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 56,198
Mar 2014 60,173 7,457
Jun 2014 60,764 7,695
Sep 2014 61,793 7,973
Dec 2014 62,507 8,374
Mar 2015 62,946 8,622
Jun 2015 63,421 8,900
Sep 2015 64,001 9,128
Dec 2015 64,398 9,316
Mar 2016 64,795 9,544
Jun 2016 65,199 9,761
Sep 2016 65,665 10,047
Dec 2016 66,387 10,600
Mar 2017 67,079 11,200
Jun 2017 67,917 12,043
Sep 2017 68,813 13,354
Dec 2017 69,674 14,327
Mar 2018 70,822 15,493
Jun 2018 71,846 16,653
Sep 2018 73,030 17,624
Dec 2018 74,107 18,921

Note: The Program started on July 1, 2011, and at that time, 56,198 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,756 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, 2018

New Enrollees - Past 24 Months

Month Responder Survivor Total
Jan 2017 205 223 428
Feb 2017 220 180 400
Mar 2017 267 197 464
Apr 2017 367 259 626
May 2017 263 320 583
Jun 2017 208 264 472
Jul 2017 249 327 576
Aug 2017 355 541 896
Sep 2017 292 443 735
Oct 2017 299 384 683
Nov 2017 252 314 566
Dec 2017 310 275 585
Jan 2018 342 406 748
Feb 2018 372 354 726
Mar 2018 434 406 840
Apr 2018 393 418 811
May 2018 385 439 824
Jun 2018 246 303 549
Jul 2018 359 329 688
Aug 2018 368 341 709
Sep 2018 457 301 748
Oct 2018 422 432 854
Nov 2018 352 424 776
Dec 2018 303 441 744

Data current as of December 31, 2018

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 56,553 61%
FDNY Responders 16,957 18%
Survivors 18,926 20%
Pentagon / Shanksville Responders 592 1%
Total Members 93,028

Note: Of the total members, 2,199 are deceased.

Data current as of December 31, 2018

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 363 0% 661 1% 1,024 1%
35-44 7,853 9% 1,725 2% 9,578 11%
45-54 27,867 31% 4,131 5% 31,998 35%
55-64 24,095 27% 6,120 7% 30,215 33%
65-74 8,348 9% 4,275 5% 12,623 14%
Older than 75 2,626 3% 1,807 2% 4,433 5%
Not Available 955 1% 3 0% 958 1%
Total Members 72,107 79% 18,722 21% 90,829

Note: This data does not include 1,994 deceased Responders or 205 deceased Survivors.

Data current as of December 31, 2018

WTC Health Program Member Type by Gender

Note: These data do not include the 1,965 deceased males or 234 deceased females

Age Responder Survivor Total
Male 62,874 69% 9,513 10% 72,387 80%
Female 8,797 10% 9,204 10% 18,001 20%
Not Available 436 <1% 5 <1% 441 <1%
Total Members 72,107 79% 18,722 21% 90,829

Data current as of December 31, 2018

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
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 50-99
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 1-49
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 90,829 members enrolled in the Program, 14,765 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

Data current as of December 31, 2018

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 31,934 6,506
Mental Health 11,066 3,734
Cancer 8,459 2,562
Musculoskeletal and Acute Traumatic Injuries 511 19

Deceased Members

Certification Category Responder Survivor
Aerodigestive 653 54
Mental Health 273 27
Cancer 558 83
Musculoskeletal and Acute Traumatic Injuries 9 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, 2018

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 23,720 3,513
Gastroesophageal Reflux Disease 21,202 2,990
Asthma 11,921 3,256
Sleep Apnea 10,990 606
Cancers 9,017 2,645
Post-Traumatic Stress Disorder (PTSD) 7,027 2,137
Chronic Respiratory Disorder - Fumes / Vapors 6,980 916
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 2,844 372
Depression (NOS)* 2,353 480
Anxiety Disorder (NOS)* 2,242 559

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, 2018

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 3,242 237
Prostate 1,973 458
Melanoma of Skin 672 62
Breast – Female 245 417
Thyroid 406 228
Lymphoma 396 141
Lung/Bronchus 339 177
Kidney 368 120
Leukemia 299 113
Colon 291 86
Bladder 287 69
Myeloma 134 87
Oropharynx 108 47
Rectum 96 30
Tonsil 87 17

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

Data current as of December 31, 2018

Members by Number of Certifications

Number of Certifications Number Percent
1 12,499 26
2 10,348 22
3 8,513 18
4 6,395 13
5 4,030 8
6 2,559 5
7 1,412 3
8 762 2
9 454 1
10 or more 572 1

Note: 47,544 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of December 31, 2018

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 30 <1% 243 1% 273 1%
35-44 2,650 6% 704 2% 3,354 7%
45-54 13,087 28% 1,761 4% 14,848 32%
55-64 14,677 32% 3,078 7% 17,755 38%
65-74 5,619 12% 2,391 5% 8,010 17%
Older than 74 1,319 3% 857 2% 2,176 5%

Note: 46,416 members have at least one certification. These data do not include 1,128 deceased members who held certifications.

Data current as of December 31, 2018

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 35 10 <1% 175 <1% 185 <1%
35-44 2,273 6% 524 1% 2,797 7%
45-54 11,572 30% 1,262 3% 12,834 33%
55-64 12,518 33% 2,226 6% 14,744 38%
65-74 4,541 12% 1,695 4% 6,236 16%
Older than 74 1,020 3% 624 2% 1,644 4%

Note: 38,440 members hold at least one Aerodigestive certification. These data do not include 707 deceased members who held Aerodigestive certifications.

Data current as of December 31, 2018

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 23 <1% 108 1% 131 1%
35-44 788 5% 350 2% 1,138 8%
45-54 3,821 26% 765 5% 4,586 31%
55-64 4,582 31% 1,330 9% 5,912 40%
65-74 1,592 11% 896 6% 2,488 17%
Older than 74 260 2% 285 2% 545 4%

Note: 14,800 members hold at least one mental health certification. These data do not include 300 deceased members who held mental health certifications.

Data current as of December 31, 2018

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 0 0% 23 <1% 23 0%
35-44 212 2% 105 1% 317 3%
45-54 1,889 17% 422 4% 2,311 21%
55-64 3,643 33% 890 8% 4,533 41%
65-74 2,098 19% 829 8% 2,927 27%
Older than 74 617 6% 293 3% 910 8%

Note: 11,021 members hold at least one cancer certification. These data do not include 641 deceased members who held cancer certifications.

Data current as of December 31, 2018

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
Under 35 0 0% 0 0%
35-44 18 3% <10 1%
45-54 131 25% <10 1%
55-64 228 43% <10 1%
65-74 114 22% <10 0%
Greater than 75 20 4% <10 0%

530 members have at least one Musculoskeletal certification. These data do not include 9 deceased members who held Musculoskeletal certifications.

Data current as of December 31, 2018

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Previously Reported Information