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Sexually Transmitted Infections

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

 

Western Plains Public Health offers confidential 3-site testing for *chlamydia & *gonorrhea as well as blood sample testing for syphilis.
*Treatment is available for positive chlamydia and/or gonorrhea results.
 

If you would like to schedule an appointment or if you have any other questions, please contact: 


Grant, Morton, and Sioux Counties
Jennifer Pelster, RN
 

Mercer and Oliver Counties
Amber Staigle, RN

 

 

 

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         For more information about Sexually Transmitted Infections (STIs)

       Click Here:

       ND HHS
 

Hepatitis C

 

Hepatitis C is a liver infection caused by the hepatitis C virus (HCV). Hepatitis C
is spread through contact with blood from someone that has hepatitis C.

 

How it’s spread: Hepatitis C is spread through contact with blood from someone
that has hepatitis C.

 

Who should get tested?

  • Persons who have HIV/AIDS
  • Persons who have previously used injection drugs
  • Persons who currently use injection drugs*
  • Persons who have ever share injection supplies/equipment*
  • Persons who have a sex partner that has HCV
  • Persons who have a sex partner that uses injection drugs
  • Persons on long-term dialysis
  • Persons who have had blood transfusion or blood products before 1992
  • Persons who have had an organ transplant before 1992
  • Children born to mothers with an HCV infection
  • Healthcare/public safety workers after a needle stick involving infected blood

*Testing should be completed at least annually but recommended every 3-6 months.


                  NDHHS Hep C: hhs.nd.gov/viral-hepatitis
 

 

 

Western Plains Public Health offers
confidential testing for hepatitis C.
This is done by a finger-poke,
with results in 20 minutes. 



If you would like to schedule an appointment or if you have any other questions, please contact:

 

Grant, Morton, and Sioux Counties
Jennifer Pelster, RN

Mercer and Oliver Counties
Amber Staigle, RN

 

HIV/AIDS

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.
 

        Attached Document or FileNorth Dakota HHS


Western Plains Public Health offers confidential testing for HIV. This is done by a finger-poke, with results in 20 minutes. 

If you would like to schedule an appointment or if you have any other questions, please contact: 


Grant, Morton, and Sioux Counties
Jennifer Pelster, RN

Mercer and Oliver Counties
Amber Staigle, RN

 

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Immunizations

 

 

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Why is it important to immunize?  Vaccines protect children and adults against potentially disabling and life-threatening disease. Immunization has saved more than a billion lives and prevented countless illnesses and disabilities. However, vaccine-preventable diseases are still a threat and continue to infect children and adults, resulting in hospitalizations and deaths every year. Take the steps today to help prepare for a healthier tomorrow.

IMMUNIZATION CLINICS:                                                                                       
Please call the appropriate office to schedule an appointment.

 

 IMMUNIZATIONS PROVIDED

COVID-19, DTaP, Hepatitis A, Hepatitis B, HIB, HPV-9 (Gardasil), Influenza (Flu) - seasonal, MenB (Bexsero), Meningococcal (MCV-4), MMR, Nirsevimab (RSV for infants), Pneumococcal, Polio, RSV (Adult only), Rotavirus, Tdap, Varicella (Chickenpox), Zoster (Shingles)

Learn More About Immunizations
 

 

 

 

 

 

 

Western Plains Public Health can bill the following insurances:

♦ Blue Cross Blue Shield
♦ Champ VA
♦ Cigna
♦ Humana
♦ Medica
♦ Medicaid
♦ Medicare
♦ Sanford 
♦ Tricare West Region
♦ United Healthcare

If you have an insurance other than what is listed above, WPPH can still provide immunizations.  Please note we would collect payment for the cost of vaccine and administration fee at the time of service.

If you are uninsured/underinsured, you may qualify for vaccine assistance.  Please contact your local office if you have questions.

 

For 3rd Party Authorization to Bill for Services form, click:
HERE


 
Recommendations & Requirements

Adult  (General Recommendations)

Children (Birth through 6 Years)

Children (7 years through 18 years)

Childcare & School Requirements

Travel
 

Additional Resources

North Dakota State Immunization Program


 

 

 

 

Currently we are not accepting new clients for home visiting in Mandan.

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

Remote video URL

Good Neighbor Project

 

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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


 


IF YOU WITNESS AN OVERDOSE

  1. CALL 911
  2. Do 2 rescue breaths
  3. Draw 0.4 mg/ml of naloxone into syringe
  4. Administer naloxone into the shoulder or thigh muscle
  5. Continue 2 rescue breaths every 5 seconds
  6. If no response, repeat 0.4 mg/ml of naloxone every 3 minutes
  7. Remain onsite & cooperate with first responders upon arrival

The Good Samaritan Law protects you so you can protect your friend.


SIGNS OF AN OVERDOSE

  • Face is clammy to touch and has lost color
  • Body is limp
  • Fingernails or lips have a blue or purple tinge
  • Vomiting or making gurgling noises
  • Cannot be awakened from sleep or unable to speak
  • Breathing is slow or has stopped
  • Heartbeat is slow or has stopped

 

 

Newborn Home Visiting

A few days in the hospital following the birth of a new baby are often not enough for new parents to feel comfortable. Frequently, questions arise after leaving the hospital and settling in at home.

The Beyond Birth Education Program is a newborn home visit offered as a follow-up to hospital discharge. During this visit, the nurse will weigh your baby, check the cord, ask about feedings, and answer questions related to care of your baby. She will also provide support, education, and answer questions about your postpartum healing and role as a mother.

Shortly after your baby's hospital discharge, a Registered Nurse/Certified Lactation Counselor will call or text you to schedule an appointment for a home visit. There is no charge for this service and visits usually last about one hour. We look forward to working with you!
 

Links

General Information on Pregnancy, Birth, and Parenting:

Immunizations:

Nutrition:

Breastfeeding:

Growth & Development, Parenting and Care Giving:

Postpartum Care:

Safety:

Soothing:

Car Seat Safety Information:

Caring for a Sick Baby:

Safe Sleep and Tummy Time:

Community Resources:


Services Provided In:
 
Grant, Oliver, Morton & Sioux Counties
Morgan Tisor, RN
 
Mercer County
Heidi Moore, RN

CPR & First Aid

 

CPR & First Aid Training Certification
available through the American Heart Association (BLENDED TWO-STEP)
or
Western Plains Public Health (FACE-TO-FACE)

Please note:  we do not offer BLS for health care providers.
 

BLENDED TWO-STEP 
 

Students complete online training through the American Heart Association (AHA), then complete a 1-2.5 hour skills check off at Western Plains Public Health.  There are separate costs for the AHA online training and the skills check off.
 

Step One:
Complete the appropriate Heartsaver® online course offered through the American Heart Association (see online registration links below):

      - Heartsaver® First Aid CPR AED (BOTH),
      - Heartsaver® CPR AED (ONLY), or
      - Heartsaver® First Aid (ONLY)

("Optional Child & Infant" is included in each section--review prior to skills check off)
Be sure to select the correct class (as costs will vary) AND to print a copy of the Certificate of Completion to be mailed with your registration form.

Step Two:
Mail Registration Form (See Below), Certificate of Completion and Payment to the address on the registration form.  When received, a CPR instructor will contact you to schedule your in-person check-off class.

Fees for In-Person Check-Off Class:

     CPR and First Aid:  $65.00
     CPR ONLY:  $55.00
     First Aid ONLY:  $45.00

        FACE-TO-FACE

All training is completed at Western Plains Public Health the day of class.
If Face-to-Face classes do not fill, they may be cancelled.

Mail Registration Form (See Below) and Payment to the address on the registration form.  When received, we will confirm your registration by phone.

Fees for Face-to-Face Class:
    
     CPR and First Aid:  $80.00
     CPR ONLY:  $65.00
     First Aid ONLY:  $55.00

If you have a group of 6 or more interested in CPR class, please call 701-667-3370 or 1-888-667-3370.

 Registration Form

2026 Face-to-Face Class Dates (Saturdays, 8:30am-Noon):

July 25, 2026

 

Car Seat Program

Western Plains Public Health provides a safety restraint program.  To obtain a car seat, parents must attend an hour training session and proper fit assessment of your child and vehicle. 
One age appropriate car seat per child.
Fees will be determined by a car seat certified staff member according to the North Dakota Injury Prevention Guidelines.


Car Seat Safety Check Up Schedule

Mercer County
Call 873-4433 for an appointment 

Morton County
2026 Stan Puklich Chevrolet Schedule
 
To schedule a car seat check up appointment, visit:
Community Car Seat Check Up
 

North Dakota Child Passenger Safety  Provides detailed information on car seat education. 


Has your car seat expired, been recalled and requires destruction, or been involved in a motor vehicle crash? If it's time to retire that car seat, use these tips below:

  1. Use scissors to cut off the fabric, foam padding, and harness straps from the seat.
  2. Remove the car seat cover and any padding underneath it.
  3. Discard the fabric, foam padding, straps, and mixed metal/plastic pieces and small plastic pieces. Dispose of these pieces separately from plastic shell, to ensure it doesn't get used again.
  4. Mark the plastic as expired or unsafe.

Our local child passenger safety organization may offer periodic car-seat roundup and recycling programs. Watch for special events in the Bismarck/Mandan area!

*Please DO NOT try to donate or sell a used car seat. The idea that any seat is better than nothing is incorrect. The manufacturers set limits on their seats to ensure safety and quality, as materials break down over time and technology advances. If the manufacturer can no longer guarantee a seat will be effective in saving a child's life, please believe them.

Appointment Information
Please contact the appropriate county to make an appointment:

Morton and Sioux Counties
Certified Installers:
Brady Weaver
Chelsey Trebas


Grant County
Certified Installers:
Heidi Peltz
Bridget Winkler


Mercer County
Certified Installers:
Heidi Moore
Amber Staigle 


Oliver County
Certified Installers:
Amber Staigle

Breastfeeding

Give breastfeeding a GO! 

Did you know that breastmilk is all that your baby needs the first six months?  
Breastmilk provides all the protein, carbohydrates, fat, vitamins, minerals, water, DHA/ARA, probiotics and prebiotics that your baby needs.  In addition, it contains stem cells, antibodies, anti-virus, anti-parasites, enzymes, hormones and anti- cancer agents, just to name few.  You cannot find any of these in formula. 

So what does this mean?  
Breastfed babies have less ear and respiratory infections, diarrhea, constipation, asthma and allergies.  Breastfed babies are less likely to die from SIDS, develop diabetes or become overweight later in life.

Want to know what else is interesting?  
Breastmilk is convenient because it is always clean, safe and at the perfect temperature.   That means no worrying about your water supply, mixing formula correctly, warming bottles or washing bottles and nipples.  

Are there benefits for mom too?  
Absolutely!  Breastfeeding moms are less likely to develop diabetes, breast cancer and postpartum depression.  Plus, your body burns several hundred  calories a day to make breastmilk.  So nursing moms may lose their pregnancy weight faster.  Who wouldn't want to do that?

How long should I breastfeed?  
You don’t need to have a solid ending date.  Every time your baby drinks your breastmilk, you are adding benefits for the baby and yourself.  So breastfeed for one day or one week at a time and continue until you feel ready to stop.  Exclusive breastfeeding for the first 6-12 months provides the most health benefits for you and your baby.  

Should I also use formula?  
The longer you can provide only breastmilk the better.  Breastfeeding doesn’t need to be all or nothing…but consider going for it all!

Have more questions?
Western Plains Public Health IBCLC and CLC's would love to help!


Nancy Overson, IBCLC:  701-255-3397
Heidi Moore, RN, CLC:  701-873-4433
Chelsey Trebas, RN, CLC:  701-667-3370
Jeanine Wall-Hebert, MS, LRD, CLC:  701-667-3370

Other Lactation Support Contacts

Bismarck Burleigh Public Health:  701-355-1540
Sanford Birth Center:  701-323-6598
CHI St. Alexius Birth Place:  701-530-4270
Mid Dakota Clinic:  701-530-6000
UND Center for Family Medicine:  701-751-9500

Helpful Websites:

La Leche League International:
Mother to Mother Forums, Ask a Question

 Bismarck Mandan  Breastfeeding Partnership:
Getting Started Breastfeeding Tips

Dr. Jack Newman:
Video clips, Breastfeeding Help

 Breastfeeding.com:
Video Clips, Mothers' Stories, Working Mother

Breastmilk Every Ounce Counts: Texas WIC Program:
Preparing for Breastfeeding Expectations in First Days Working Mother

 Stanford School of Medicine:
Videos on Hand Expression Breastfeeding Resource