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Posted: February 2, 2021

COVID-19 Indian Country IHS

The Indian Health Service has updated its coronavirus data, showing results as of January 31, 2021.

According to the data, 177,600 tests have returned positive for COVID-19, the disease caused by the coronavirus. That represents an increase of 0.2 percent from the 177,196 cases previously reported by the IHS.

Altogether, 1,932,410 coronavirus tests have been administered within the IHS through January 31, 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, four 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 10.4 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 31, 2021.

IHS Area
positive *
7-day rolling
positivity *
Alaska 476,133 10,730 403,109 2.6% 1.5%
Albuquerque 83,590 7,641 56,911 11.8% 14.4%
Bemidji 127,828 9,498 115,218 7.6% 6.6%
Billings 89,834 7,065 79,518 8.2% 4.0%
California 63,244 6,587 53,194 11.0% 12.4%
Great Plains 128,486 13,572 114,350 10.6% 6.5%
Nashville 62,243 5,335 55,984 8.7% 10.7%
Navajo 216,488 29,860 146,370 16.9% 16.5%
Oklahoma City 418,320 55,890 357,308 13.5% 15.2%
Phoenix 153,435 22,279 130,197 14.6% 14.7%
Portland 90,208 6,581 83,089 7.3% 6.5%
Tucson 22,601 2,562 19,885 11.4% 11.3%
TOTAL 1,932,410 177,600 1,615,133 9.9% 10.4%

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

Source: Indian Health Service (

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