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 56,193
Mar 2015 62,937 8,614
Jun 2015 63,412 8,892
Sep 2015 63,992 9,119
Dec 2015 64,389 9,306
Mar 2016 64,787 9,534
Jun 2016 65,191 9,751
Sep 2016 65,657 10,037
Dec 2016 66,379 10,590
Mar 2017 67,071 11,190
Jun 2017 67,909 12,033
Sep 2017 68,805 13,345
Dec 2017 69,667 14,318
Mar 2018 70,816 15,484
Jun 2018 71,840 16,640
Sep 2018 73,024 17,612
Dec 2018 74,105 18,912
Mar 2019 75,034 20,281
Jun 2019 76,106 21,694
Sep 2019 76,913 22,864
Dec 2019 77,752 24,297

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, 4,748 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, 2019

New Enrollees - Past 24 Months

Month Responder Survivor Total
Jan 2018 343 406 749
Feb 2018 372 354 726
Mar 2018 434 406 840
Apr 2018 393 416 809
May 2018 386 437 823
Jun 2018 245 303 548
Jul 2018 358 329 687
Aug 2018 370 342 712
Sep 2018 456 301 757
Oct 2018 421 432 853
Nov 2018 354 425 779
Dec 2018 306 443 749
Jan 2019 335 507 842
Feb 2019 312 424 736
Mar 2019 282 438 720
Apr 2019 382 572 954
May 2019 399 429 828
Jun 2019 291 412 703
Jul 2019 289 438 727
Aug 2019 248 347 595
Sep 2019 270 385 655
Oct 2019 258 458 716
Nov 2019 240 486 726
Dec 2019 341 489 830

Data current as of December 31, 2019

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 59,890 59%
FDNY Responders 16,997 17%
Survivors 24,297 24%
Pentagon / Shanksville Responders 865 1%
Total Members 102,049

Note: Of the total members, 2,691 are deceased.

Data current as of December 31, 2019

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 311 <1% 758 1% 1,069 1%
35-44 6,672 7% 2,050 2% 8,722 9%
45-54 27,532 28% 4,939 5% 32,471 33%
55-64 26,986 27% 7,797 8% 34,783 35%
65-74 9,823 10% 5,790 6% 15,613 16%
Older than 75 3,168 3% 2,609 3% 5,777 6%
Not Available 922 1% 1 <1% 923 1%
Total Members 74,414 76% 23,944 24% 99,358

Note: This data does not include 2,338 deceased Responders or 353 deceased Survivors.

Data current as of December 31, 2019

WTC Health Program Member Type by Gender

Note: These data do not include the 2,355 deceased males or 336 deceased females

Age Responder Survivor Total
Male 65,765 66% 12,407 12% 78,172 79%
Female 9,216 9% 11,534 12% 20,750 21%
Not Available 433 <1% 3 <1% 436 <1%
Total Members 75,414 76% 23,944 24% 99,358

Data current as of December 31, 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 500-999
Texas 500-999
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 99,358 members enrolled in the Program, 19,511 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

Data current as of December 31, 2019

Members with Certifications by Zadroga Act Categories of Conditions

Living Members

Certification Category Responder Survivor
Aerodigestive 34,051 9,049
Mental Health 11,997 5,034
Cancer 10,524 5,521
Musculoskeletal and Acute Traumatic Injuries 526 26

Deceased Members

Certification Category Responder Survivor
Aerodigestive 801 79
Mental Health 341 37
Cancer 711 127
Musculoskeletal and Acute Traumatic Injuries 11 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, 2019

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 25,256 4,975
Gastroesophageal Reflux Disease 22,772 4,177
Asthma 12,527 4,226
Cancers 11,235 5,648
Sleep Apnea 12,757 1,008
Post-Traumatic Stress Disorder (PTSD) 7,826 3,037
Chronic Respiratory Disorder - Fumes / Vapors 7,241 1,064
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,040 636
Anxiety Disorder (NOS)* 2,374 774
Major Depressive Disorder 2,281 720

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, 2019

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 3,960 614
Prostate 2,506 1,042
Breast – Female 291 879
Melanoma of Skin 857 199
Lymphoma 538 410
Thyroid 474 423
Lung/Bronchus 418 368
Kidney 448 243
Leukemia 378 246
Colon 358 192
Bladder 332 133
Myeloma 168 165
Oropharynx 171 113
Rectum 137 118
Lip 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 December 31, 2019

Members by Number of Certifications

Number of Certifications Number Percent
1 15,567 28
2 12,257 22
3 9,776 18
4 7,320 13
5 4,582 8
6 2,836 5
7 1,523 3
8 822 1
9 479 1
10 or more 621 1

Note: 55,783 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of December 31, 2019

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 22 <1% 286 1% 308 1%
35-44 2,233 4% 900 2% 3,133 6%
45-54 13,131 24% 2,552 5% 15,683 29%
55-64 16,625 31% 4,647 9% 21,272 39%
65-74 6,902 13% 3,884 7% 10,786 20%
Older than 74 1,678 3% 1,500 3% 3,178 6%

Note: 54,360 members have at least one certification. These data do not include 1,423 deceased members who held certifications.

Data current as of December 31, 2019

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 35 <10* <1% 205 <1% 206-214 <1%
35-44 1,907 4% 619 1% 2,526 6%
45-54 11,525 27% 1,680 4% 13,205 31%
55-64 13,930 32% 3,101 7% 17,031 40%
65-74 5,426 13% 2,471 6% 7,897 18%
Older than 74 1,260 3% 973 2% 2,233 5%

Note: 43,098 – 43,107 members hold at least one Aerodigestive certification. These data do not include 880 deceased members who held Aerodigestive certifications.

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

Data current as of December 31, 2019

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 19 <1% 132 1% 151 1%
35-44 673 4% 420 2% 1,093 6%
45-54 3,836 23% 1,046 6% 4,882 29%
55-64 5,192 30% 1,785 10% 6,977 41%
65-74 1,949 11% 1,253 7% 3,202 19%
75+ 328 2% 398 2% 726 4%

Note: 17,031 members hold at least one mental health certification. These data do not include 378 deceased members who held mental health certifications.

Data current as of December 31, 2019

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 <1 <1% 31 <1% 31 <1%
35-44 216 1% 223 1% 439 3%
45-54 2,060 13% 898 6% 2,958 18%
55-64 4,565 28% 1,824 11% 6,389 40%
65-74 2,816 18% 1,813 11% 4,629 29%
Older than 74 867 5% 732 5% 1,599 10%

Note: 16,045 members hold at least one cancer certification. These data do not include 838 deceased members who held cancer certifications.

Data current as of December 31, 2019

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
Under 35 <1 <1% <1 <1%
35-44 13 2% <10* <1%
45-54 120 22% <10* 1%
55-64 237 43% 11 2%
65-74 131 24% <10* 1%
Greater than 75 25 5% <10* <1%

Note: 552 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 December 31, 2019

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Previously Reported Information