The Indian Health Service has updated its coronavirus data, showing results through February 22, 2022.

According to the data, 448,951 tests have returned positive for COVID-19, the disease caused by the coronavirus. That represents an increase of nearly 0.3 percent from the 447,703 cases previously reported by the IHS on February 20 and an increase of 0.7 percent from the 445,799 cases reported a week prior on February 16.

Altogether, 4,132,261 coronavirus tests have been administered within the IHS, the results show. That represents an increase of almost 0.3 percent from two days prior and an increase of 1.1 percent from a 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 areas. Two of them include the state of Arizona, indicating a disproportionate toll of COVID-19 in the state:

• Navajo Area — 16.7 percent
• Oklahoma City Area — 16.0 percent
• Phoenix Area — 15.1 percent
• California Area — 11.8 percent
• Albuquerque Area — 11.0 percent

On January 19, the Oklahoma City Area overtook the Phoenix Area as the region with the second highest percentage of cumulative percent positive tests. The Oklahoma City Area is now effectively sharing the top spot long held by the Navajo Area, as the cumulative positive rates in the two regions are almost identical.

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

• Albuquerque Area — 25.7 percent
• Navajo Area — 21.1 percent
• Tucson Area — 18.1 percent
• Great Plains Area — 16.7 percent
• Phoenix Area — 14.4 percent
• Billings Area — 11.8 percent
• Bemidji Area — 11.2 percent
• Nashville Area — 10.8 percent
• Alaska Area — 10.0 percent
• Oklahoma City Area — 9.7 percent
• California Area — 9.0 percent
• Portland Area — 5.9 percent

Overall, 11.5 percent of IHS tests have been positive since the onset of the pandemic, the data shows. Meanwhile, the 7-day positivity rate has slowly fallen in recent days, settling at 12.3 percent for now.

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. 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 February 22, 2022.

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