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.

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Statistics

Overall Enrollment in the WTC Health Program

Month Responder Survivor
Jul 2011 56,183
Mar 2016 64,776 9,527
Jun 2016 65,180 9,744
Sep 2016 65,646 10,030
Dec 2016 66,368 10,582
Mar 2017 67,062 11,182
Jun 2017 67,900 12,025
Sep 2017 68,796 13,337
Dec 2017 69,658 14,310
Mar 2018 70,807 15,475
Jun 2018 71,831 16,631
Sep 2018 73,014 17,603
Dec 2018 74,097 18,899
Mar 2019 75,026 20,269
Jun 2019 76,099 21,682
Sep 2019 76,904 22,852
Dec 2019 77,770 24,309
Mar 2020 78,547 25,505
Jun 2020 79,003 26,275
Sep 2020 79,529 27,152
Dec 2020 80,146 28,349

Note: The Program started on July 1, 2011, and at that time, 56,183 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,746 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).

Data current as of December 31, 2020

New Enrollees - Past 24 Months

Month Responder Survivor Total
Jan 2019 335 508 843
Feb 2019 312 424 736
Mar 2019 282 438 720
Apr 2019 382 573 955
May 2019 400 429 829
Jun 2019 291 411 702
Jul 2019 288 438 726
Aug 2019 248 347 595
Sep 2019 269 385 654
Oct 2019 260 459 719
Nov 2019 238 489 727
Dec 2019 368 509 877
Jan 2020 189 359 548
Feb 2020 282 406 688
Mar 2020 306 431 737
Apr 2020 167 231 398
May 2020 151 252 403
Jun 2020 138 287 425
Jul 2020 127 196 323
Aug 2020 235 377 612
Sep 2020 164 304 468
Oct 2020 105 173 278
Nov 2020 297 606 903
Dec 2020 215 418 633

Data current as of December 31, 2020

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 62,167 57%
FDNY Responders 17,022 16%
Survivors 28,349 26%
Pentagon / Shanksville Responders 957 1%
Total Members 108,666 100%

Note: Of the total members, 4,074 are deceased.

Data current as of December 31, 2020

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 290 <1% 751 1% 1,041 1%
35-44 5,368 5% 2,147 2% 7,515 7%
45-54 26,404 25% 5,362 5% 31,766 30%
55-64 29,202 28% 9,014 9% 38,216 37%
65-74 11,334 11% 6,982 7% 18,316 18%
Older than 74 3,626 3% 3,349 3% 6,975 7%
Not Available 592 1% 0 0% 592 1%
Total Members 76,816 74% 27,605 26% 104,421

Note: This data does not include 3,330 deceased Responders or 744 deceased Survivors.

Data current as of December 31, 2020

WTC Health Program Member Type by Gender

Note: These data do not include the 3,491 deceased males or 583 deceased females

Age Responder Survivor Total
Male 66,991 64% 14,501 14% 81,492 78%
Female 9,409 9% 13,104 13% 22,513 22%
Not Available 416 <1% 0 0% 416 <1%
Total Members 76,816 74% 27,605 26% 104,421

Data current as of December 31, 2020

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 500-999
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 50-100
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 50-99
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 500-999
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 104,421 living members enrolled in the program, 22,122 living members are served through the Nationwide Provider Network.

Data current as of December 31, 2020

Living Members

Certification Category Responder Survivor
Aerodigestive 35,614 10,239
Cancer 12,330 7,679
Mental Health 12,718 5,567
Musculoskeletal and Acute Traumatic Injuries 538 35

Deceased Members

Certification Category Responder Survivor
Aerodigestive 1,117 246
Cancer 948 252
Mental Health 478 121
Musculoskeletal and Acute Traumatic Injuries 18 0

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

Data current as of December 31, 2020

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 26,559 5,783
Gastroesophageal Reflux Disease 24,138 4,839
Cancers 13,278 7,931
Asthma 13,082 4,710
Sleep Apnea 13,999 1,294
Post-Traumatic Stress Disorder (PTSD) 8,491 3,438
Chronic Respiratory Disorder - Fumes / Vapors 7,463 1,177
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,205 774
Anxiety Disorder (NOS)* 2,501 903
Major Depressive Disorder 2,436 798

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

Data current as of December 31, 2020

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 4,752 938
Prostate 3,025 1,568
Breast – Female 347 1,239
Melanoma of Skin 1,017 315
Lymphoma 623 576
Thyroid 559 576
Lung/Bronchus 490 498
Kidney 536 335
Leukemia 435 334
Colon 418 270
Bladder 409 208
Myeloma 199 218
Oropharynx 191 146
Rectum 164 173
Neuroendocrine 135 86

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

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

Data current as of December 31, 2020

Members by Number of Certifications

Number of Certifications Number Percent
1 17,776 29%
2 13,459 22%
3 10,767 17%
4 8,041 13%
5 4,953 8%
6 3,087 5%
7 1,643 3%
8 895 1%
9 511 1%
10 or more 653 1%

Note: 61,785 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of December 31, 2020

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 21 <1% 291 <1% 312 1%
35-44 1,816 3% 997 2% 2,813 5%
45-54 12,653 21% 2,837 5% 15,490 26%
55-64 18,208 31% 5,478 9% 23,686 40%
65-74 8,356 14% 4,921 8% 13,277 22%
Older than 74 2,053 3% 2,002 3% 4,055 7%

Note: 59,633 members have at least one certification. These data do not include 2,152 deceased members who held certifications.

Data current as of December 31, 2020

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 45 1,540 3% 863 2% 2,403 5%
45-54 11,034 24% 1,744 4% 12,778 28%
55-64 15,107 33% 3,492 8% 18,599 41%
65-74 6,447 14% 2,933 6% 9,380 20%
Older than 74 1,487 3% 1,206 3% 2,693 6%

Note: 45,853 members hold at least one Aerodigestive certification. These data do not include 1,363 deceased members who held Aerodigestive certifications.

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

Data current as of December 31, 2020

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 0 0% 33 <1% 33 <1%
35-44 191 1% 301 2% 492 2%
45-54 2,063 10% 1,167 6% 3,230 16%
55-64 5,325 27% 2,425 12% 7,750 39%
65-74 3,621 18% 2,606 13% 6,227 31%
Older than 74 1,130 6% 1,147 6% 2,277 11%

Note: 20,009 members hold at least one cancer certification. These data do not include 1,200 deceased members who held cancer certifications.

Data current as of December 31, 2020

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 20 <1% 129 1% 149 1%
35-44 577 3% 429 2% 1,006 6%
45-54 3,735 20% 1,102 6% 4,837 26%
55-64 5,626 31% 1,998 11% 7,624 42%
65-74 2,360 13% 1,441 8% 3,801 21%
Older than 74 400 2% 468 3% 868 5%

Note: 18,285 members hold at least one mental health certification. These data do not include 599 deceased members who held mental health certifications.

Data current as of December 31, 2020

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
< 55 121 21% 12 2%
55-64 246 43% 12 2%
65-74 138 24% <10* 1%
Greater than 74 33 6% <10* 1%

Note: 573 members have at least one Musculoskeletal certification or Acute Traumatic Injury. These data do not include 18 deceased members who had Musculoskeletal or Acute Traumatic Injury certifications.

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

Data current as of December 31, 2020

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Previously Reported Information