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Posted: January 25, 2021

COVID-19 Indian Country IHS

The Indian Health Service has updated its coronavirus data, showing results as of January 23, 2021.

According to the data, 172,093 tests have returned positive for COVID-19, the disease caused by the coronavirus. That represents an increase of 0.2 percent from the 171,721 cases previously reported by the IHS.

Altogether, 1,872,753 coronavirus tests have been administered within the IHS through January 23, the data shows. That marks an increase of nearly 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, five 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 leveled off after increasing steadily during the holiday season. It now stands at 11.2 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 23, 2021.

IHS Area
positive *
7-day rolling
positivity *
Alaska 459,673 10,304 385,653 2.6% 1.9%
Albuquerque 82,494 7,491 56,173 11.8% 17.7%
Bemidji 124,951 9,320 112,496 7.7% 5.7%
Billings 88,226 7,004 78,004 8.2% 6.2%
California 61,530 6,367 51,750 11.0% 18.1%
Great Plains 126,189 13,429 112,173 10.7% 7.2%
Nashville 60,163 5,089 53,965 8.6% 12.4%
Navajo 211,891 29,096 143,294 16.9% 17.1%
Oklahoma City 403,235 53,407 344,308 13.4% 16.8%
Phoenix 150,182 21,779 127,404 14.6% 17.5%
Portland 82,533 6,343 75,845 7.7% 6.2%
Tucson 21,686 2,464 19,065 11.4% 13.6%
TOTAL 1,872,753 172,093 1,560,130 9.9% 11.2%

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

Source: Indian Health Service (

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