Indianz.Com > COVID-19 > Indian Health Service (Department of Health and Human Services)
Posted: August 4, 2022

ihscovid19The Indian Health Service has updated its coronavirus data, showing results through August 3, 2022.

According to the data, 508,293 tests have returned positive for COVID-19, the disease caused by the coronavirus. That represents an increase of 1 percent from a week prior on July 27.

As of July 24, the IHS reached a milestone. According to the results, over a half-million IHS patients have tested positive for COVID-19 since the onset of the pandemic in Indian Country more than two years ago.

Based on the IHS service population of 2,562,290 from 2019, the figure means that 19.8 percent of American Indians and Alaska Natives have been positive for the coronavirus.

Based on the IHS user population of 1,662,834, 30.6 percent have tested positive. The user population is defined as the number of American Indians and Alaska Natives who have lived within a service delivery area and have received health care at an IHS or tribal facility during the previous three years.

Altogether, 4,622,863 coronavirus tests have been administered within the IHS, the results show. That represents an increase of 0.5 percent from the week 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 of 12 IHS areas. Two of them include the state of Arizona, indicating a disproportionate toll of COVID-19 in the state:

On January 19, the Oklahoma City Area overtook the Phoenix Area as the region with the second highest percentage of cumulative percent positive tests. But the two regions have the same cumulative positivity rate as of August 3.

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 in the 12 areas of the IHS.

Overall, 11.7 percent of IHS tests have been positive since the onset of the pandemic, the data shows. Meanwhile, the 7-day positivity rate has been steadily rising in the last couple of weeks. It has grown significantly to 21.4 percent, one of the highest rates seen since the 2021 Christmas holiday season.

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 twice a week — usually on Mondays and Thursdays. 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 Aug 3, 2022.

IHS Area
7-day rolling
Alaska 1,090,437 53,736 894,022 5.7% 11.1%
Albuquerque 154,783 14,773 119,408 11.0% 8.7%
Bemidji 310,106 31,207 277,390 10.1% 24.3%
Billings 157,056 13,781 138,410 9.1% 14.7%
California 184,304 21,405 155,234 12.1% 25.1%
Great Plains 258,283 26,834 229,341 10.5% 8.9%
Nashville 183,135 19,529 153,616 11.3% 25.5%
Navajo 526,241 77,576 378,387 17.0% 25.1%
Oklahoma 1,123,283 171,837 940,689 15.4% 23.7%
Phoenix 313,616 47,836 263,122 15.4% 28.4%
Portland 240,403 20,605 219,180 8.6% 23.5%
Tucson 81,216 9,174 71,773 11.3% 23.0%
TOTAL 4,622,863 508,293 3,840,572 11.7% 21.4%

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

Data Source: Indian Health Service (

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