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Coronavirus (COVID-19)

Coronavirus Disease 2019

The Indian Health Service continues to work closely with our tribal and urban Indian organization partners and state and local public health officials to coordinate a comprehensive public health response to the ongoing COVID-19 pandemic. The COVID-19 pandemic has disproportionately affected American Indian and Alaska Native populations across the country. American Indians and Alaska Natives have infection rates over 3.5 times higher Exit Disclaimer: You Are Leaving  than non-Hispanic whites, are over four times Exit Disclaimer: You Are Leaving  more likely to be hospitalized as a result of COVID-19, and have higher rates Exit Disclaimer: You Are Leaving  of mortality at younger ages than non-Hispanic whites. This has highlighted the need for comprehensive, culturally appropriate personal and public health services that are available and accessible to all American Indian and Alaska Native people.

A Historic Investment

The IHS has received a historic investment of more than $9 billion [PDF] to provide resources for IHS, tribal, and urban Indian health programs to address long-standing health inequities experienced by American Indians and Alaska Natives by ensuring a comprehensive public health response to the ongoing COVID-19 pandemic. We have worked closely with tribes and urban Indian organizations throughout this pandemic to get resources out to facilities as quickly as possible.

Increasing Availability and Access to Vaccination Sites

IHS continues to address barriers to COVID-19 vaccination in American Indian and Alaska Native communities by increasing availability to convenient and accessible vaccination sites; increasing clinical and community-based workforce for outreach, education, and vaccination; and accelerating COVID-19 vaccine distribution and administration. Across the Indian health system, we have administered well over one million vaccine doses, increased drive-through testing sites, and provided next-generation at home tests and rapid tests.

Achievements and Improvements

It has been more than a year now that IHS and our dedicated workforce have been responding to COVID-19. Over the past year, IHS has worked to ensure the safety of our IHS patients and staff, as well as tribal community members. We have made some considerable achievements such as developing a COVID-19 data surveillance system and partnering with the Navajo Nation and other local organizations on a project to support the installation of 59 transitional water points on the Navajo Nation. These efforts have increased water access for over 9,600 homes without piped water.

The pandemic has highlighted challenges and risks to our current health information technology system and has reinforced IHS’ commitment to the modernization of our health IT infrastructure. Despite these challenges, we have successfully expanded our use of technology to provide telehealth services during COVID-19.The funding for electronic health record modernization provided by Congress will allow us to proceed with the foundational steps in this important multi-year effort.

Importance of Partnerships

We look forward to continuing our work with tribal, urban Indian organization, and federal partners across the country. The IHS remains committed to working closely with our stakeholders and understands the importance of everyone coming together during this difficult time.

For the latest general information about COVID-19, we encourage everyone to periodically review CDC’s COVID-19 webpage Exit Disclaimer: You Are Leaving . Information on the number of COVID-19 vaccines administered across the IHS can be found on the CDC COVID Data Tracker Exit Disclaimer: You Are Leaving  in the Federal Entities section.

COVID-19 Vaccine Distribution and Administration by IHS Area

As of March 19, 2023, the IHS is distributing all COVID-19 vaccines currently authorized or approved in the U.S., including Pfizer-BioNTech, Moderna, and Novavax. Janssen/Johnson & Johnson may still be in stock and available for administration at IHS sites, but it is no longer available for order in the U.S. The table below shows the total number of vaccine doses distributed and administered to date, per IHS Area, for facilities that chose to receive vaccine through the IHS jurisdiction. The data includes COVID-19 vaccinations administered to all ages and specialty groups authorized for emergency use or fully licensed by the Food and Drug Administration (FDA).

Total Doses Distributed
Area Total Doses Distributed Total Doses Administered**
Albuquerque 285,560 202,626
Bemidji 335,100 186,824
Billings 196,120 89,392
California 497,510 236,104
Great Plains 392,920 186,290
Nashville 212,930 116,826
Navajo 677,970 431,146
Oklahoma City 879,235 533,390
Phoenix 470,565 268,901
Portland 219,700 114,756
Tucson 22,320 14,987
Grand Total 4,189,930 2,381,242

*Distributed Data Source: IHS National Supply Service Center, includes total doses ordered and delivered by March 17 2023, to facilities that chose the IHS jurisdiction for vaccine distribution.

**Administered Data Source: Data is reported from the Vaccine Administration Management System (VAMS) and IHS Central Aggregator Service (CAS). Data may be different than data on the CDC COVID-19 Vaccine Tracker due to lags and ongoing quality review of data, including resolving data errors.

Note:The COVID-19 Vaccine Distribution and Administration by IHS Area data is only reflective of facilities that chose the IHS jurisdiction for vaccine distribution. Alaska Area data is not reported as all tribes chose to receive COVID-19 vaccine from the State of Alaska. The Tucson Area data only includes one tribe that chose the IHS jurisdiction for vaccine distribution.

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 Mar 22, 2023.

IHS Area
7-day rolling
Alaska 1,141,051 57,893 932,291 5.8% 19.7%
Albuquerque 186,563 17,511 143,296 10.9% 8.1%
Bemidji 334,441 35,160 297,709 10.6% 12.1%
Billings 163,648 14,494 144,222 9.1% 3.7%
California 211,298 23,917 176,735 11.9% 3.8%
Great Plains 322,957 35,058 282,503 11.0% 11.3%
Nashville 212,135 23,339 178,024 11.6% 11.2%
Navajo 629,964 92,672 459,297 16.8% 16.7%
Oklahoma 1,307,263 195,283 1,101,052 15.1% 11.4%
Phoenix 353,305 53,311 295,606 15.3% 6.5%
Portland 265,083 23,767 240,715 9.0% 11.4%
Tucson 88,359 10,078 78,027 11.4% 9.5%
TOTAL 5,216,067 582,483 4,329,477 11.9% 13.0%

COVID-19 testing data is updated on Thursdays.

IHS COVID-19 Dashboard

* Zoom in to see stats by IHS Area

Website last updated Mar 23, 2023