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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 56,182
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 68,794 13,339
Dec 2017 69,656 14,312
Mar 2018 70,805 15,477
Jun 2018 71,829 16,633
Sep 2018 73,012 17,605
Dec 2018 74,095 18,901
Mar 2019 75,024 20,272
Jun 2019 76,097 21,687
Sep 2019 76,903 22,857
Dec 2019 77,769 24,312
Mar 2020 78,546 25,508
Jun 2020 79,003 26,278
Sep 2020 79,521 27,145

Note: The Program started on July 1, 2011, and at that time, 56,182 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 September 30th, 2020

New Enrollees - Past 24 Months

Month Responder Survivor Total
Oct 2018 422 431 853
Nov 2018 355 423 778
Dec 2018 306 442 748
Jan 2019 335 508 843
Feb 2019 312 424 736
Mar 2019 282 439 721
Apr 2019 382 574 956
May 2019 400 430 830
Jun 2019 291 411 702
Jul 2019 288 438 726
Aug 2019 248 347 595
Sep 2019 270 385 655
Oct 2019 260 459 719
Nov 2019 238 487 725
Dec 2019 368 509 877
Jan 2020 190 359 549
Feb 2020 282 405 687
Mar 2020 305 432 737
Apr 2020 167 231 398
May 2020 151 252 403
Jun 2020 139 287 426
Jul 2020 126 195 321
Aug 2020 234 375 609
Sep 2020 158 297 455

Data current as of September 30th, 2020

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 61,568 58%
FDNY Responders 17,019 16%
Survivors 27,145 25%
Pentagon / Shanksville Responders 934 1%
Total Members 106,666 100%

Note: Of the total members, 3,880 are deceased.

Data current as of September 30th, 2020

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 301 <1% 758 1% 1,059 1%
35-44 5,655 6% 2,110 2% 7,765 8%
45-54 26,752 26% 5,234 5% 31,986 31%
55-64 28,646 28% 8,610 8% 37,256 36%
65-74 10,905 11% 6,644 6% 17,549 17%
Older than 74 3,477 3% 3,093 3% 6,570 6%
Not Available 601 1% 0 0% 601 1%
Total Members 76,337 74% 26,449 26% 102,786

Note: This data does not include 3,184 deceased Responders or 696 deceased Survivors.

Data current as of September 30th, 2020

WTC Health Program Member Type by Gender

Note: These data do not include the 3,342 deceased males or 538 deceased females

Gender Responder Survivor Total
Male 66,559 65% 13,836 14% 80,395 78%
Female 9,347 9% 12,613 12% 21,960 21%
Not Available 431 <1% 0 <1% 431 0%
Total Members 76,337 74% 26,449 26% 102,786

Data current as of September 30th, 2020

WTC Health Program Members by State

State Members
Alabama 100-499
Alaska 1-49
Arizona 500-999
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 102,786 living members enrolled in the program, 20,309 living members are served through the Nationwide Provider Network.

Data current as of September 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 35,146 9,925
Cancer 11,841 7,008
Mental Health 12,545 5,389
Musculoskeletal and Acute Traumatic Injuries 531 35

Deceased Members

Certification Category Responder Survivor
Aerodigestive 1,064 226
Cancer 899 228
Mental Health 452 113
Musculoskeletal and Acute Traumatic Injuries 19 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 September 30th, 2020

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 26,167 5,585
Gastroesophageal Reflux Disease 23,747 4,686
Cancers 12,740 7,236
Asthma 12,927 4,599
Sleep Apnea 13,681 1,224
Post-Traumatic Stress Disorder (PTSD) 8,341 3,312
Chronic Respiratory Disorder - Fumes / Vapors 7,393 1,148
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,161 744
Anxiety Disorder (NOS)* 2,466 869
Major Depressive Disorder 2,406 769

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

Data current as of September 30th, 2020

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 4,494 843
Prostate 2,895 1,386
Breast – Female 332 1,139
Melanoma of Skin 985 286
Lymphoma 600 540
Thyroid 534 533
Lung/Bronchus 478 461
Kidney 510 316
Leukemia 416 316
Colon 394 247
Bladder 389 189
Myeloma 190 204
Oropharynx 187 134
Rectum 158 152
Neuroendocrine 134 77

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 30th, 2020

Members by Number of Certifications

Number of Certifications Number Percent
1 17,150 29
2 13,113 22
3 10,498 17
4 7,834 13
5 4,874 8
6 3,008 5
7 1,615 3
8 874 1
9 508 1
10 or more 641 1

Note: 60,115 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of September 30th, 2020

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 20 <1% 287 1% 307 1%
35-44 1,938 3% 983 2% 2,921 5%
45-54 12,745 22% 2,752 5% 15,497 27%
55-64 17,792 31% 5,209 9% 23,001 40%
65-74 7,963 14% 4,621 8% 12,584 22%
Older than 74 1,942 3% 1,826 3% 3,768 6%

Note: 58,078 members have at least one certification. These data do not include 2,037 deceased members who held certifications.

Data current as of September 30th, 2020

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 45 1,648 4% 862 2% 2,510 6%
45-54 11,115 25% 1,720 4% 12,835 28%
55-64 14,811 33% 3,383 8% 18,194 40%
65-74 6,156 14% 2,820 6% 8,976 20%
Older than 74 1,416 3% 1,140 3% 2,556 6%

Note: 45,071 members hold at least one Aerodigestive certification. These data do not include 1,290 deceased members who held Aerodigestive certifications.

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

Data current as of September 30th, 2020

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 0 0% 32 <1% 32 <1%
35-44 198 1% 284 2% 482 3%
45-54 2,064 11% 1,083 6% 3,147 17%
55-64 5,116 27% 2,233 12% 7,349 39%
65-74 3,409 18% 2,367 13% 5,776 31%
Older than 74 1,055 6% 1,008 5% 2,063 11%

Note: 18,849 members hold at least one cancer certification. These data do not include 1,127 deceased members who held cancer certifications.

Data current as of September 30th, 2020

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 19 <1% 128 1% 147 1%
35-44 601 3% 424 2% 1,025 6%
45-54 3,773 21% 1,085 6% 4,858 27%
55-64 5,529 31% 1,925 11% 7,454 42%
65-74 2,247 13% 1,382 8% 3,629 20%
Older than 74 376 2% 445 2% 821 5%

Note: 17,934 members hold at least one mental health certification. These data do not include 565 deceased members who held mental health certifications.

Data current as of September 30th, 2020

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
Under 35 0 0% 0 0%
35-44 10 2% <10* <1%
45-54 112 20% 11 2%
55-64 244 43% 13 2%
65-74 135 24% <10* 1%
Greater than 74 30 5% <10* 1%

Note: 566 members have at least one Musculoskeletal certification or Acute Traumatic Injury. These data do not include 19 deceased members who had Musculoskeletal or Acute Traumatic Injury certifications.

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

Data current as of September 30th, 2020

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Previously Reported Information

Page Last Reviewed: August 13, 2019 | Page Last Updated: November 23, 2020