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Posted: January 24, 2021

COVID-19 Indian Country IHS

The Indian Health Service has updated its coronavirus data, showing results as of January 22, 2021.

According to the data, 171,721 tests have returned positive for COVID-19, the disease caused by the coronavirus. That represents an increase of almost 0.4 percent from the 171,106 cases previously reported by the IHS.

Altogether, 1,869,736 coronavirus tests have been administered within the IHS through January 22, the data shows. That marks an increase of about 0.2 percent from the day prior.

Since mid-October of 2020, the IHS has been providing additional information about the spread of the coronavirus within the system. The cumulative percent positive column shows the historical COVID-19 infection rate, meaning the number of tests that have returned positive since the onset of the pandemic.

Based on the cumulative percent positive, the highest rates have been seen in three areas. Two of them include the state of Arizona, indicating a disproportionate toll of COVID-19 in the state:

The 7-day rolling average positivity column offers a more contemporary look at the impact of the coronavirus. The data shows where COVID-19 cases have been increasing recently.

Based on the 7-day rolling average positivity, four areas have seen dramatic growth in COVID-19. They follow:

Two of the regions include the state of Arizona.

Overall, 9.9 percent of IHS tests have been positive since the onset of the pandemic, the data shows. Meanwhile, the 7-day average has somewhat leveled off after increasing steadily during the holiday season. It now stands at 11.5 percent.

The data, however, is incomplete. While 100 percent of facilities run directly by the IHS are reporting data, only 33 percent of tribally managed facilities and 44 percent of urban Indian organizations are doing the same, the agency has told Indianz.Com.

COVID-19 Cases by IHS Area

Data are reported from IHS, tribal, and urban Indian organization facilities, though reporting by tribal and urban programs is voluntary. Data reflect cases reported to the IHS through 11:59 pm on January 22, 2021.

IHS Area
positive *
7-day rolling
positivity *
Alaska 458,573 10,285 384,572 2.6% 2.5%
Albuquerque 82,494 7,491 56,173 11.8% 15.9%
Bemidji 124,942 9,320 112,487 7.7% 6.8%
Billings 88,226 7,004 78,004 8.2% 6.4%
California 61,486 6,362 51,735 11.0% 19.0%
Great Plains 125,985 13,414 111,984 10.7% 7.7%
Nashville 60,095 5,082 53,839 8.6% 13.1%
Navajo 211,182 28,987 142,960 16.9% 17.4%
Oklahoma City 402,554 53,242 343,736 13.4% 17.6%
Phoenix 149,996 21,729 127,119 14.6% 17.8%
Portland 82,533 6,343 75,845 7.7% 7.1%
Tucson 21,670 2,462 19,051 11.4% 14.9%
TOTAL 1,869,736 171,721 1,557,505 9.9% 11.5%

* Cumulative percent positive and 7-day rolling average positivity are updated three days per week.

Source: Indian Health Service (

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