Yankton Sioux Tribe established in 1853 in Charles Mix County, South Dakota. The tribe has a land base of 36,741 acres. Most of the tribe moved onto the reservation in the 1860s. The tribe owns and operates the Fort Randall Casino and Hotel in Pickstown, South Dakota, and Lucky Lounge and Four Directions Restaurant. Other major employers include Indian Health Services, the tribe itself, Bureau of Indian Affairs, and Marty Indian School. Yankton Sioux Tribe The Yankton Sioux Tribe of South Dakota is a federally recognized tribe of Yankton Western Dakota people, located in South Dakota. Their Dakota name is Ihanktonwan Dakota Oyate,
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