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Posted: January 27, 2021

COVID-19 Indian Country IHS

The Indian Health Service has updated its coronavirus data, showing results as of January 25, 2021.

According to the data, 173,972 tests have returned positive for COVID-19, the disease caused by the coronavirus. That represents an increase of nearly 0.4 percent from the 173,289 cases previously reported by the IHS.

Altogether, 1,886,092 coronavirus tests have been administered within the IHS through January 25, the data shows. That marks an increase of 0.3 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, six areas have seen dramatic growth in COVID-19. They follow:

Three of the regions include the state of Arizona.

Overall, 10 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 11.8 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 25, 2021.

IHS Area
positive *
7-day rolling
positivity *
Alaska 463,146 10,560 390,727 2.6% 3.5%
Albuquerque 82,836 7,577 56,459 11.8% 19.0%
Bemidji 126,011 9,422 113,517 7.7% 7.1%
Billings 88,230 7,004 78,011 8.2% 6.2%
California 61,970 6,435 52,151 11.0% 16.6%
Great Plains 126,722 13,462 112,676 10.7% 7.4%
Nashville 60,940 5,195 54,649 8.7% 12.8%
Navajo 212,973 29,347 144,177 16.9% 18.8%
Oklahoma City 407,463 54,201 348,022 13.5% 16.5%
Phoenix 150,863 21,891 127,940 14.6% 17.0%
Portland 83,094 6,379 76,369 7.7% 6.2%
Tucson 21,844 2,499 19,188 11.5% 17.2%
TOTAL 1,886,092 173,972 1,573,886 10.0% 11.8%

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

Source: Indian Health Service (

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