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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

Enrollment in the WTC Health Program

Overall Enrollment in the WTC Health Program

Month Responder Survivor
Jul 2011 56,188
Sep 2015 63,986 9,114
Dec 2015 64,383 9,301
Mar 2016 64,781 9,529
Jun 2016 65,185 9,746
Sep 2016 65,651 10,032
Dec 2016 66,373 10,585
Mar 2017 67,067 11,184
Jun 2017 67,905 12,027
Sep 2017 68,801 13,339
Dec 2017 69,663 14,312
Mar 2018 70,811 15,477
Jun 2018 71,835 16,633
Sep 2018 73,020 17,605
Dec 2018 74,101 18,902
Mar 2019 75,030 20,273
Jun 2019 76,103 21,685
Sep 2019 76,909 22,856
Dec 2019 77,776 24,313
Mar 2020 78,553 25,510
Jun 2020 79,001 26,271
Jul 2011 56,182
Dec 2015 64,377 9,300
Mar 2016 64,775 9,528
Jun 2016 65,179 9,745
Sep 2016 65,645 10,031
Dec 2016 66,367 10,584
Mar 2017 67,060 11,184
Jun 2017 67,898 12,027
Sep 2017 68,801 13,339
Dec 2017 69,663 14,312
Mar 2018 70,811 15,477
Jun 2018 71,835 16,633
Sep 2018 73,020 17,605
Dec 2018 74,101 18,902
Mar 2019 75,030 20,273
Jun 2019 76,103 21,685
Sep 2019 76,909 22,856
Dec 2019 77,776 24,313
Mar 2020 78,533 25,510
Jun 2020 79,001 26,271

Note: The Program started on July 1, 2011, and at that time, 56,188 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,747 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 June 30th, 2020

New Enrollees - Past 24 Months

0
Month Responder Survivor Total
Jul 2018 358 329 687
Aug 2018 370 342 712
Sep 2018 457 301 758
Oct 2018 421 431 852
Nov 2018 354 424 778
Dec 2018 306 442 748
Jan 2019 335 508 843
Feb 2019 312 424 736
Mar 2019 282 439 721
Apr 2019 382 572 954
May 2019 400 429 829
Jun 2019 291 411 702
Jul 2019 288 439 727
Aug 2019 248 347 595
Sep 2019 270 385 655
Oct 2019 260 459 719
Nov 2019 238 488 726
Dec 2019 369 510 879
Jan 2020 189 360 549
Feb 2020 281 404 685
Mar 2020 307 433 740
Apr 2020 168 230 398
May 2020 147 249 396
Jun 2020 133 282 415

Data current as of June 30th, 2020

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 61,075 58%
FDNY Responders 17,016 16%
Survivors 26,271 25%
Pentagon / Shanksville Responders 910 1%
Total Members 105,272 100%

Note: Of the total members, 3,496 are deceased.

Data current as of June 30th, 2020

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 311 <1% 788 1% 1,099 1%
35-44 6,404 6% 2,154 2% 8,558 8%
45-54 27,573 27% 5,269 5% 32,842 32%
55-64 27,788 27% 8,381 8% 36,169 36%
65-74 10,191 10% 6,234 6% 16,425 16%
Older than 75 3,268 3% 2,793 3% 6,061 6%
Not Available 622 1% 0 0% 622 1%
Total Members 76,157 75% 25,619 25% 101,776

Note: This data does not include 2,844 deceased Responders or 652 deceased Survivors.

Data current as of June 30th, 2020

WTC Health Program Member Type by Gender

Note: These data do not include the 3,001 deceased males or 495 deceased females

Gender Responder Survivor Total
Male 66,404 65% 13,359 13% 79,763 78%
Female 9,321 9% 12,260 12% 21,581 21%
Not Available 432 <1% 0 <1% 432 0%
Total Members 76,157 75% 25,619 25% 101,776

Data current as of June 30th, 2020

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 100-499
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 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
Of the 101,776 living members enrolled in the program, 20,709 living members are served through the Nationwide Provider Network.

Data current as of June 30th, 2020

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 34,831 9,731
Mental Health 12,384 5,281
Cancer 11,413 6,692
Musculoskeletal and Acute Traumatic Injuries 532 34

Deceased Members

Certification Category Responder Survivor
Aerodigestive 966 201
Mental Health 426 107
Cancer 849 196
Musculoskeletal and Acute Traumatic Injuries 16 0

Note: Individual members may have certifications in more than one category. Data in the bar graph represents living members only.

Data current as of June 30th, 2020

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 28,885 5,441
Gastroesophageal Reflux Disease 23,435 4,571
Asthma 12,790 4,526
Cancers 12,262 6,888
Sleep Apnea 13,456 1,184
Post-Traumatic Stress Disorder (PTSD) 8,193 3,254
Chronic Respiratory Disorder - Fumes / Vapors 7,337 1,135
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,139 728
Anxiety Disorder (NOS)* 2,440 840
Major Depressive Disorder 2,376 747

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

Data current as of June 30th, 2020

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 4,362 792
Prostate 2,752 1,326
Breast – Female 321 1,079
Melanoma of Skin 947 265
Lymphoma 568 498
Thyroid 520 506
Lung/Bronchus 458 445
Kidney 492 297
Leukemia 403 298
Colon 382 232
Bladder 374 177
Myeloma 184 199
Oropharynx 184 128
Rectum 150 141
Neuroendocrine 127 67

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 June 30th, 2020

Members by Number of Certifications

Number of Certifications Number Percent
1 16,707 28
2 12,862 22
3 10,319 18
4 7,695 13
5 4,798 8
6 2,971 5
7 1,586 3
8 861 1
9 497 1
10 or more 637 1

Note: 58,933 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of June 30th, 2020

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 21 <1% 292 1% 313 1%
35-44 2,040 4% 970 2% 3,010 5%
45-54 12,940 23% 2,691 5% 15,631 27%
55-64 17,396 30% 5,092 9% 22,488 39%
65-74 7,573 13% 4,460 8% 12,033 21%
Older than 74 1,869 3% 1,720 3% 3,589 6%

Note: 57,064 members have at least one certification. These data do not include 1,869 deceased members who held certifications.

Data current as of June 30th, 2020

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 35 <10* <1% <212 <1% 212 <1%
35-44 1,732 4% 645 1% 2,377 5%
45-54 11,319 25% 1,716 4% 13,035 29%
55-64 14,505 33% 3,334 7% 17,839 40%
65-74 5,892 13% 2,738 6% 8,630 19%
Older than 74 1,381 3% 1,088 2% 2,469 6%

Note: 44,562 members hold at least one Aerodigestive certification. These data do not include 1,167 deceased members who held Aerodigestive certifications.

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

Data current as of June 30th, 2020

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 19 <1% 128 1% 147 1%
35-44 620 4% 430 2% 1,050 6%
45-54 3,821 22% 1,067 6% 4,888 28%
55-64 5,419 31% 1,897 11% 7,316 41%
65-74 2,142 12% 1,331 8% 3,473 20%
75+ 363 2% 428 2% 791 4%

Note: 17,665 members hold at least one mental health certification. These data do not include 533 deceased members who held mental health certifications.

Data current as of June 30th, 2020

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 0 0% 36 <1% 36 <1%
35-44 204 1% 278 2% 482 3%
45-54 2,070 11% 1,028 6% 3,098 17%
55-64 4,948 27% 2,157 12% 7,105 39%
65-74 3,187 18% 2,269 13% 5,456 30%
Older than 74 1,004 6% 924 5% 1,928 11%

Note: 18,105 members hold at least one cancer certification. These data do not include 1,045 deceased members who held cancer certifications.

Data current as of June 30th, 2020

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
Under 35 0 0% 0 0%
35-44 12 2% <10* <1%
45-54 114 20% 10 2%
55-64 243 43% 12 2%
65-74 134 24% <10* 1%
Greater than 75 29 5% <10* 1%

Note: 566 members have at least one Musculoskeletal certification. These data do not include 16 deceased members who held Musculoskeletal certifications.

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

Data current as of June 30th, 2020

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Previously Reported Information

Page Last Reviewed: August 13, 2019 | Page Last Updated: August 20, 2020