletics event: the CARIFTA Games.
The event is held under the auspices of CANOC, the Caribbean Association of National Olympic Committees.
The 40th edition of the aquatics championships was held in 2025 in Port Of Spain, Trinidad and Tobago Musician Sean Paul participated in the 1989 and 1991 editions of the championships, as part of the Jamaican water polo team.
[1] All records were set in finals unless noted otherwise.
All times are swum in a long-course (50m) pool.