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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 56,204
Jun 2013 58,169 6,311
Sep 2013 58,701 6,550
Dec 2013 59,776 7,093
Mar 2014 60,176 7,467
Jun 2014 60,767 7,705
Sep 2014 61,797 7,983
Dec 2014 62,509 8,384
Mar 2015 62,948 8,632
Jun 2015 63,423 8,910
Sep 2015 64,003 9,138
Dec 2015 64,400 9,326
Mar 2016 64,797 9,554
Jun 2016 65,201 9,771
Sep 2016 65,667 10,057
Dec 2016 66,388 10,611
Mar 2017 67,080 11,212
Jun 2017 67,918 12,057
Sep 2017 68,815 13,368
Dec 2017 69,676 14,341
Mar 2018 70,825 15,499

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., March 2018 represents cumulative members through March 31, 2018).

Data current as of March 31, 2018

New Enrollees - Past 24 Months

Month Responder Survivor Total
Apr 2016 173 78 251
May 2016 131 77 208
Jun 2016 100 62 162
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 205 224 429
Feb 2017 220 180 400
Mar 2017 267 197 464
Apr 2017 367 259 626
May 2017 263 321 584
Jun 2017 208 265 473
Jul 2017 249 327 576
Aug 2017 355 541 896
Sep 2017 293 443 736
Oct 2017 299 384 683
Nov 2017 251 315 566
Dec 2017 311 274 585
Jan 2018 343 407 750
Feb 2018 372 354 726
Mar 2018 435 401 836

Data current as of March 31, 2018

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 53,382 62%
FDNY Responders 16,941 20%
Survivors 15,499 18%
Pentagon / Shanksville Responders 502 1%
Total Members 86,324

Note: Of the total members, 1,634 are deceased.

Data current as of March 31, 2018

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 430 1% 603 1% 1,033 1%
35-44 8,661 10% 1,547 2% 10,208 12%
45-54 27,340 32% 3,495 4% 30,835 36%
55-64 22,115 26% 5,009 6% 27,124 32%
65-74 7,417 9% 3,373 4% 10,790 13%
Greater than 75 2,367 3% 1,339 2% 3,706 4%
Not Available 992 1% 2 0% 994 1%
Total Members 69,322 82% 15,368 18% 84,690

Note: This data does not include 1,503 deceased Responders or 131 deceased Survivors.

Data current as of March 31, 2018

WTC Health Program Member Type by Gender

Note: These data do not include the 1,453 deceased males or 181 deceased females

Age Responder Survivor Total
Male 60,443 71% 7,735 9% 68,178 81%
Female 8,442 10% 7,627 9% 16,069 19%
Not Available 437 1% 6 0% 443 1%

Data current as of March 31, 2018

WTC Health Program Members by State

State Members
Alabama 50-99
Alaska 0-49
Arizona 100-499
Arkansas 0-49
California 500-999
Colorado 100-499
Connecticut 500-999
Delaware 100-499
Florida 1,000-9,999
Georgia 100-499
Hawaii 0-49
Idaho 0-49
Illinois 100-499
Indiana 100-499
Iowa 0-49
Kansas 0-49
Kentucky 50-99
Louisiana 50-99
Maine 50-99
Maryland 100-499
Massachusetts 100-499
Michigan 50-99
Minnesota 50-99
Mississippi 0-49
Missouri 50-99
Montana 0-49
Nebraska 0-49
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 0-49
Ohio 100-499
Oklahoma 0-49
Oregon 50-99
Pennsylvania 1,000-9,999
Rhode Island 50-99
South Carolina 500-999
South Dakota 0-49
Tennessee 100-499
Texas 100-499
Utah 50-99
Vermont 50-99
Virginia 500-999
Washington 100-499
West Virginia 0-49
Wisconsin 50-99
Wyoming 0-49

Note: Of the 83,920 members enrolled in the Program, 12,600 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

Data current as of March 31, 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 30,161 5,704
Mental Health 10,497 3,420
Cancer 7,041 1,629
Musculoskeletal and Acute Traumatic Injuries 502 <10

Deceased Members

Certification Category Responder Survivor
Aerodigestive 422 36
Mental Health 170 18
Cancer 341 36
Musculoskeletal and Acute Traumatic Injuries 4 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 March 31, 2018

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 22,206 2,992
Gastroesophageal Reflux Disease (GERD) 19,753 2,625
Asthma 11,324 2,879
Sleep Apnea 9,653 459
Cancers 7,382 1,665
Post-Traumatic Stress Disorder (PTSD) 6,518 1,879
Chronic Respiratory Disorder - Fumes / Vapors 6,792 845
WTC-Exacerbated Chronic Obstructive Pulmonary Disease (COPD) 2,707 288
Depression (NOS)* 2,351 480
Anxiety Disorder (NOS)* 2,152 520

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

Data current as of March 31, 2018

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 2,777 190
Prostate 1,683 309
Melanoma of Skin 560 42
Lymphoma 207 327
Thyroid 384 126
Breast – Female 344 160
Lung/Bronchus 298 144
Kidney 313 89
Leukemia 268 93
Colon 269 61
Bladder 261 51
Myeloma 124 90
Oropharynx 98 45
Rectum 99 18
Tonsil 66 49

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

Data current as of March 31, 2018

Members by Number of Certifications

Number of Certifications Number Percent
1 11,137 26
2 9,460 22
3 7,789 18
4 5,751 13
5 3,686 9
6 2,369 5
7 1,292 3
8 733 2
9 419 1
10 or more 547 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 March 31, 2018

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 43 0% 241 1% 284 1%
35-44 2,857 7% 669 2% 3,526 8%
45-54 12,894 30% 1,572 4% 14,466 34%
55-64 13,164 31% 2,582 6% 15,746 37%
65-74 4,804 11% 1,894 4% 6,698 16%
Older than 74 1,108 3% 634 1% 1,742 4%

Note: 42,462 members have at least one certification. These data do not include 721 deceased members who held certifications.

Data current as of March 31, 2018

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 35 54 0% 199 1% 253 1%
35-44 3,169 9% 561 2% 3,730 10%
45-54 12,139 34% 1,286 4% 13,425 37%
55-64 10,614 30% 1,946 5% 12,560 35%
65-74 3,513 10% 1,304 4% 4,817 13%
Older than 74 681 2% 399 1% 1,080 3%

Note: 35,865 members hold at least one Aerodigestive certification. These data do not include 458 deceased members who held Aerodigestive certifications.

Data current as of March 31, 2018

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 36 0% 134 1% 170 1%
35-44 1,079 8% 372 3% 1,451 10%
45-54 4,196 30% 783 6% 4,979 36%
55-64 3,870 28% 1,227 9% 5,097 37%
65-74 1,158 8% 693 5% 1,851 13%
Older than 74 165 1% 204 1% 369 3%

Note: 13,917 members hold at least one mental health certification. These data do not include 188 deceased members who held mental health certifications.

Data current as of March 31, 2018

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 < 10 0% 17 0% < 27 0%
35-44 261 3% 91 1% 352 4%
45-54 1,922 22% 310 4% 2,232 26%
55-64 2,959 34% 595 7% 3,554 41%
65-74 1,516 17% 486 6% 2,002 23%
Older than 74 381 4% 130 1% 511 6%

Note: 8,678 members hold at least one cancer certification. These data do not include 377 deceased members who held cancer certifications.

Data current as of March 31, 2018

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
Under 35 0 0% 0 0%
35-45 27 5% <10 0%
45-54 156 31% <10 0%
55-64 216 43% <10 0%
65-74 92 18% 0 0%
Greater than 75 11 2% 0 0%

*< 510 members have at least one Musculoskeletal certification. These data do not include 4 deceased members who held Musculoskeletal certifications.

Data current as of March 31, 2018

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Previously Reported Information