Spirit Lake Tribe Spirit Lake Tribe The Spirit Lake Tribe (in Santee Dakota: "Mni Wakan Oyate", formerly known as Devils Lake Sioux) is a federally recognized tribe based on a reservation located in east-central North Dakota on the southern shores of Devils Lake. It is made up of people of the Pabakse ("Iháŋkthuŋwaŋna"), Sisseton ("Sisíthuŋwaŋ") and Wahpeton ("Waȟpéthuŋwaŋ") bands of the Dakota tribe. Established in 1867 in a treaty between Sisseton-Wahpeton Bands and the United States government, the reservation, at , consists of of land area, primarily in Benson and Eddy counties. Smaller areas extend into Ramsey, Wells and Nelson counties. According to
Native American disease and epidemics at a rate 20 percent greater than all other United States races. Additionally, the demographic of Native Americans who die from heart disease is younger than other United States races, with 36% dying of heart disease before age 65. The highest heart disease death rates are located primarily in South Dakota and North Dakota, Wisconsin, and Michigan. Heart disease in Native Americans is not only due to diabetic complications; the increased risk is also due to higher rates of hypertension. Native American populations have been documented as being more likely to have high blood pressure than other groups, such as