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Program Statistics

The World Trade Center (WTC) Health Program offers high-quality, compassionate healthcare to those directly affected by the September 11th terrorist attacks.

We provide medical monitoring and treatment for emergency responders, recovery and cleanup workers, and volunteers who helped at the World Trade Center, the Pentagon, and the crash site near Shanksville, Pennsylvania. This group is known as Responders.

The Program also provides initial screenings and treatment to those who were present on the day of the attacks or who worked, lived, or went to school in the New York City disaster area on September 11th or the months that followed. This group is known as Survivors.

The WTC Health Program was established by the James Zadroga 9/11 Health and Compensation Act of 2010. In 2015, the Program was reauthorized until 2090.

Facts about the WTC Health Program

Below you will find general program information related to members enrolled and members certified (approved) for treatment of health conditions in the WTC Health Program. This information is updated quarterly. Additional information is available on the Quarterly Reports page.

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Statistics

Enrollment in the WTC Health Program

Overall Enrollment in the WTC Health Program

Month Responder Survivor
Jul 2011 56,175
Sep 2016 65,642 10,022
Dec 2016 66,364 10,574
Mar 2017 67,058 11,174
Jun 2017 67,896 12,018
Sep 2017 68,792 13,330
Dec 2017 69,654 14,303
Mar 2018 70,801 15,468
Jun 2018 71,825 16,623
Sep 2018 73,007 17,595
Dec 2018 74,090 18,890
Mar 2019 75,020 20,261
Jun 2019 76,093 21,674
Sep 2019 76,897 22,846
Dec 2019 77,765 24,304
Mar 2020 78,544 25,499
Jun 2020 79,001 26,268
Sep 2020 79,527 27,146
Dec 2020 80,154 28,352
Mar 2021 80,750 29,457
Jun 2021 81,460 30,582

Note: The Program started on July 1, 2011, and at that time, 56,175 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,742 Survivors were likewise “grandfathered”. The chart above depicts enrollment from the beginning of the Program, starting with “grandfathered” members and the cumulative addition of new members each quarter. The date labels correspond to the end of the quarter (i.e., September 2018 represents cumulative members through September 30, 2018).

Adjustments are made each quarter to account for member records changes

Data current as of June 30, 2021

New Enrollees - Past 24 Months

Month Responder Survivor Total
Jul 2019 288 439 727
Aug 2019 248 348 596
Sep 2019 268 385 653
Oct 2019 260 459 719
Nov 2019 239 488 727
Dec 2019 369 511 880
Jan 2020 189 359 548
Feb 2020 284 405 689
Mar 2020 306 431 737
Apr 2020 167 231 398
May 2020 152 252 404
Jun 2020 138 286 424
Jul 2020 126 196 322
Aug 2020 235 378 613
Sep 2020 165 304 469
Oct 2020 104 173 277
Nov 2020 298 605 903
Dec 2020 225 428 653
Jan 2021 172 293 465
Feb 2021 180 351 531
Mar 2021 244 461 705
Apr 2021 242 371 613
May 2021 198 372 570
Jun 2021 270 382 652

Adjustments are made each quarter to account for member records changes.

Data current as of June 30, 2021

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 63,392 57%
FDNY Responders 17,031 15%
Survivors 30,582 27%
Pentagon / Shanksville Responders 1,037 1%
Total Members 112,042 100%

Note: Of the total members, 4,627 are deceased.

Data current as of June 30, 2021

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 281 <1% 738 1% 1,019 1%
35-44 4,722 4% 2,141 2% 6,863 6%
45-54 25,736 24% 5,602 5% 31,338 29%
55-64 30,418 28% 9,618 9% 40,036 37%
65-74 12,128 11% 7,625 7% 19,753 18%
Older than 74 3,968 4% 3,854 4% 7,822 7%
Not Available 584 1% 0 0% 584 1%
Total Members 77,837 72% 29,578 28% 107,415

Note: This data does not include 3,623 deceased Responders or 1,004 deceased Survivors.

Data current as of June 30, 2021

WTC Health Program Member Type by Gender

Note: These data do not include the 3,954 deceased males or 673 deceased females

Gender Responder Survivor Total
Male 67,902 63% 15,607 15% 83,509 78%
Female 9,518 9% 13,971 13% 23,489 22%
Not Available 417 <1% 0 0% 418 <1%
Total Members 77,837 72% 29,579 28% 107,415

Data current as of June 30, 2021

WTC Health Program Members by State

State Members
Alabama 100-499
Alaska 1-49
Arizona 100-499
Arkansas 1-49
California 500-999
Colorado 100-499
Connecticut 1,000-9,999
Delaware 100-499
District of Columbia 50-99
Florida 1,000-9,999
Georgia 500-999
Hawaii 1-49
Idaho 1-49
Illinois 100-499
Indiana 100-499
Iowa 1-49
Kansas 1-49
Kentucky 50-99
Louisiana 50-99
Maine 50-99
Maryland 100-499
Massachusetts 100-499
Michigan 100-499
Minnesota 50-99
Mississippi 1-49
Missouri 100-499
Montana 1-49
Nebraska 1-49
Nevada 100-499
New Hampshire 100-499
New Jersey 10,000 +
New Mexico 100-499
New York 10,000 +
North Carolina 1,000-9,999
North Dakota 1-49
Ohio 100-499
Oklahoma 50-99
Oregon 100-499
Pennsylvania 1,000-9,999
Rhode Island 50-99
South Carolina 1,000-9,999
South Dakota 1-49
Tennessee 100-499
Texas 500-999
Utah 50-99
Vermont 50-99
Virginia 1,000-9,999
Washington 100-499
West Virginia 50-99
Wisconsin 50-99
Wyoming 1-49
Of the 107,415 living members enrolled in the program, 23,811 living members are served through the Nationwide Provider Network.

Data current as of June 30, 2021

Treatment and Certified Conditions in the WTC Health Program

Members with Certifications by Zadroga Act Categories of Conditions

Living Members

Certification Category Responder Survivor
Aerodigestive 36,466 10,839
Cancer 13,330 8,870
Mental Health 13,116 5,873
Musculoskeletal and Acute Traumatic Injuries 541 38

Deceased Members

Certification Category Responder Survivor
Aerodigestive 1,250 321
Cancer 1,101 409
Mental Health 528 148
Musculoskeletal and Acute Traumatic Injuries 22 0

Note: Individual members may have certifications in more than one category. Data in the bar graph represents living members only.

Data current as of June 30, 2021

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 27,248 6,180
Gastroesophageal Reflux Disease 24,902 5,187
Cancers 14,431 9,279
Asthma 13,357 4,970
Sleep Apnea 14,594 1,414
Post-Traumatic Stress Disorder (PTSD) 8,850 3,687
Chronic Respiratory Disorder - Fumes / Vapors 7,609 1,210
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,273 843
Anxiety Disorder (NOS)* 2,552 939
Major Depressive Disorder 2,514 847

Note: Individual members may have certifications in more than one category.
The notation (NOS) refers to “Not Otherwise Specified.”

Data current as of June 30, 2021

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 5,232 1,171
Prostate 3,310 1,887
Breast – Female 373 1,466
Melanoma of Skin 1,111 394
Lymphoma 659 665
Thyroid 610 660
Lung/Bronchus 535 581
Kidney 585 392
Leukemia 473 381
Colon 442 332
Bladder 439 248
Myeloma 209 247
Oropharynx 202 156
Rectum 181 195
Neuroendocrine 146 100

Note: Individual members may have certifications in more than one category.

Data current as of June 30, 2021

Members by Number of Certifications

Number of Certifications Number Percent
1 18,912 29
2 14,104 22
3 11,360 17
4 8,407 13
5 5,165 8
6 3,232 5
7 1,717 3
8 927 1
9 542 1
10 or more 671 1

Note: 65,037 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of June 30, 2021

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 19 <1% 289 <1% 308 1%
35-44 1,607 3% 1,004 2% 2,611 4%
45-54 12,540 20% 2,995 5% 15,535 25%
55-64 18,866 30% 5,955 10% 24,821 40%
65-74 9,084 15% 5,505 9% 14,589 23%
Older than 74 2,284 4% 2,320 4% 4,604 7%

Note: 62,468 members have at least one certification. These data do not include 2,569 deceased members who held certifications.

Data current as of June 30, 2021

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 45 1,352 3% 859 2% 2,211 5%
45-54 10,898 23% 1,805 4% 12,703 27%
55-64 15,592 33% 3,677 8% 19,269 41%
65-74 6,983 15% 3,154 7% 10,137 21%
Older than 74 1,641 3% 1,344 3% 2,985 6%

Note: 47,305 members have at least one Aerodigestive certification. These data do not include 1,571 deceased members who have Aerodigestive certifications.

*Members less than 10 are not displayed for privacy reasons.

Data current as of June 30, 2021

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 0 0% 38 <1% 38 <1%
35-44 178 1% 306 1% 484 2%
45-54 2,120 10% 1,278 6% 3,398 15%
55-64 5,686 26% 2,812 13% 8,498 38%
65-74 4,053 18% 3,053 14% 7,106 32%
Older than 74 1,293 6% 1,383 6% 2,676 12%

Note: 22,200 members hold at least one cancer certification. These data do not include 1,510 deceased members who held cancer certifications.

Data current as of June 30, 2021

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 18 <1% 124 1% 142 1%
35-44 522 3% 441 2% 963 5%
45-54 3,707 20% 1,146 6% 4,853 26%
55-64 5,831 31% 2,090 11% 7,921 42%
65-74 2,594 14% 1,560 8% 4,154 22%
Older than 74 444 2% 512 3% 956 5%

Note: 18,989 members hold at least one mental health certification. These data do not include 676 deceased members who held mental health certifications.

Data current as of June 30, 2021

Members with Musculoskeletal and/or Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
< 55 115 20% 12 2%
55-64 237 41% 13 2%
Greater than 64 189 33% 13 2%

Note: 579 members have at least one Musculoskeletal certification or Acute Traumatic Injury. These data do not include 22 deceased members who had Musculoskeletal or Acute Traumatic Injury certifications.

*Members less than 10 are not displayed for privacy reasons.

Data current as of June 30, 2021

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Previously Reported Information

Page Last Reviewed: March 18, 2021 | Page Last Updated: June 31, 2021s