Indianz.Com > COVID-19 > Indian Health Service (Department of Health and Human Services)
Posted: January 20, 2022

ihscovid19The Indian Health Service has updated its coronavirus data, showing results through January 19, 2022.

According to the data, 374,583 tests have returned positive for COVID-19, the disease caused by the coronavirus. That represents an increase of nearly 4.3 percent from the 359,264 cases previously reported by the IHS on January 16.

The comparison, though, is based on cumulative tests. Based on the 7-day rolling positivity rates, the number of cases reported by the IHS has increased more than 284 percent since Christmas and by almost 99 percent since January 1.

Altogether, 3,841,732 coronavirus tests have been administered within the IHS, the results show. That represents an increase of 1.1 percent from three days 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 five areas. Two of them include the state of Arizona, indicating a disproportionate toll of COVID-19 in the state:

With the release of the data on January 19, the Oklahoma City Area has overtaken the Phoenix Area as the region with the second highest percentage of cumulative percent positive tests.

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, all 12 IHS areas are seeing high COVID-19 rates, continuing the post-Christmas holiday surge across every region of Indian Country. 

Overall, 10.4 percent of IHS tests have been positive since the onset of the pandemic, the data shows. Meanwhile, the 7-day positivity rate has dramatically jumped to a whopping 35.0 percent following a short period of declining rates. High rates, yet still far below the current 7-day rate, were seen in Indian Country starting in the summer of 2021.

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.

Beginning June 7, 2021, the IHS began updating its coronavirus data on a weekly basis. But as the number of COVID-19 cases grows again, the agency is updating results on Mondays and Thursdays. During the height of the pandemic throughout 2020 and the first half of 2021, results were provided by the IHS every day.

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 19, 2022.

IHS Area
7-day rolling
Alaska 936,269 33,827 783,761 4.1% 18.1%
Albuquerque 132,951 11,494 101,102 10.2% 16.1%
Bemidji 265,512 23,987 240,628 9.1% 31.8%
Billings 140,767 10,889 125,734 8.0% 16.9%
California 149,845 15,325 127,624 10.7% 27.2%
Great Plains 218,166 21,248 196,044 9.8% 32.0%
Nashville 139,997 13,794 122,653 10.1% 42.7%
Navajo 422,542 55,273 304,893 15.3% 32.5%
Oklahoma City 909,427 129,482 766,721 14.4% 45.8%
Phoenix 266,523 37,673 227,360 14.2% 37.4%
Portland 198,891 15,770 182,523 8.0% 25.9%
Tucson 60,842 5,821 54,893 9.6% 45.2%
TOTAL 3,841,732 374,583 3,233,936 10.4% 35.0%

COVID-19 testing data is updated on Mondays and Thursdays by 5 pm ET.

Source: Indian Health Service (

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