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Posted: January 28, 2021

COVID-19 Indian Country IHS

The Indian Health Service has updated its coronavirus data, showing results as of January 26, 2021.

According to the data, 175,014 tests have returned positive for COVID-19, the disease caused by the coronavirus. That represents an increase of almost 0.6 percent from the 173,972 cases previously reported by the IHS.

Altogether, 1,900,886 coronavirus tests have been administered within the IHS through January 26, the data shows. That marks an increase of nearly 0.8 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, 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 11.8 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 26, 2021.

IHS Area
positive *
7-day rolling
positivity *
Alaska 464,878 10,581 391,950 2.6% 3.5%
Albuquerque 83,025 7,586 56,580 11.8% 19.0%
Bemidji 126,217 9,427 113,702 7.7% 7.1%
Billings 88,335 7,013 78,098 8.2% 6.2%
California 62,172 6,465 52,359 11.0% 16.6%
Great Plains 127,077 13,497 113,021 10.7% 7.4%
Nashville 61,148 5,219 54,854 8.7% 12.8%
Navajo 213,895 29,472 144,610 16.9% 18.8%
Oklahoma City 411,686 54,744 351,384 13.5% 16.5%
Phoenix 151,620 22,012 128,570 14.6% 17.0%
Portland 88,719 6,470 81,697 7.3% 6.2%
Tucson 22,114 2,528 19,429 11.5% 17.2%
TOTAL 1,900,886 175,014 1,586,254 9.9% 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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