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 56,204
Sep 2013 58,701 6,550
Dec 2013 59,775 7,093
Mar 2014 60,175 7,467
Jun 2014 60,766 7,705
Sep 2014 61,796 7,982
Dec 2014 62,509 8,383
Mar 2015 62,948 8,631
Jun 2015 63,423 8,909
Sep 2015 64,003 9,137
Dec 2015 64,400 9,325
Mar 2016 64,797 9,553
Jun 2016 65,201 9,770
Sep 2016 65,667 10,056
Dec 2016 66,388 10,640
Mar 2017 67,080 11,210
Jun 2017 67,917 12,054
Sep 2017 68,815 13,366
Dec 2017 69,676 14,340
Mar 2018 70,825 15,507
Jun 2018 71,831 16,653

Note: The Program started on July 1, 2011, and at that time, 56,204 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,762 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., June 2018 represents cumulative members through June 30, 2018).

Data current as of June 30, 2018

New Enrollees - Past 24 Months

Month Responder Survivor Total
Jul 2016 135 65 200
Aug 2016 175 98 273
Sep 2016 156 123 279
Oct 2016 199 199 398
Nov 2016 355 214 569
Dec 2016 167 141 308
Jan 2017 205 223 428
Feb 2017 220 180 400
Mar 2017 267 197 464
Apr 2017 366 259 625
May 2017 263 321 584
Jun 2017 208 264 472
Jul 2017 249 327 576
Aug 2017 357 541 898
Sep 2017 292 444 736
Oct 2017 299 384 683
Nov 2017 252 315 567
Dec 2017 310 275 585
Jan 2018 342 408 750
Feb 2018 373 353 726
Mar 2018 434 406 840
Apr 2018 393 417 810
May 2018 236 437 818
Jun 2018 435 301 736

Data current as of June 30, 2018

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 54,374 61%
FDNY Responders 16,942 19%
Survivors 16,653 19%
Pentagon / Shanksville Responders 515 1%
Total Members 87,484

Note: Of the total members, 1,744 are deceased.

Data current as of June 30, 2018

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 400 0% 637 1% 1,037 1%
35-44 8,388 10% 1,614 2% 10,002 12%
45-54 27,453 32% 3,695 4% 31,148 36%
55-64 22,802 26% 5,393 6% 28,195 33%
65-74 7,744 9% 3,685 4% 11,429 13%
Older than 75 2,468 3% 1,477 2% 3,945 5%
Not Available 981 1% 3 0% 984 1%
Total Members 70,236 81% 16,504 19% 86,740

Note: This data does not include 1,595 deceased Responders or 149 deceased Survivors.

Data current as of June 30, 2018

WTC Health Program Member Type by Gender

Note: These data do not include the 1,551 deceased males or 193 deceased females

Age Responder Survivor Total
Male 61,247 71% 8,315 10% 69,562 80%
Female 8,552 10% 8,182 9% 16,734 19%
Not Available 437 1% 7 0% 444 1%
Total Members 70,236 81% 16,504 19% 86,740

Data current as of June 30, 2018

WTC Health Program Members by State

State Members
Alabama 50-99
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 100-499
Hawaii 1-49
Idaho 1-49
Illinois 100-499
Indiana 100-499
Iowa 1-49
Kansas 1-49
Kentucky 50-99
Louisiana 1-49
Maine 50-99
Maryland 100-499
Massachusetts 100-499
Michigan 50-99
Minnesota 50-99
Mississippi 100-499
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 86,740 members enrolled in the Program, 13,771 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

Data current as of June 30, 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 30,812 5,922
Mental Health 10,680 3,493
Cancer 7,523 1,852
Musculoskeletal and Acute Traumatic Injuries 508 <10

Deceased Members

Certification Category Responder Survivor
Aerodigestive 455 37
Mental Health 180 19
Cancer 381 39
Musculoskeletal and Acute Traumatic Injuries 4 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, 2018

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 22,722 3,138
Gastroesophageal Reflux Disease 20,246 2,726
Asthma 11,532 2,982
Sleep Apnea 10,046 506
Cancers 7,904 1,891
Post-Traumatic Stress Disorder (PTSD) 6,654 1,941
Chronic Respiratory Disorder - Fumes / Vapors 6,853 864
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 2,763 318
Depression (NOS)* 2,352 480
Anxiety Disorder (NOS)* 2,178 526

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, 2018

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 2,816 170
Prostate 1,716 303
Melanoma of Skin 586 47
Thyroid 357 170
Breast – Female 196 292
Lymphoma 365 110
Lung/Bronchus 304 134
Kidney 310 84
Leukemia 271 86
Colon 275 65
Bladder 265 55
Myeloma 123 68
Oropharynx 100 34
Breast-Carcinoma 65 48
Rectum 86 19

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

Data current as of June 30, 2018

Members by Number of Certifications

Number of Certifications Number Percent
1 11,488 26
2 9,719 22
3 8,004 18
4 5,975 13
5 3,781 9
6 2,425 5
7 1,322 3
8 741 2
9 430 1
10 or more 555 1

Note: 42,082 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of June 30, 2018

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 36 0% 243 1% 279 1%
35-44 2,790 6% 675 2% 3,465 8%
45-54 12,933 30% 1,600 4% 14,533 33%
55-64 13,705 31% 2,690 6% 16,395 38%
65-74 5,066 12% 2,026 5% 7,092 16%
Older than 74 1,188 3% 703 2% 1,891 4%

Note: 43,655 members have at least one certification. These data do not include 785 deceased members who held certifications.

Data current as of June 30, 2018

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 35 16 0% 177 0% 193 1%
35-44 2,416 7% 507 1% 2,923 8%
45-54 11,490 31% 1,204 3% 12,694 35%
55-64 11,798 32% 2,007 5% 13,805 38%
65-74 4,174 11% 1,493 4% 5,667 15%
Older than 74 918 2% 534 1% 1,452 4%

Note: 36,734 members hold at least one Aerodigestive certification. These data do not include 492 deceased members who held Aerodigestive certifications.

Data current as of June 30, 2018

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 24 0% 116 1% 140 1%
35-44 828 6% 339 2% 1,167 8%
45-54 3,863 27% 720 5% 4,583 32%
55-64 4,288 30% 1,248 9% 5,536 39%
65-74 1,436 10% 809 6% 2,245 16%
Older than 74 241 2% 261 2% 502 4%

Note: 14,173 members hold at least one mental health certification. These data do not include 199 deceased members who held mental health certifications.

Data current as of June 30, 2018

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 < 10 0% 17 0% 17 0%
35-44 201 2% 86 1% 287 3%
45-54 1,772 19% 321 3% 2,093 22%
55-64 3,243 35% 630 7% 3,873 41%
65-74 1,773 19% 604 6% 2,377 25%
Older than 74 534 6% 194 2% 728 8%

Note: 9,375 members hold at least one cancer certification. These data do not include 420 deceased members who held cancer certifications.

Data current as of June 30, 2018

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
Under 35 0 0% 0 0%
35-45 19 4% <10 0%
45-54 136 26% <10 0%
55-64 225 44% <10 1%
65-74 110 21% 0 0%
Greater than 75 18 3% <10 0%

512-544 members have at least one Musculoskeletal certification. These data do not include 4 deceased members who held Musculoskeletal certifications.

Data current as of June 30, 2018

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Previously Reported Information