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Tuberculosis (TB) is a bacterial disease that is spread through the air. This happens when
a person with TB disease coughs, sneezes, speaks, or sings.

TB can also affect other parts of the body such as the brain, lymph nosed, kidneys, bones, joints,
larynx, intestines or eyes, which is referred to as extrapulmonary.

Symptoms: cough lasting 3 weeks or longer, pain in the chest, coughing up blood or sputum,
weakness/fatigue, weight loss, fever, chills, night sweats

Screening for TB is available through a simple blood draw.

For more information on Tuberculosis visit:  hhs.nd.gov/tuberculosis

Chlamydia is a common bacterial STI that can cause an infection in women and men. 

*If you have had a previous chlamydia infection and were treated, you can get infected again.

*If you are pregnant, you can pass chlamydia to your baby during a vaginal delivery. 

How it’s spread: By having unprotected vaginal, anal, or oral sex. 

Signs/Symptoms: Often has no symptoms, but it can cause serious health problems even without symptoms. 

• Women—Abnormal vaginal discharge, A burning sensation when peeing

• Men—Discharge from the penis, A burning sensation when peeing, Pain and swelling in one or both testicles (this is less common)

• Rectal Infection: Rectal pain, Discharge, Bleeding

Who should get tested? 

If you are sexually active and have any of the following risk factors, you should be tested at least once a year.

• Gay or bi-sexual women and men

• Men who have sex with other men

• Have a new sex partner

• Persons that have multiple sex partners

• Persons that have a sex partner who has an STI

• You are pregnant

Gonorrhea is a common bacterial STI that can cause an infection in women and men. 

*If you have had a previous gonorrhea infection and were treated, you can get infected again.

*If you are pregnant, you can pass gonorrhea to your baby during a vaginal delivery. 

How it’s spread: By having unprotected vaginal, anal, or oral sex. 

Signs/Symptoms: Often has no symptoms, but it can cause serious health problems even without symptoms. 

• Women—Painful or burning sensation when peeing, Increased vaginal discharge, Vaginal bleeding between periods

• Men—Burning sensation when peeing, A white, yellow, or green discharge from the penis, Painful or swollen testicles (this is less common)

• Rectal Infection: Discharge, Anal itching, Soreness, Bleeding, Painful bowel movements

Who should get tested?

 If you are sexually active and have any of the following risk factors, you should be tested at least once a year.

• Gay or bi-sexual women and men

• Men who have sex with other men

• Have a new sex partner

• Persons that have multiple sex partners

• Persons that have a sex partner who has an STI

• You are pregnant

Syphilis is a bacterial STI that can cause an infection in women and men. 

*If you have had a previous syphilis infection and were treated, you can get infected again.

*If you are pregnant, you can pass syphilis to your baby during pregnancy. 

How it’s spread: Direct contact with a syphilis sore during vaginal, anal, or oral sex. It can be spread from a mother to her unborn baby.

Signs/Symptoms: 

• Primary—Single or multiple sores in the location of contact. They can be painless. The sore(s) will go away on their own in 3-6 weeks. These usually occur in, on, or around the Penis, Vagina, Anus, Rectum, Lips or in the mouth

• Secondary—Skin rashes and/or sores in the mouth, vagina, or anus. The rash can be on the palms of your hands and/or the soles of the feet. These will go away on their own. 

  • Other s/s: fever, swollen lymph nodes, sore throat, patchy hair loss, headaches, weight loss, muscle aches, and feeling very tired.

• Latent—There are no visible signs or symptoms. Without treatment, you can continue to have syphilis in your body for years and can spread it to others. 

Who should get tested?

If you are sexually active and have any of the following risk factors, you should be tested at least once a year.

• Gay or bi-sexual women and men

• Persons living with HIV

• Persons taking pre-exposure prophylaxis (PrEP) for HIV prevention

• Persons that have a sex partner who tests positive for syphilis

• You are pregnant

HIV/AIDS

HIV (human immunodeficiency virus) is a virus that attacks the body's immune system. Without treatment, it can lead to AIDS (acquired immunodeficiency syndrome). 

There is currently no effective cure. Once people get HIV, they have it for life. But proper medical care can control the virus.

How it’s spread: Most people who get HIV get it through anal or vaginal sex, or sharing needles, syringes, or other drug injection equipment.

Only certain body fluids can transmit HIV, including:

• Blood

• Semen

• Pre-seminal fluid

• Rectal fluids

• Vaginal fluids

• Breast milk

Who should get tested?

• Persons having sex with someone living with HIV (PLWH)

• Persons that have had more than one sex partner since last HIV test

• Persons who injected drugs

• Persons who exchange in sex work

• Persons diagnosed with or had treatment for tuberculosis (TB), HCV or an STI

• Persons who have sex with someone that uses injection drugs

• Persons that have sex with someone who exchanges in sex work

• Persons that have sex with someone whose sexual history is unknown (i.e. anonymous sex partners, one night stand)

• Persons that get tattoos or body piercings in unsterile environments

ND Ryan White Part B Program provides assistance to ND residents living with HIV/AIDS to access confidential health and support services.
To enroll, contact Western Plains Public Health.
 

        North Dakota HHS

Home Visiting-Health Maintenance services are provided by Registered Nurses to individuals who live in Grant, Mercer, Morton, Oliver, and Sioux counties. Clients are accepted into the program based on the reasonable expectation that their medical, nursing, and social needs can be adequately met safely in their place of residence. Potential clients have the right to accept or deny services. 

Referrals may be made by individuals, family, professionals or others who believe there is a need.  Care is coordinated with your health care provider.  Costs for services are set by a sliding fee scale.

Potential Clients:

• Reside in Grant, Mercer, Morton, Oliver, or Sioux counties.
• Are at risk for hospital admission or long-term care placement due to an inability to safely manage and take their medications as prescribed
• Are under the care of a health care provider
• Do not require in-home nursing as defined by Medicare
• Do not require nursing visits more than once a week
• Have a reasonable expectation that their needs can be safely met in their home

Services Include:

• Medication set-up and management - Including but not limited to: setting up medications, monitoring medication supply, ordering and arranging delivery of refills, and communication with health care provider’s office and pharmacy.
• Health Education and Counseling
• Nursing assessment
• Administration of injections/ injectable medications
• Limited Point of Care testing (i.e. INR)
• Assisting with community referrals - Connecting clients with other available services to help maintain safety and independence.
• Foot Care

Home Visiting-Health Maintenance Client Rights and Responsibilities

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NEW CLIENT enrollments are encouraged
to come at the start of clinic hours.
The first appointment will take
approximately 1 hour (please plan accordingly).

CLINIC REMINDER:  The Good Neighbor Project is a
walk-in-clinic and waiting times will vary (please plan accordingly).

Beulah Office: 1101 3rd Ave NW, Beulah
To set up an appointment, please call 701.873.4433