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
Sep 2014 62,784 7,971
Dec 2014 62,501 8,370
Mar 2015 62,940 8,617
Jun 2015 63,415 8,895
Sep 2015 63,995 9,123
Dec 2015 64,392 9,311
Mar 2016 64,790 9,539
Jun 2016 65,194 9,756
Sep 2016 65,660 10,042
Dec 2016 66,382 10,595
Mar 2017 67,074 11,195
Jun 2017 67,912 12,038
Sep 2017 68,808 13,350
Dec 2017 69,669 14,323
Mar 2018 70,818 15,489
Jun 2018 71,842 16,647
Sep 2018 73,023 17,620
Dec 2018 74,108 18,920
Mar 2019 75,038 20,289
Jun 2019 76,109 21,699
Sep 2019 76,904 22,865

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 September 30, 2019

New Enrollees - Past 24 Months

Month Responder Survivor Total
Oct 2017 298 384 682
Nov 2017 252 314 566
Dec 2017 311 275 586
Jan 2018 343 406 749
Feb 2018 372 354 726
Mar 2018 434 406 840
Apr 2018 393 418 811
May 2018 386 436 822
Jun 2018 245 304 549
Jul 2018 358 329 687
Aug 2018 370 342 712
Sep 2018 457 302 759
Oct 2018 421 432 853
Nov 2018 354 426 780
Dec 2018 306 442 748
Jan 2019 336 507 843
Feb 2019 312 425 737
Mar 2019 282 437 719
Apr 2019 381 572 953
May 2019 399 428 827
Jun 2019 291 410 701
Jul 2019 286 437 723
Aug 2019 241 348 589
Sep 2019 268 381 649

Data current as of September 30, 2019

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 59,097 59%
FDNY Responders 16,993 17%
Survivors 22,865 23%
Pentagon / Shanksville Responders 814 1%
Total Members 99,769

Note: Of the total members, 2,593 are deceased.

Data current as of September 30, 2019

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 316 0% 705 1% 1,021 1%
35-44 6,960 7% 1,920 2% 8,880 9%
45-54 27,629 28% 4,709 5% 32,338 33%
55-64 26,355 27% 7,414 8% 33,769 35%
65-74 9,417 10% 5,420 6% 14,837 15%
Older than 75 3,021 3% 2,375 2% 5,396 6%
Not Available 933 1% 2 0% 935 1%
Total Members 74,637 77% 22,545 23% 97,176

Note: This data does not include 2,273 deceased Responders or 320 deceased Survivors.

Data current as of September 30, 2019

WTC Health Program Member Type by Gender

Note: These data do not include the 2,281 deceased males or 312 deceased females

Age Responder Survivor Total
Male 65,066 67% 11,653 12% 76,719 79%
Female 9,130 9% 10,885 11% 20,015 21%
Not Available 435 <1% 7 <1% 442 <1%
Total Members 74,631 77% 22,545 23% 97,176

Data current as of September 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 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 100-499
Utah 50-99
Vermont 50-99
Virginia 1,000-9,999
Washington 100-499
West Virginia 50-99
Wisconsin 50-99
Wyoming 1-49

Note: Of the 97,176 members enrolled in the Program, 18,570 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

Data current as of September 30, 2019

Members with Certifications by Zadroga Act Categories of Conditions

Living Members

Certification Category Responder Survivor
Aerodigestive 33,617 8,554
Mental Health 11,760 4,832
Cancer 9,967 4,788
Musculoskeletal and Acute Traumatic Injuries 520 25

Deceased Members

Certification Category Responder Survivor
Aerodigestive 777 71
Mental Health 328 36
Cancer 682 106
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 September 30, 2019

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 24,943 4,676
Gastroesophageal Reflux Disease 22,469 3,934
Asthma 12,419 4,043
Cancers 10,649 4,894
Sleep Apnea 12,395 902
Post-Traumatic Stress Disorder (PTSD) 7,638 2,890
Chronic Respiratory Disorder - Fumes / Vapors 7,185 1,035
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 2,998 583
Anxiety Disorder (NOS)* 2,335 741
Major Depressive Disorder 2,238 697

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

Data current as of September 30, 2019

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 3,731 498
Prostate 2,356 870
Breast – Female 268 765
Melanoma of Skin 822 164
Lymphoma 508 358
Thyroid 451 372
Lung/Bronchus 391 323
Kidney 425 213
Leukemia 362 218
Skin - Carcinoma in Situ 484 88
Colon 340 162
Bladder 312 112
Myeloma 156 148
Oropharynx 164 95
Rectum 126 88
Tonsil 46 162

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 September 30, 2019

Members by Number of Certifications

Number of Certifications Number Percent
1 14,900 28
2 11,852 22
3 9,479 18
4 7,123 13
5 4,439 8
6 2,784 5
7 1,495 3
8 812 2
9 473 1
10 or more 613 1

Note: 53,970 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of Septmeber 30, 2019

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 26 <1% 283 1% 309 1%
35-44 2,342 4% 878 2% 3,220 6%
45-54 13,177 25% 2,447 5% 15,624 30%
55-64 16,143 31% 4,293 8% 20,436 39%
65-74 6,562 12% 3,564 7% 10,126 19%
Older than 74 1,582 3% 1,318 3% 2,900 6%

Note: 52,615 members have at least one certification. These data do not include 1,355 deceased members who held certifications.

Data current as of September 30, 2019

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 35 <10* <1% 203 <1% 204-213 <1%
35-44 2,005 5% 613 1% 2,618 6%
45-54 11,590 27% 1,630 4% 13,220 31%
55-64 13,627 32% 2,911 7% 16,538 39%
65-74 5,198 12% 2,315 5% 7,513 18%
Older than 74 1,192 3% 882 2% 2,074 5%

Note: 42,166 – 42,175 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 September 30, 2019

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 22 <1% 132 1% 155 1%
35-44 685 4% 422 3% 1,107 7%
45-54 3,850 23% 1,010 6% 4,860 29%
55-64 5,042 30% 1,711 10% 6,753 41%
65-74 1,853 11% 1,180 7% 3,033 18%
75+ 307 2% 377 2% 684 4%

Note: 16,592 members hold at least one mental health certification. These data do not include 364 deceased members who held mental health certifications.

Data current as of September 30, 2019

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 0 0% 32 <1% 32 <1%
35-44 219 1% 195 1% 414 3%
45-54 2,015 14% 814 6% 2,829 19%
55-64 4,316 29% 1,565 11% 5,881 40%
65-74 2,602 18% 1,585 11% 4,187 28%
Older than 74 816 6% 596 4% 1,412 10%

Note: 14,755 members hold at least one cancer certification. These data do not include 788 deceased members who held cancer certifications.

Data current as of September 30, 2019

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
Under 35 0 0% 0 0%
35-44 13 2% <10* 1%
45-54 121 22% <10* 1%
55-64 239 44% 11 2%
65-74 124 23% <10* 1%
Greater than 75 23 4% <10* <1%

Note: 545 members have at least one Musculoskeletal certification. These data do not include 12 deceased members who held Musculoskeletal certifications.

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

Data current as of September 30, 2019

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Previously Reported Information