Manitoba Regional Health Authorities - Districts

November 10, 2001

Twelve Regional Health Authorities (RHA) have been defined within Manitoba. The RHAs have the responsibility for providing for the delivery and administration of health services in specified geographic areas. The specific area definitions, and responsibilities are outlined in The Regional Health Authorities Act (L.M. 1996 c. 53 - Chap. R34).

The following document provides an overview of the RHA districts. There is a brief description of the consultation and development of the districts along with some notes regarding limitations and district assignment. Each RHA district has been listed along with the assigned municipal areas and, where necessary, postal codes. Finally there is a sample SAS program for creating the districts and output of five year crude and directly standardized mortality rates.

Andrea Zajac (Manitoba Health, Regional Support Services) provided initial district definitions June 5, 2000. The initial districts were created in consultation between Regional Support Services and each RHA during 1999/2000. Further clarifications of districts, especially for RHAs with unorganized territories were made during the summer and fall of 2001. Final discussions happened as part of the Need to Know meeting September 18, 2001. The use of theses areas prior to 1997 fiscal may not be valid, or should be used with some caution. Users should also be aware of changes to postal codes over time - additions, retirement and movement. The definitions of districts based on postal codes will need to be confirmed each year.

MCHP assigns districts for the regional health authorities using the following process:

  1. Assign districts initially based on municipal code as provided by Manitoba Health. First Nations (A code municipal areas) are assigned based on postal/muncode combination,
  2. Within some areas districts are based on 6 digit postal code. It is important to understand that postal codes alone can only be used where there is a clear distinction between communities and it is unlikely that individuals will use postal boxes from other communities or live on rural routes that are outside of the district.

Because of the potential cross over between districts only communities in unorganized territories of Burntwood, Nor-Man and North Eastman have been assigned by postal code. Districts within Brandon and Winnipeg are also defined based on postal code since the error associated with rural routes and postal centres is minimized because of the population size.

Out of Manitoba postal codes are generally excluded. It is possible to be registered with Manitoba Health with an out of province postal code and a Manitoba municipal code. If necessary these individuals can still be included with limited error unless they are assigned to an unorganized territory or other municipal area that is defined by postal code (e.g. Brandon).

Further Notes:

  1. The assignment of communities that fall within the unorganized territories of Burntwood are assigned by postal code. Some of these are assigned back to municipal code defined areas. If numbers are to small then the following aggregations can be made: FB4 + FB9 - Gillam/Fox/Near Thompson, FBC + FBB + FBA - Remote.
  2. Assignment of Brandon districts (municipal area 026) is based on 6 digit postal code. The division follows the provincial electoral boundary - north along 18th to the river, east along the Assiniboine River to 1st, north along first to boundary of Brandon.
  3. Assignment of unorganized territories and first nations communities based on 6 digit postal code in North Eastman.
  4. In NOR-MAN Cranberry Portage is divided from Kelsey by postal code.

Area Definitions:


Central (A - 40)

Altona (A1)
'101' - Rhineland
'102' - Altona Town
'104' - Gretna Village

Carman (A2)
'033' - Dufferin RM
'034' - Carman Town
'053' - Grey RM
'112' - Roland RM
'158' - Thompson RM
'195' - St. Claude Village
'197' - Nortre Dame Des Lourdes Village

Lorne/Louise/Pembina (A3)
'068' - Lorne RM
'069' - Louise RM
'070' - Crystal City Village
'071' - Pilot Mound Village
'095' - Pembina RM
'096' - Manitou Village
'193' - Somerset Village
'A10' - Swan Lake First Nation

MacConald/Cartier (A4)
'021' - Cartier RM
'072' - MacDonald RM
'127' - St Francois Xavier
'321' - Headingly

Morden/Winkler (A5)
'103' - Plum Coulee Village
'148' - Stanley RM
'149' - Morden Town
'150' - Winker Town

Morris/Montcalm (A6)
'079' - Montcalm RM
'080' - Emerson Town
'081' - Morris RM
'082' - Morris Town
'A09' - Roseau River First Nation

Portage (A7)
'098' - Portage La Prairie RM
'099' - Portage La Prairie City
'090' - Macgregor Village
'A04' - Long Plain First Nation
'A05' - Dakota Plains First Nation
'A33' - Dakota Tipi First nation

Seven Regions (A8)
'063' - Lakeview RM
'089' - North Norfolk RM
'166' - Westbourne RM
'167' - Gladstone Town
'206' - Alonsa LGD
'A18' - Sandy Bay First Nation

North Eastman (BN - 20)

Reminder: postal codes are used only when they fall into the Unorganized Territories or First Nations communities.

Bluewater (BN1)
'100' - Powerview Village
'162' - Victoria Beach RM
'175' - Alexander LGD
'192' - Pine Falls Town
'A47' - Sagkeeng (Fort Alexander) First Nation
'A48' - Little Black River First Nation
'A50' - Hollow Water First Nation
Include the following communities based on postal code. 'R0E1M0' - Pine Falls, 'R0E0J0' - Bissett, 'R0E0P0' - Fort Alexander, 'R0E0E0' - Belair, 'R0E1K0' - Black River, 'R0E1E0' - Manigotagan, 'R0E2A0' - Traverse Bay, 'R0E2E0' - Wanipagow

Brokenhead (BN2)
'016' - Brokenhead
'017' - Beausejour Town
'018' - Garson Village
Include the following communities bassed on postal code: 'R0E1X0' - Seddon's Corner

Iron Rose (BN4)
'186' - Reyonlds RM
'169' - Whitemouth RM
Include the following communities based on postal code: 'R0E2G0' - Whitemouth, 'R0E2H0' - Whiteshell, 'R0E1R0' - Rennie, 'R0E1Y0' - Seven Sisters Falls, 'R0E0X0' - Hadashville

Springfield (BN5)
'146' - Springfield RM

Norhtern Remote (BN6)
'288' - Unorganized Territories
'290' - Unorganized Terriotires /** see note on SE prior to 1997)
'A44' - Poplar River First Nation
'A49' - Bloodvein First Nation
'A51' - Berens River First Nation
'A52' - Little Grand Rapids First Nation
Include the following communities based on postal code: 'R0B0A0' - Berrens River FN, 'R0B0V0' - Little Grand Rapids FN, 'R0C0J0' - Bloodvein First Nation, 'R0B0Z0' - Poplar River First Nation, 'R0C2P0' - Princes Harbour, 'R0C1X0' - Loon Straits, R0B2G0 - Pauingassi

Winnipeg River (BN7)
'061' - Lac Du Bonnet RM,
'062' - Lac Du Bonnet Village
'199' - Pinawa LGD
Include the following communities based on postal code: 'R0E1N0' - Pointe du Bois, 'R0E1A0' - Lac du Bonnet

South Eastman (BS - 25)

Central (BS1)
'056' - Hanover RM
'057' - Steinbach Town

Northern (BS2)
'060' - La Broquerie RM
'125' - Ste Anne RM
'157' - Tache RM
'196' - Ste Anne Village

Sout East (BS3)
'042' - Franklin RM
'185' - Piney LGD
'187' - Stuartburn LGD
'289' - Unorganized Territories 'A54' - Buffalo Point First Nation

Western (BS4)
'031' - De Salaberry RM
'032' - St. Pierrie Jolys Village
'105' - Ritchot RM
'203' - Niverville Village

Interlake (C - 30)

Northeast (C1)
'006' - Bifrost RM
'007' - Rivewrton Village
'045' - Gimili RM
'046' - Gimli Town
'123' - Dunnottar Village
'124' - Winnipeg Beach Town
'180' - Fisher LGD
'200' - Arborg Village
'291' - Unorganized Territories
'A19' - Peguis First Nation
'A20' - Fisher River
'A21' - Jackhead First Nation

Northwest (C2)
'024' - Coldwell RM
'039' - Eriksdale RM
'128' -St. Laurent RM
'140' - Siglunes RM
'181' - Grahamdale LGD
'A22' - Lake Manitoba First Nation
'A23' - Fairford Fisrst Nation
'A24' - Little Saskatchewan First Nation
'A25' - Lake St. Martin First Nation
'A60' - Dauphin River First Nation

Southeast (C3)
'121' - St. Andrews RM
'122' - Selkirk Town
'126' - St. Clements RM
'A46' - Brokenhead Ojibway Nation

Southwest (C4)
'109' - Rockwood RM
'110' - Stonewall Town
'111' - Teulon Village
'116' - Rosser RM
'173' - Woodlands RM
'178' - Armstrong LGD

NOR-MAN (D - 70)

Flin Flon, Snow Lake, Cranberry (D1)
'188' - Snow Lake Town
'190' - Flin Flon City
Include Cranberry Portage based on postal code R0B0H0

The Pas, OCN, Kelsey (D2)
'191' - The Pas Town
'179' - Kelsey RM (Consol LGD)
'A26' - Opaskwayak Cree Nation
Cranberry Portage is split from The Pas/OCN/Kelsey using postal code R0B0H0 into D1

Sherridon, Cormorant, Rand Rapids, Moose Lake, Easterville, Pukatawagan (D4)
'292' - Unorganized Territories
'194' - Grand Rapids LGD
'A27' - Grand Rapids First nation
'A29' - Mosakahiken Cree Nation
'A28' - Chemahawin First Nation
'A31' - Mathias Colomb Cree Nation

Parkland (E - 60)

Central District (E1)
'029' - Dauphin RM
'030' - Dauphin Town
'040' - Ethelbert RM
'041' - Ethelbert Town
'043' - Gilbert Plains RM
'044' - Gilbert Plains Village
'085' - Mossey River RM
'086' - Winnipegosis Village

East District (E2)
'067' - Lawrence RM
'073' - McCreary RM
'093' - Ochre River RM
'129' - Ste Rose RM
'130' - Ste Rose Du Lac Village
'198' - McCreary Village
'207' - Alonsa LGD
'A15' - Waterhen First Nation
'A16' - Ochi-Chak-Ko-Sipi (Crane River) First Nation
'A17' - Ebb & Flow First nation

North District (E3)
'075' - Minitonas RM
'076' - Minitonas Village
'153' - Swan River RM
'154' - Swan River Town
'155' - Benito Village
'156' - Bowsman Village
'208' - Mountain LGD North
'209' - Mountain LGD South
'293' - Unorganized Territories
'A13' - Sapotaweyak Cree Nation
'A14' - Pine Creek First Nation
'A61' - Wuskwi Sipihk (Indian Birch) First Nation

West District (E4)
'050' - Grandview RM
'051' - Grandview Town
'059' - Hillsburg RM
'134' - Shell River RM
'135' - Robin Town
'210' - Park LGD North
'A12' - Tootinaowaziibeeng Treaty Reserve (Valley River) First Nation

Churchill (FC - 90)

Churchill (FC)
'177'='FC'

Burntwood (FB - 80)

Reminder: Postal codes are used only when they fall into the Unorganized Territories or First Nations communities.
Much of Burntwood Unorganized is divided into 7 areas based on postal code.

Thompson (FB2)
'201' - Thompson City

Lynn Lake, Leaf Rapids SIL (FB3)
'189' - Lynn Lake LGD
'205' - Leaf Rapids Town
Include the following communities based on postal code: 'R0B0W0','R0B1W0','R0B1N0'

Gillam, Fox (FB4)
'202' - Gillam LGD
'A34' - Fox Lake First Nation
Include the following communities based on postal code: ' R0B0L0','R0B1Y0','R0B2A0'

Nelson House (FB5)
'A30' - Nelson House First Nation
Include the following communities based on postal code: 'R0B1A0'

Norway House (FB6)
'A42' - Norway House Cree Nation
Include the following communities based on postal code: 'R0B1B0'

Cross Lake (FB7)
'A43' - Cross Lake First Nation
Include the following communities based on postal code: 'R0B0J0'

Island Lake (FB8)
'A55' - Garden Hill First Nation
'A56' - Red Sucker Lake First Nation
'A57' - St. Theresa Point First Nation
'A58' - Wasagamack First Nation
Include the following communities based on postal code: 'R0B0T0','R0B1H0','R0B1J0','R0B2H0','R0B1Z0'

Thic, Pik, Wabowden (FB9)
Include the following communities based on postal code: 'R0B1R0','R0B1E0','R0B1S0','R0B0X0'

Sayisi Deni, Barren Lands, North Lands (FBA)
'A37' - Sayisi Dene (Tadoule Lake) First Nation
'A32' - Barren Lands (Brochet ) First Nation
'A45' - Northlands (Lac Brochet) First Nation
Include the following communities based on postal code:'R0B1G0','R0B2E0','R0B2C0','R0B0B0', 'R0B0E0', 'R0B0P0'

Oxford House, Gods (FBB)
'FBB' - 'A40' - Oxford House First Nation
'A41' - Gods Lake First Nation
'A59' - Gods River First Nation
Include the following communities based on postal code:'R0B0M0','R0B0N0','R0B1C0'

Shamattawa, York Factory, Split Lake, War Lake
'FBC' - 'A35' - Shamattawa First Nation
'A36' - York Factory First Nation
'A38' - Split Lake Cree Nation
'A39' - War Lake First Nation
Include the following communities based on postal code: 'R0B0S0','R0B1K0','R0B1P0','R0B2B0','R8N0L0'

/** The following aggregations for burntwood can be made
FB4 + FB9 - Gillam/Fox/Near Thompson
FBC +FBB + FBA - Remote **/

South Westman (GS - 55)

District 1 (GS1)
'001' - Albert RM
'002' - Archie RM
'004' - Arthur RM
'005' - Melita Town
'013' - Brenda RM
'015' - Waskada Village
'035' - Edward RM
'097' - Pipestone RM
'138' - Sifton RM
'139' - Oak Lake Town
'163' - Wallace RM
'164' - Virden Town
'165' - Elkhorn Village
'171' - Winchester RM
'172' - Deloraine Town
'A06' - Canupawakpa Dakota (Oak Lake) First Nation

District 2 (GS2)
'019' - Cameron RM
'020' - Hartney Town
'048' - Glenwood RM
'049' - Souris Town
'083' - Morton RM
'084' - Boissevain Town
'106' - Riverside RM
'107' - Roblin RM
'108' - Cartwright Village
'159' - Turtle Mountain RM
'160' - Killarney Town
'170' - Whitewater RM

District 3 (GS3)
'003' - Argyle RM
'091' - Oakland RM
'092' - Wawanesa Village
'142' - South Cypress RM
'143' - Glenboro Village
'144' - South Norfolk
'145' - Treherne Village
'152' - Strathcona RM
'161' - Victoria RM

Marquette (GM - 50)

District 1 (GM1)
'008' - Birtle RM
'009' - Birtle Town
'012' - Boulton RM
'036' - Ellice RM
'037' - St. Lazare Village
'114' - Rossburn RM
'115' - Rossburn Village
'118' - Russell RM
'119' - Russell Town
'120' - Binscarth Village
'133' - Shellmouth RM
'141' - Silver Creek RM
'A02' - Gamblers First Nation
'A11' - Waywayseecappo First Nation Treaty Four 1874

District 2 (GM2)
'011' - Blanshard RM
'027' - Daly RM
'028' - Rivers Town
'054' - Hamiota RM
'055' - Hamiota Village
'074' - Miniota RM
'136' - Shoal Lake RM
'137' - Shoal Lake Village
'151' - Strathclair RM
'174' - Woodworth RM
'A01' - Birdtail Sioux First Nation
'A03' - Keeseekooweniin First Nation
'A07' - Sioux Valley First Nation

District 3 (GM3)
'022' - Clanwilliam RM
'023' - Erickson Village
'058' - Harrison RM
'077' - Minto RM
'078' - Minnedosa Town
'094' - Odanah RM
'131' - Saskatchewan RM
'132' - Rapid City Town
'211' - Park LGD South
'A08' - Rolling River First Nation

District 4 (GM4)
'047' - Glenella RM
'064' - Langford RM
'065' - Neepawa Town
'066' - Lansdowne RM
'087' - North Cypress RM
'088' - Carberry Town
'113' - Rosedale RM

Brandon (G - 15)

Brandon Rural (G1)
'168' - Whitehead RM
'025' - Cornwallis RM
'038' - Elton RM

Brandon (G2)
'026' - Brandon City
/** Brandon city is divided into two parts based on provincial electoral boundaries. See http://www.elections.mb.ca/test/English/brandoneast.html. Generally this follows 18th north to the Assiniboine River, along the Assiniboine River to First, north along First to the boundary of the city. G2E and G2W. This is based on six digit postal code but is approximated by FSA. Full postal codes are not provided here. */
Brandon West (G2W)
R7B, R7C, R7A (some)
Brandon East (G2E)
R7A (most)

Winnipeg (K - 10)

Winnipeg (K)
'316','320', '147','303','304','312','313','315','319',
'305','308','310','317','318'
/** Winnipeg is further divided based on postal code into 12 Community Areas and 23 Neighbourhood clusters. There are separate formats for each of these. Winnipeg groupings are not part of this document. **/

The following table represents premature mortality rates per 1000 for 5 years of data (1995 - 1999). Numbers in red indicate communities with fewer than 2000 individuals - note that the population listed below is really the RHA population times 5, for five years of data. Most of these occur in Burntwood where there is large geographic and, in some cases, cultural distances between the communities. Recall that the Direct Rate, which is a standardized rate, is the one we use in reports - it "adjusts" for different distributions of population by age/gender (look back in your Epidemiology Primer notes if you forget what a standardized rate is!) The last RHA report (1999) has listed PMRs by RHA and by PSA, if you want to compare the ranges you are getting with the following districts.

                                                   o_dths     d_dths    c_dths
                                                  Total of    Direct    Crude
 rhad                                      pop    observed     Rate      Rate
Central
 A1-40 Altona                             39733       97     2.69709   2.44130
 A2-40 Carman                             47093      148     2.88491   3.14272
 A3-40 Lorne/Louise/Pembina               38692      148     3.33404   3.82508
 A4-40 MacDonald/Cartier                  53862       95     2.12956   1.76377
 A5-40 Morden/Winkler                     87571      232     2.81226   2.64928
 A6-40 Morris/Montcalm                    34046       99     2.92934   2.90783
 A7-40 Portage                            97492      374     3.97217   3.83621
 A8-40 Seven Regions                      52509      200     3.85758   3.80887
North Eastman
 BN1-20 Blue Water                        39028      169     4.44374   4.33022
 BN2-20 Brokenhead                        31228      139     3.99048   4.45113
 BN4-20 Iron Rose                         15171       54     3.04319   3.55942
 BN5-20 Springfield                       57275      153     2.92623   2.67132
 BN6-20 Northern Remote                   13471       65     7.71507   4.82518
 BN7-20 Winnipeg River                    26957      126     3.52493   4.67411
South Eastman
 BS1-25 Central                           97469      210     2.61888   2.15453
 BS2-25 Northern                          75362      151     2.30884   2.00366
 BS3-25 South/East                        25326      111     3.36114   4.38285
 BS4-25 Western                           51072      134     3.07376   2.62375
Interlake 
 C1-30 Northeast                           78866       328    3.58222   4.15895
 C2-30 Northwest                           44832       190    4.16642   4.23804
 C3-30 Southeast                          136544       530    3.67224   3.88153
 C4-30 Southwest                           87579       285    3.25001   3.25420
NOR-MAN
 D1-70 Flin Flon, Snow Lake, Cranberry     42951       142    3.62267   3.30609
 D2-70 The Pas & OCN                       54447       206    5.12408   3.78350
 D4-70 Sheridan, Cormorant, Grand          25017        99    6.58489   3.95731
Parkland
 E1-60 Central District                    65724       324    3.77655   4.92971
 E2-60 East District                       32018       124    3.69761   3.87282
 E3-60 North District                      72355       332    4.27198   4.58849
 E4-60 West District                       26965        92    2.65959   3.41183
Burntwood
 FB2-80 Thompson                           73740       165    3.88275   2.23759
 FB3-80 Lynn Lake, Leaf Rapids, SIL        17525        64    5.87786   3.65193
 FB4-80 Gillam, Fox                         8166        16    6.51421   1.95934
 FB5-80 Nelson House                        9564        42    8.05763   4.39147
 FB6-80 Norway House                       20179        70    6.05301   3.46895
 FB7-80 Cross Lake                         17930        52    4.74114   2.90017
 FB8-80 Island Lake                        31284        90    5.32101   2.87687
 FB9-80 Thick, Pik, Waboden                 4920        17    4.34759   3.45528
 FBA-80 Tadoule, Brochet, Lac Brochet       7905        25    3.89272   3.16256
 FBB-80 Oxford & Gods                      16052        50    4.02072   3.11488
 FBC-80 Shamattawa, York, Split, War       13763        60    6.11056   4.35951
Churchill
 FC-90 CHURCHILL                            5213        18    5.13575   3.45291
Brandon
 G1-15 Brandon rural                       28136        73    2.81939   2.59454
 G2E-15 Brandon City East                  94706       401    4.25502   4.23416
 G2W-15 Brandon City West                  96176       266    2.65421   2.76576
Marquette
 GM1-50 District 1                         40767       183    3.80162   4.48892
 GM2-50 District 2                         45630       207    4.04323   4.53649
 GM3-50 District 3                         35677       165    3.46759   4.62483
 GM4-50 District 4                         47559       196    3.46388   4.12120
South Westman
 GS1-55 District 1                         66915       272    3.38326   4.06486
 GS2-55 District 2                         53564       228    3.50855   4.25659
 GS3-55 District 3                         36256       139    3.18139   3.83385
Winnipeg
 K-10 WPG                                3030346     10787    3.52165   3.55966
Total
 Z                                       5352628     18943    3.53901   3.53901

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