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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 56,194
Jun 2014 60,759 7,692
Sep 2014 61,788 7,970
Dec 2014 62,502 8,371
Mar 2015 62,941 8,618
Jun 2015 63,416 8,896
Sep 2015 63,996 9,124
Dec 2015 64,393 9,312
Mar 2016 64,790 9,540
Jun 2016 65,194 9,757
Sep 2016 65,660 10,043
Dec 2016 66,382 10,596
Mar 2017 67,074 11,196
Jun 2017 67,912 12,039
Sep 2017 68,809 13,350
Dec 2017 69,669 14,323
Mar 2018 70,818 15,489
Jun 2018 71,842 16,647
Sep 2018 73,025 17,619
Dec 2018 74,108 18,920
Mar 2019 75,035 20,285

Note: The Program started on July 1, 2011, and at that time, 56,194 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,755 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 March 31, 2019

New Enrollees - Past 24 Months

Month Responder Survivor Total
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 292 443 735
Oct 2017 298 384 682
Nov 2017 252 314 566
Dec 2017 310 275 585
Jan 2018 343 406 749
Feb 2018 372 354 726
Mar 2018 434 406 840
Apr 2018 393 417 810
May 2018 385 438 823
Jun 2018 246 303 549
Jul 2018 358 329 687
Aug 2018 368 341 709
Sep 2018 457 302 759
Oct 2018 423 432 855
Nov 2018 354 426 780
Dec 2018 306 443 749
Jan 2019 334 507 841
Feb 2019 311 426 737
Mar 2019 282 432 714

Data current as of March 31, 2019

WTC Health Program Enrollment by Member Type

Member Type # %
General Responders 57,420 60%
FDNY Responders 16,978 18%
Survivors 20,290 21%
Pentagon / Shanksville Responders 632 1%
Total Members 95,320

Note: Of the total members, 2,355 are deceased.

Data current as of March 31, 2019

WTC Health Program Enrollment Age Distribution

Age Responder Survivor Total
Under 35 442 <1% 755 1% 1,197 1%
35-44 9,300 10% 2,001 2% 11,301 12%
45-54 29,101 31% 4,654 5% 33,755 36%
55-64 23,155 25% 6,551 7% 29,706 32%
65-74 7,646 8% 4,399 5% 12,045 13%
Older than 75 2,333 3% 1,674 2% 4,007 4%
Not Available 952 1% 2 <1% 954 1%
Total Members 72,929 78% 20,036 22% 92,965

Note: This data does not include 2,100 deceased Responders or 255 deceased Survivors.

Data current as of March 31, 2019

WTC Health Program Member Type by Gender

Note: These data do not include the 2,087 deceased males or 268 deceased females

Age Responder Survivor Total
Male 63,600 68% 10,243 11% 73,843 79%
Female 8,894 10% 9,789 11% 18,683 20%
Not Available 435 <1% 4 <1% 439 <1%
Total Members 72,929 78% 20,036 22% 92,965

Data current as of March 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
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 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 92,965 members enrolled in the Program, 16,684 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

Data current as of March 31, 2019

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 32,444 6,958
Mental Health 11,250 3,994
Cancer 8,886 2,938
Musculoskeletal and Acute Traumatic Injuries 515 20

Deceased Members

Certification Category Responder Survivor
Aerodigestive 705 60
Mental Health 295 30
Cancer 600 92
Musculoskeletal and Acute Traumatic Injuries 11 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, 2019

Top 10 Certified Conditions

Certified Condition Responder Survivor
Chronic Rhinosinusitis 24,100 3,771
Gastroesophageal Reflux Disease 21,628 3,203
Asthma 12,082 3,430
Cancers 9,486 3,030
Sleep Apnea 11,467 680
Post-Traumatic Stress Disorder (PTSD) 7,201 2,311
Chronic Respiratory Disorder - Fumes / Vapors 7,034 947
WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 2,887 417
Anxiety Disorder (NOS)* 2,263 594
Depression (NOS)* 2,353 490

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, 2019

Top 15 Certified Cancers

Certified Cancer Responder Survivor
Non-melanoma Skin 3,433 278
Prostate 2,087 517
Melanoma of Skin 712 73
Breast – Female 255 486
Thyroid 417 250
Lymphoma 417 154
Lung/Bronchus 350 202
Kidney 387 129
Leukemia 311 126
Colon 308 98
Bladder 292 73
Myeloma 138 98
Oropharynx 113 52
Rectum 101 35
Tonsil 88 19

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

Data current as of March 31, 2019

Members by Number of Certifications

Number of Certifications Number Percent
1 13,056 27
2 10,684 22
3 8,757 18
4 6,589 13
5 4,157 8
6 2,621 5
7 1,437 3
8 774 2
9 460 1
10 or more 584 1

Note: 49,119 members have one or more certifications, which is the sum of the numbers on the chart above.

Data current as of March 31, 2019

Members with Certifications Age Distribution

Age Responder Survivor Total
Under 35 29 <1% 250 1% 279 1%
35-44 2,551 5% 753 2% 3,304 7%
45-54 13,113 27% 1,888 4% 15,001 31%
55-64 15,123 32% 3,338 7% 18,461 39%
65-74 5,891 12% 2,627 5% 8,518 18%
Older than 74 1,387 3% 958 2% 2,345 5%

Note: 47,908 members have at least one certification. These data do not include 1,128 deceased members who held certifications.

Data current as of March 31, 2019

Members with Aerodigestive Certifications Age Distribution

Age Responder Survivor Total
Under 35 9 <1% 180 <1% 189 <1%
35-44 2,188 6% 545 1% 2,733 7%
45-54 11,579 29% 1,347 3% 12,926 33%
55-64 12,874 33% 2,364 6% 15,238 39%
65-74 4,730 12% 1,832 5% 6,562 17%
Older than 74 1,064 3% 690 2% 1,754 4%

Note: 39,402 members hold at least one Aerodigestive certification. These data do not include 765 deceased members who held Aerodigestive certifications.

Data current as of March 31, 2019

Members with Mental Health Certifications Age Distribution

Age Responder Survivor Total
Under 35 23 <1% 115 1% 138 1%
35-44 749 5% 382 3% 1,131 7%
45-54 3,824 25% 812 5% 4,636 30%
55-64 4,729 31% 1,418 9% 6,147 40%
65-74 1,653 11% 957 6% 2,610 17%
Older than 74 272 2% 310 2% 582 4%

Note: 15,244 members hold at least one mental health certification. These data do not include 325 deceased members who held mental health certifications.

Data current as of March 31, 2019

Members with Cancer Certifications Age Distribution

Age Responder Survivor Total
Under 35 <1 <1% 24 <1% 24 <1%
35-44 210 2% 121 1% 331 3%
45-54 1,917 16% 481 4% 2,398 20%
55-64 3,852 33% 1,023 9% 4,875 41%
65-74 2,240 19% 939 8% 3,179 27%
Older than 74 667 6% 350 3% 1,017 9%

Note: 11,824 members hold at least one cancer certification. These data do not include 692 deceased members who held cancer certifications.

Data current as of March 31, 2019

Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

Age Responder Survivor
Under 35 <1 <1% <1 <1%
35-44 16 3% <10 1%
45-54 128 24% <10 1%
55-64 235 44% <10 1%
65-74 115 21% <10 <1%
Greater than 75 21 4% <10 <1%

535 members have at least one Musculoskeletal certification. These data do not include 11 deceased members who held Musculoskeletal certifications.

Data current as of March 31, 2019

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Previously Reported Information