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.

Statistics

Overall Enrollment in the WTC Health Program

Month Responder Survivor
Jul 2011 56,192
Sep 2014 61,784 7,971
Dec 2014 62,498 8,371
Mar 2015 62,937 8,618
Jun 2015 63,412 8,896
Sep 2015 63,992 9,124
Dec 2015 64,389 9,312
Mar 2016 64,787 9,540
Jun 2016 65,191 9,757
Sep 2016 65,657 10,043
Dec 2016 66,379 10,596
Mar 2017 67,071 11,196
Jun 2017 67,909 12,039
Sep 2017 68,806 13,351
Dec 2017 69,667 14,324
Mar 2018 70,816 15,490
Jun 2018 71,840 16,648
Sep 2018 73,023 17,621
Dec 2018 74,104 18,921
Mar 2019 75,034 20,292
Jun 2019 76,050 21,636

Note: The Program started on July 1, 2011, and at that time, 56,192 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,753 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 June 30, 2019

New Enrollees - Past 24 Months

Month Responder Survivor Total
Jul 2017 249 327 576
Aug 2017 356 542 898
Sep 2017 292 443 735
Oct 2017 298 384 682
Nov 2017 252 314 566
Dec 2017 311 245 556
Jan 2018 343 406 749
Feb 2018 372 354 726
Mar 2018 434 406 840
Apr 2018 393 417 810
May 2018 386 437 823
Jun 2018 245 304 549
Jul 2018 358 330 688
Aug 2018 368 342 710
Sep 2018 457 301 758
Oct 2018 421 432 853
Nov 2018 354 426 780
Dec 2018 306 442 748
Jan 2019 335 507 842
Feb 2019 312 426 738
Mar 2019 283 438 721
Apr 2017 379 570 949
May 2017 396 428 824
Jun 2017 241 346 587

Data current as of June 30, 2019

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 58,323 60%
FDNY Responders 16,986 17%
Survivors 21,636 22%
Pentagon / Shanksville Responders 741 1%
Total Members 97,686

Note: Of the total members, 2,448 are deceased.

Data current as of June 30, 2019

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 441 0% 791 1% 1,232 1%
35-44 9,435 10% 2,150 2% 11,585 12%
45-54 29,543 31% 4,962 5% 34,505 36%
55-64 23,433 25% 6,980 7% 30,413 32%
65-74 7,741 8% 4,707 5% 12,448 13%
Older than 75 2,341 2% 1,768 2% 4,109 4%
Not Available 945 1% 1 0% 946 1%
Total Members 73,879 78% 21,359 22% 95,238

Note: This data does not include 2,171 deceased Responders or 277 deceased Survivors.

Data current as of June 30, 2019

WTC Health Program Member Type by Gender

Note: These data do not include the 2,169 deceased males or 279 deceased females

Age Responder Survivor Total
Male 64,408 68% 10,979 11% 75,387 79%
Female 9,036 9% 10,375 11% 19,411 20%
Not Available 435 <1% 5 <1% 440 <1%
Total Members 73,879 78% 21,359 22% 95,238

Data current as of June 30, 2019

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 50-99
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 50-99
New Jersey 1,000-9,999
New Mexico 50-99
New York >9,999
North Carolina 1,000-9,999
North Dakota 1-49
Ohio 100-499
Oklahoma 50-99
Oregon 50-99
Pennsylvania 1,000-9,999
Rhode Island 50-99
South Carolina 500-999
South Dakota 1-49
Tennessee 100-499
Texas 100-499
Utah 50-99
Vermont 50-99
Virginia 500-999
Washington 100-499
West Virginia 50-99
Wisconsin 50-99
Wyoming 1-49

Note: Of the 95,238 members enrolled in the Program, 17,685 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

Data current as of June 30, 2019

Members with Certifications by Zadroga Act Categories of Conditions

Living Members

Certification Category Responder Survivor
Aerodigestive 33,055 7,812
Mental Health 11,512 4,460
Cancer 9,405 3,893
Musculoskeletal and Acute Traumatic Injuries 518 23

Deceased Members

Certification Category Responder Survivor
Aerodigestive 733 62
Mental Health 310 32
Cancer 633 99
Musculoskeletal and Acute Traumatic Injuries 12 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 June 30, 2019

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 24,550 4,263
Gastroesophageal Reflux Disease 22,056 3,576
Asthma 12,248 3,739
Cancers 10,038 3,992
Sleep Apnea 11,935 768
Post-Traumatic Stress Disorder (PTSD) 7,428 2,625
Chronic Respiratory Disorder - Fumes / Vapors 7,111 981
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 2,936 497
Anxiety Disorder (NOS)* 2,296 675
Major Depressive Disorder 2,211 661

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, 2019

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 3,504 387
Prostate 2,219 708
Melanoma of Skin 780 121
Breast – Female 255 633
Thyroid 477 289
Lymphoma 433 321
Lung/Bronchus 371 267
Kidney 406 168
Leukemia 342 185
Colon 326 130
Bladder 305 102
Myeloma 150 126
Oropharynx 162 81
Rectum 117 68
Tonsil 181 <10

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 June 30, 2019

Members by Number of Certifications

Number of Certifications Number Percent
1 14,107 27
2 11,328 22
3 9,110 18
4 6,835 13
5 4,298 8
6 2,706 5
7 1,459 3
8 792 2
9 465 1
10 or more 600 1

Note: 51,700 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of June 30, 2019

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 27 <1% 269 1% 296 1%
35-44 2,452 5% 819 2% 3,271 6%
45-54 13,190 26% 2,201 4% 15,391 31%
55-64 15,632 31% 3,863 8% 19,495 39%
65-74 6,222 12% 3,139 6% 9,361 19%
Older than 74 1,484 3% 1,133 2% 2,617 5%

Note: 50,431 members have at least one certification. These data do not include 1,269 deceased members who held certifications.

Data current as of June 30, 2019

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 35 <10* <1% 194 <1% 201 <1%
35-44 2,108 5% 583 1% 2,691 7%
45-54 11,613 28% 1,509 4% 13,122 32%
55-64 13,250 32% 2,656 6% 15,906 39%
65-74 4,946 12% 2,090 5% 7,036 17%
Older than 74 1,131 3% 780 2% 1,911 5%

Note: 40,861 – 40,869 members hold at least one Aerodigestive certification. These data do not include 795 deceased members who held Aerodigestive certifications.

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

Data current as of June 30, 2019

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 22 <1% 126 1% 148 1%
35-44 721 5% 404 3% 1,125 7%
45-54 3,841 24% 914 6% 4,755 30%
55-64 4,891 31% 1,588 10% 6,479 41%
65-74 1,749 11% 1,086 7% 2,835 18%
75+ 288 2% 342 2% 630 4%

Note: 15,972 members hold at least one mental health certification. These data do not include 342 deceased members who held mental health certifications.

Data current as of June 30, 2019

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 0 0% 28 <1% 28 <1%
35-44 214 2% 154 1% 368 3%
45-54 1,974 15% 661 5% 2,635 20%
55-64 4,064 31% 1,309 10% 5,373 40%
65-74 2,419 18% 1,268 10% 3,687 28%
Older than 74 734 6% 473 4% 1,207 9%

Note: 13,298 members hold at least one cancer certification. These data do not include 732 deceased members who held cancer certifications.

Data current as of June 30, 2019

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
Under 35 0 0% 0 0%
35-44 15 3% <10* 1%
45-54 127 24% <10* 1%
55-64 234 44% 11 1%
65-74 120 21% <10* <1%
Greater than 75 22 4% <10* <1%

Note: 541 members have at least one Musculoskeletal certification. These data do not include 11 deceased members who held Musculoskeletal certifications.

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

Data current as of June 30, 2019

Previously Reported Information