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The Dene 'Tha First Nation continued to occupy the northwest corner of Alberta and adjacent parts of British Columbia and the Northwest Territories after the signing of Treaties 8 and 11. There are four reserves, located on the upper Hay River near High Level, at places such as Chateh (Assumption), Meander River and Bushie  River.  Until the 1960s, these communities were quite isolated.  Although accessibility has improved, the communities are still distant from major urban centres.

Dene 'Tha youth tend to move to larger urban areas for further education and training. Although this has meant increased economic opportunity, it has also led to disruptions in family life, cultural traditions and language learning.  More recently, the Dene 'Tha have found economic opportunities in the forest and oil industries around places such as High Level, Zama City and Rainbow Lake.  Along with this, commercial fishing and transportation-related work are enterprises which allow Dene 'Tha to live in their home communities with their families.  Within the community there are firefighting crews, as well as subsistence hunting, fishing, and trapping.

Early in the 20th century, disease threatened the Dene 'Tha with many perishing in an influenza epidemic concentrated in the vicinity of Fort Norman on the Mackenzie River.  Pre-contact population was estimated at 1250 people, which decreased to an estimated 800 after contact. After World War II, improved health care has helped the Dene 'Tha population revive and increase, to approximately 4100 people in 1983. 

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