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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 www.ihs.gov  than non-Hispanic whites, are over four times Exit Disclaimer: You Are Leaving www.ihs.gov  more likely to be hospitalized as a result of COVID-19, and have higher rates Exit Disclaimer: You Are Leaving www.ihs.gov  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 www.ihs.gov . 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 www.ihs.gov  in the Federal Entities section.

COVID-19 Vaccine Distribution and Administration by IHS Area

As of January 29, 2023, the IHS is distributing all COVID-19 vaccines currently authorized or approved in the U.S., including Pfizer-BioNTech, Moderna, Janssen/Johnson & Johnson and Novavax. 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).

Area Total Doses Distributed* Total Doses Administered**
Albuquerque 278,950 201,914
Bemidji 328,670 186,371
Billings 192,860 88,932
California 486,090 235,522
Great Plains 376,330 184,813
Nashville 209,450 116,305
Navajo 668,650 428,101
Oklahoma City 866,105 532,081
Phoenix 461,015 266,716
Portland 215,560 114,371
Tucson 22,020 14,847
Grand Total 4,105,700 2,369,973

*Distributed Data Source: IHS National Supply Service Center, includes total doses ordered and delivered by January 27, 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 Feb 3, 2023.

IHS Area
Tested
Positive
Negative
Cumulative
percent
positive
7-day rolling
average
positivity
Alaska 1,135,640 57,124 927,963 5.8% 17.2%
Albuquerque 184,870 17,422 142,390 10.9% 1.0%
Bemidji 330,912 34,529 294,829 10.5% 16.7%
Billings 163,333 14,476 143,952 9.1% 25.6%
California 208,303 23,715 174,143 12.0% 4.8%
Great Plains 313,859 33,591 275,552 10.9% 11.6%
Nashville 208,117 22,794 174,709 11.5% 18.6%
Navajo 614,294 90,752 446,091 16.9% 5.8%
Oklahoma 1,290,225 193,447 1,085,858 15.1% 15.9%
Phoenix 344,181 52,419 289,199 15.3% 11.1%
Portland 262,239 23,317 238,315 8.9% 16.6%
Tucson 87,024 9,919 76,851 11.4% 27.0%
TOTAL 5,142,997 573,505 4,269,852 11.8% 12.8%

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

IHS COVID-19 Dashboard

* Zoom in to see stats by IHS Area

Website last updated Feb 6, 2023