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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
        Mar 2013 57,779 6,163
        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 8,385
        Mar 2015 62,948 8,633
        Jun 2015 63,423 8,911
        Sep 2015 64,003 9,140
        Dec 2015 64,400 9,328
        Mar 2016 64,797 9,556
        Jun 2016 65,201 9,773
        Sep 2016 65,667 10,059
        Dec 2016 66,388 10,613
        Mar 2017 67,080 11,217
        Jun 2017 67,919 12,063
        Sep 2017 68,817 13,374
        Dec 2017 69,612 14,308

        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., December 2016 represents cumulative members through December 31, 2016).

        Data current as of December 31, 2017

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Jan 2016 106 77 183
        Feb 2016 132 76 208
        Mar 2016 159 75 234
        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 205 225 430
        Feb 2017 220 181 401
        Mar 2017 267 198 465
        Apr 2017 368 259 627
        May 2017 263 321 584
        Jun 2017 208 266 474
        Jul 2017 249 327 576
        Aug 2017 356 541 897
        Sep 2017 293 443 736
        Oct 2017 299 384 683
        Nov 2017 247 314 561
        Dec 2017 249 236 485

        Data current as of December 31, 2017

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 52,196 62%
        FDNY Responders 16,928 20%
        Survivors 14,308 17%
        Pentagon / Shanksville Responders 488 1%
        Total Members 83,920

        Note: Of the total members, 1,565 are deceased.

        Data current as of December 31, 2017

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 459 1% 567 1% 1,026 1%
        35-44 8,888 11% 1,448 2% 10,336 13%
        45-54 27,070 33% 3,269 4% 30,339 37%
        55-64 21,399 26% 4,649 6% 26,048 32%
        65-74 7,112 9% 3,052 4% 10,164 12%
        Greater than 75 2,241 3% 1,196 1% 3,437 4%
        Not Available 1,002 1% 3 0% 1,005 1%
        Total Members 68,171 83% 14,184 17% 82,355

        Note: This data does not include 1,441 deceased Responders or 124 deceased Survivors.

        Data current as of December 31, 2017

        WTC Health Program Member Type by Gender

        Note: These data do not include the 1,393 deceased males or 172 deceased females

        Age Responder Survivor Total
        Male 59,418 72% 7,162 9% 66,544 81%
        Female 8,313 10% 7,052 9% 15,365 19%
        Not Available 440 1% 6 0% 446 1%

        Data current as of December 31, 2017

        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 0-49
        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 500-999
        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 December 31, 2017

        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 30,130 5,513
        Mental Health 10,500 3,327
        Cancer 6,866 1,433
        Musculoskeletal and Acute Traumatic Injuries 486 <10

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 388 33
        Mental Health 155 17
        Cancer 304 30
        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 December 31, 2017

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 21,894 2,863
        Gastroesophageal Reflux Disease (GERD) 19,450 2,524
        Asthma 11,207 2,756
        Sleep Apnea 9,294 410
        Cancers 6,866 1,433
        Post-Traumatic Stress Disorder (PTSD) 6,378 1,777
        Chronic Respiratory Disorder - Fumes / Vapors 6,758 818
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease (COPD) 2,675 265
        Depression (NOS)* 2,349 478
        Anxiety Disorder (NOS)* 2,136 517

        Note: Individual members may have certification in more tha one category.
        The notation (NOS) refers to “not otherwise specified.”

        Data current as of December 31, 2017

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 2,439 137
        Prostate 1,483 222
        Melanoma of Skin 522 35
        Lymphoma 339 94
        Thyroid 312 121
        Breast – Female 175 221
        Lung/Bronchus 271 106
        Kidney 276 68
        Leukemia 241 69
        Colon 237 43
        Bladder 236 42
        Myeloma 106 59
        Oropharynx 87 32
        Rectum 74 16
        Tonsil 70 10

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

        Data current as of December 31, 2017

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 10,836 26
        2 9,236 22
        3 7,626 18
        4 5,576 13
        5 3,563 8
        6 2,329 6
        7 1,248 3
        8 720 2
        9 419 1
        10 or more 529 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 December 31, 2017

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 44 0% 239 1% 283 1%
        35-44 2,959 7% 655 2% 3,614 9%
        45-54 12,842 31% 1,512 4% 14,354 35%
        55-64 12,701 31% 2,469 6% 15,170 37%
        65-74 4,615 11% 1,765 4% 6,380 15%
        Greater than 74 1,035 2% 589 1% 1,624 4%

        Note: 41,425 members have at least one certification. These data do not include 657 deceased members who held certifications.

        Data current as of December 31, 2017

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 29 0% 177 1% 206 1%
        35-44 2,575 7% 503 1% 3,078 9%
        45-54 11,460 33% 1,160 3% 12,620 36%
        55-64 11,029 31% 1,865 5% 12,894 37%
        65-74 3,837 11% 1,330 4% 5,167 15%
        Greater than 74 812 2% 445 1% 1,257 4%

        Note: 35,222 members hold at least one aerodigestive certification. These data do not include 421 deceased members who held aerodigestive certifications.

        Data current as of December 31, 2017

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 22 0% 119 1% 141 1%
        35-44 885 6% 328 2% 1,213 9%
        45-54 3,911 29% 711 5% 4,622 34%
        55-64 4,018 29% 1,185 9% 5,203 38%
        65-74 1,300 10% 734 5% 2,034 15%
        Greater than 74 209 2% 233 2% 442 3%

        Note: 13,655 members hold at least one mental health certification. These data do not include 172 deceased members who held mental health certifications.

        Data current as of December 31, 2017

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 11 0% 11 0%
        35-44 184 2% 69 1% 253 3%
        45-54 1,597 20% 241 3% 1,838 23%
        55-64 2,818 35% 503 6% 3,321 42%
        65-74 1,527 19% 444 6% 1,971 25%
        Greater than 74 436 5% 135 2% 571 7%

        Note: 7,965 members hold at least one cancer certification. These data do not include 334 deceased members who held cancer certifications.

        Data current as of December 31, 2017

        Members with Muskuloskeletal and Acute Traumatic Injuries Certifications Age Distribution

        Age Responder Survivor
        Under 35 0 0% 0 0%
        35-45 24 5% <10 0%
        45-54 138 28% <10 0%
        55-64 216 43% <10 0%
        65-74 101 20% 0 0%
        Greater than 74 15 3% 0 0%

        Note: These data do not include 4 deceased members who held musculoskeletal certifications.

        Data current as of December 31, 2017

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        Previously Reported Information

        Page Last Reviewed: December 15, 2017 | Page Last Updated: February 28, 2017

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