Partially luck of the draw
but mostly because there is an extremely wide margin of talent in CONCACAF. Here is the ratings of the top 10, note the rapid drop off.:
1 Mexico 7,288
2 United States 5,962
3 Canada 3,682
4 Honduras 3,444
5 Panama 3,410
6 Costa Rica 3,252
7 Haiti 2,537
8 Jamaica 1,931
9 El Salvador 1,846
10 Cuba 1,510
USVI is ranked 36 with 227 pts, but is not the lowest rated team. That is Sint Maarten at #41 with 0 pts. They have played twice, losing 4-0 and 0-12. They will celebrate just getting a goal.
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