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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 November 27, 2022, 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 264,190 199,244
Bemidji 314,670 185,019
Billings 183,820 86,948
California 460,130 233,658
Great Plains 311,290 181,268
Nashville 202,140 115,325
Navajo 621,820 420,503
Oklahoma City 838,965 528,904
Phoenix 437,555 263,403
Portland 207,500 113,297
Tucson 20,190 14,254
Grand Total 3,862,270 2,341,823

*Distributed Data Source: IHS National Supply Service Center, includes total doses ordered and delivered by November 25, 2022, 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 Dec 4, 2022.

IHS Area
Tested
Positive
Negative
Cumulative
percent
positive
7-day rolling
average
positivity
Alaska 1,124,885 55,995 918,957 5.7% 3.1%
Albuquerque 182,284 17,354 140,912 11.0% 3.6%
Bemidji 325,048 33,830 289,677 10.5% 5.4%
Billings 161,903 14,300 142,696 9.1% 8.2%
California 203,158 23,269 169,874 12.0% 12.5%
Great Plains 302,887 32,887 266,141 11.0% 6.7%
Nashville 201,364 21,839 169,138 11.4% 12.6%
Navajo 589,157 88,257 423,007 17.3% 19.8%
Oklahoma 1,237,444 186,503 1,039,640 15.2% 9.5%
Phoenix 335,730 51,297 281,882 15.4% 18.1%
Portland 256,279 22,678 232,988 8.9% 13.9%
Tucson 84,297 9,568 74,449 11.4% 0.0%
TOTAL 5,004,436 557,777 4,149,361 11.8% 12.5%

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 Dec 5, 2022