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INDIAN HEALTH SERVICE (IHS) AREA DATA
NATIONAL CONGRESS OF AMERICAN INDIANS
POLICY RESEARCH CENTER
July 23, 2020
Research Policy Update
COVID-19 Data – Situation Summary – IHS Area Data
The purpose of this update is to share publicly available data and trends related to the novel coronavirus (COVID-19) pandemic in Indian Country. The NCAI Policy Research Center views updates on various public sites in the early morning each day and records available data. The data shared in this update represents what has been shared publicly by the sources described below, and the NCAI Policy Research Center is not analyzing the primary sources of data. This update represents data posted at the time of viewing each day. Starting 7/09/2020, this report will be published weekly on Thursday. In reviewing this data, it is important to understand that current COVID-19 data is likely an underestimate of the actual data due to current lack of adequate testing availability. Tribal nations are encouraged to conduct their own surveillance locally in partnership with local, county, state and federal agencies.
Total COVID-19 Cases in Indian Country The primary public source of federal data on COVID-19 cases in American Indians and Alaska Natives (AI/ANs) is the Indian Health Service (IHS) Coronavirus (COVID-19) website located at the following link: https://www.ihs.gov/coronavirus/. On this website, total COVID-19 cases are recorded daily as well as total cases in each IHS Area. The NCAI Policy Research Center has tracked these case numbers daily since March 23, 2020. Using these numbers, we created trend graphs for each IHS Area. In all IHS Areas, total cases have continued to increase. These graphs are included on the next pages. When downward corrections in total cases were made, likely due to reclassification by location or an error, we denote the days with corrections with dotted lines on the graph. Flat areas of the curves are when cases did not increase for that day. The change in cases from the prior day is listed above the graph, and the change from last week’s report is listed below the graph. Percent positive COVID-19 tests and the trend since last week (↑, ↓, or ─ ) is also listed below the graph.
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ALASKA (+6)
Cases since last week (7/16/2020): 78 Percent Positive Tests: 0.47 (↑ since last week)
ALBUQUERQUE (+36)
Cases since last week (7/16/2020): 88 Percent Positive Tests: 5.0 (↓ since last week)
381
0
50
100
150
200
250
300
350
400
450
Number of COVID-19 CasesIHS Areas - Alaska
Since March 23, 2020
ALK
1448
0
200
400
600
800
1000
1200
1400
1600
Number of COVID-19 CasesIHS Areas - Albuquerque
Since March 23, 2020
ABQ
3
BEMIDJI (+1)
Cases since last week (7/16/2020): 93 Percent Positive Tests: 2.4 (- since last week)
BILLINGS (+35)
Cases since last week (7/16/2020): 91 Percent Positive Tests: 1.8 (↑ since last week)
564
0
100
200
300
400
500
600
Number of COVID-19 CasesIHS Areas - Bemidji
Since March 23, 2020
BEM
633
0
100
200
300
400
500
600
700
Number of COVID-19 CasesIHS Areas - Billings
Since March 23, 2020
BIL
4
CALIFORNIA (+9)
Cases since last week (7/16/2020): 95 Percent Positive Tests: 5.6 (↑since last week)
GREAT PLAINS (+23)
Cases since last week (7/16/2020): 137 Percent Positive Tests: 4.2 (↓ since last week)
349
0
50
100
150
200
250
300
350
400
Number of COVID-19 CasesIHS Areas - CaliforniaSince March 23, 2020
CAL
1383
0
200
400
600
800
1000
1200
1400
1600
Number of COVID-19 CasesIHS Areas - Great PlainsSince March 23, 2020
GP
5
NASHVILLE (+14)
Cases since last week (7/16/2020): 79 Percent Positive Tests: 10.1 (↓ since last week)
NAVAJO (+77)
Cases since last week (7/16/2020): 619 Percent Positive Tests: 16.6 (↓ since last week)
1403
0
200
400
600
800
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1200
1400
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Number of COVID-19 CasesIHS Areas - NashvilleSince March 23, 2020
NAS
10,052
0
2000
4000
6000
8000
10000
12000
Number of COVID-19 CasesIHS Areas - Navajo
Since March 23, 2020
NAV
6
OKLAHOMA CITY (+386)
Cases since last week (7/16/2020): 914 Percent Positive Tests: 4.2 (↑ since last week)
PHOENIX (+107)
Cases since last week (7/16/2020): 682 Percent Positive Tests: 17.3 (↓ since last week)
3446
0
500
1000
1500
2000
2500
3000
3500
4000
Number of COVID-19 CasesIHS Areas - Oklahoma City
Since March 23, 2020
OKC
7282
0
1000
2000
3000
4000
5000
6000
7000
8000
Number of COVID-19 CasesIHS Areas - Phoenix
Since March 23, 2020
PHX
7
PORTLAND (+22)
Cases since last week (7/16/2020): 116 Percent Positive Tests: 7.6 (- since last week)
TUCSON (+15)
Cases since last week (7/16/2020): 55 Percent Positive Tests: 9.2 (- since last week)
1257
0
200
400
600
800
1000
1200
1400
Number of COVID-19 CasesIHS Areas - Portland
Since March 23, 2020
POR
440
0
50
100
150
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450
500
Number of COVID-19 CasesIHS Areas - Tucson
Since March 23, 2020
TUS
8
ALL IHS AREAS (+731)
Cases since last week (7/16/2020):3,047 Percent Positive Tests: 6.7 (↓ since last week)
IHS AREA TOTAL COVID-19 CASES (in descending order)
IHS Area COVID-19 Cases
7/16/2020 COVID-19 Cases
7/23/2020 Change since past week
Navajo 9433 10052 +619
Phoenix 6600 7282 +682
Oklahoma City 2532 3446 +914
Albuquerque 1360 1448 +88
Nashville 1324 1403 +79
Great Plains 1246 1383 +137
Portland 1141 1257 +116
Billings 542 633 +91
Bemidji 471 564 +93
Tucson 385 440 +55
Alaska 303 381 +78
California 254 349 +95
381 1448 564 633 349 1383 1403
10052
3446
7282
1257 440
28,638
0
5000
10000
15000
20000
25000
30000
35000
Number of COVID-19 Cases by IHS AreaJuly 21, 2020
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While some believe that increases are due to increased COVID-19 testing, the White House Coronavirus Task Force indicates that an increase in cases AND increase in percent positive tests means that the increase is likely a true increase. U.S. and WHO guidelines consider a percent positive COVID-19 test result below 5.0 should be achieved before advancing to the next reopening stage. Percent positive test results greater than 10 percent are concerning, even if decreasing, since the result means that at least 1 in 10 tests performed are positive. Tribal nations are encouraged to work with their local, state, and IHS Areas to follow local trends. Citation: NCAI Policy Research Center (2020). Research Policy Update: COVID-19 Data – Situation
Summary – IHS Area Data. Washington DC: National Congress of American Indians, July 23, 2020.
Questions: NCAI Policy Research Center – email: [email protected]; website: http://www.ncai.org/prc
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