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 56,201
Dec 2013 59,773 7,086
Mar 2014 60,173 7,460
Jun 2014 60,764 7,698
Sep 2014 61,793 7,976
Dec 2014 62,506 8,377
Mar 2015 62,945 8,625
Jun 2015 63,420 8,903
Sep 2015 64,000 9,131
Dec 2015 64,397 9,319
Mar 2016 64,794 9,547
Jun 2016 65,198 9,764
Sep 2016 65,664 10,050
Dec 2016 66,386 10,603
Mar 2017 67,078 11,203
Jun 2017 67,916 12,046
Sep 2017 68,813 13,358
Dec 2017 69,674 14,331
Mar 2018 70,823 15,498
Jun 2018 71,846 16,658
Sep 2018 73,025 17,618

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 September 30, 2018).

Data current as of September 30, 2018

New Enrollees - Past 24 Months

Month Responder Survivor Total
Oct 2016 199 199 398
Nov 2016 356 213 569
Dec 2016 167 141 308
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 356 541 897
Sep 2017 292 444 736
Oct 2017 299 384 683
Nov 2017 252 314 566
Dec 2017 310 275 585
Jan 2018 342 407 749
Feb 2018 373 353 726
Mar 2018 434 407 841
Apr 2018 393 418 811
May 2018 386 438 824
Jun 2018 244 304 548
Jul 2018 358 330 688
Aug 2018 366 338 704
Sep 2018 455 292 747

Data current as of September 30, 2018

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 55,518 61%
FDNY Responders 16,950 19%
Survivors 17,618 19%
Pentagon / Shanksville Responders 557 1%
Total Members 90,643

Note: Of the total members, 2,104 are deceased.

Data current as of September 30, 2018

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 381 0% 638 1% 1,019 1%
35-44 8,117 9% 1,647 2% 9,764 11%
45-54 27,723 31% 3,863 4% 31,586 36%
55-64 23,407 26% 5,707 6% 29,114 33%
65-74 8,017 9% 3,932 4% 11,949 13%
Older than 75 2,513 3% 1,624 2% 4,137 5%
Not Available 965 1% 5 0% 970 1%
Total Members 71,123 80% 17,416 20% 88,539

Note: This data does not include 1,902 deceased Responders or 202 deceased Survivors.

Data current as of September 30, 2018

WTC Health Program Member Type by Gender

Note: These data do not include the 1,875 deceased males or 229 deceased females

Age Responder Survivor Total
Male 62,002 70% 8,808 10% 70,810 80%
Female 8,688 10% 8,605 10% 17,293 20%
Not Available 433 <1% 3 <1% 436 <1%
Total Members 71,123 80% 17,416 20% 88,539

Data current as of September 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 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 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 88,539 members enrolled in the Program, 14,767 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

Data current as of September 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 31,337 6,150
Mental Health 10,850 3,582
Cancer 7,942 2,136
Musculoskeletal and Acute Traumatic Injuries 512 16

Deceased Members

Certification Category Responder Survivor
Aerodigestive 612 54
Mental Health 256 26
Cancer 503 80
Musculoskeletal and Acute Traumatic Injuries 6 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, 2018

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 23,241 3,295
Gastroesophageal Reflux Disease 20,720 2,851
Asthma 11,720 3,101
Sleep Apnea 10,495 554
Cancers 8,445 2,216
Post-Traumatic Stress Disorder (PTSD) 6,835 2,023
Chronic Respiratory Disorder - Fumes / Vapors 6,917 889
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 2,803 340
Depression (NOS)* 2,352 480
Anxiety Disorder (NOS)* 2,218 533

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, 2018

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 3,007 204
Prostate 1,844 382
Melanoma of Skin 628 53
Thyroid 376 204
Breast – Female 224 346
Lymphoma 383 121
Lung/Bronchus 325 154
Kidney 337 97
Leukemia 286 98
Colon 280 76
Bladder 278 62
Myeloma 129 75
Oropharynx 107 39
Rectum 90 24
Stomach 86 19

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

Data current as of September 30, 2018

Members by Number of Certifications

Number of Certifications Number Percent
1 11,927 26
2 9,996 22
3 8,262 18
4 6,202 14
5 3,888 8
6 2,503 5
7 1,359 3
8 748 2
9 444 1
10 or more 565 1

Note: 45,894 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of September 30, 2018

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 34 0% 244 1% 278 1%
35-44 2,716 6% 666 1% 3,382 8%
45-54 12,989 29% 1,644 4% 14,633 33%
55-64 14,202 32% 2,855 6% 17,057 38%
65-74 5,336 12% 2,166 5% 7,502 17%
Older than 74 1,232 3% 762 2% 1,994 4%

Note: 44,846 members have at least one certification. These data do not include 1,048 deceased members who held certifications.

Data current as of September 30, 2018

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 35 14 0% 178 0% 192 1%
35-44 2,335 6% 502 1% 2,837 8%
45-54 11,542 31% 1,220 3% 12,762 34%
55-64 12,140 32% 2,097 6% 14,237 38%
65-74 4,356 12% 1,579 4% 5,935 16%
Older than 74 950 3% 574 2% 1,524 4%

Note: 37,487 members hold at least one Aerodigestive certification. These data do not include 666 deceased members who held Aerodigestive certifications.

Data current as of September 30, 2018

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 24 0% 113 1% 137 1%
35-44 799 6% 330 2% 1,129 8%
45-54 3,828 27% 738 5% 4,566 32%
55-64 4,439 31% 1,286 9% 5,725 40%
65-74 1,512 10% 842 6% 2,354 16%
Older than 74 248 2% 273 2% 521 4%

Note: 14,432 members hold at least one mental health certification. These data do not include 282 deceased members who held mental health certifications.

Data current as of September 30, 2018

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 < 10 0% 18 0% 18 0%
35-44 220 2% 94 1% 314 3%
45-54 1,797 18% 353 4% 2,150 21%
55-64 3,440 34% 743 7% 4,183 42%
65-74 1,923 19% 699 7% 2,622 26%
Older than 74 562 6% 229 2% 791 8%

Note: 10,878 members hold at least one cancer certification. These data do not include 583 deceased members who held cancer certifications.

Data current as of September 30, 2018

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
Under 35 <10 0% <10 0%
35-45 20 4% <10 1%
45-54 130 25% <10 1%
55-64 229 43% <10 1%
65-74 114 22% <10 0%
Greater than 75 19 4% <10 0%

528 members have at least one Musculoskeletal certification. These data do not include 6 deceased members who held Musculoskeletal certifications.

Data current as of September 30, 2018

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Previously Reported Information