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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 56,201
        Dec 2013 59,773 7,086
        Mar 2014 60,173 7,460
        Jun 2014 60,764 7,698
        Sep 2014 61,793 7,976
        Dec 2014 62,506 8,377
        Mar 2015 62,945 8,625
        Jun 2015 63,420 8,903
        Sep 2015 64,000 9,131
        Dec 2015 64,397 9,319
        Mar 2016 64,794 9,547
        Jun 2016 65,198 9,764
        Sep 2016 65,664 10,050
        Dec 2016 66,386 10,603
        Mar 2017 67,078 11,203
        Jun 2017 67,916 12,046
        Sep 2017 68,813 13,358
        Dec 2017 69,674 14,331
        Mar 2018 70,823 15,498
        Jun 2018 71,846 16,658
        Sep 2018 73,025 17,618

        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., June 2018 represents cumulative members through September 30, 2018).

        Data current as of September 30, 2018

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Oct 2016 199 199 398
        Nov 2016 356 213 569
        Dec 2016 167 141 308
        Jan 2017 205 223 428
        Feb 2017 220 180 400
        Mar 2017 267 197 464
        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 292 444 736
        Oct 2017 299 384 683
        Nov 2017 252 314 566
        Dec 2017 310 275 585
        Jan 2018 342 407 749
        Feb 2018 373 353 726
        Mar 2018 434 407 841
        Apr 2018 393 418 811
        May 2018 386 438 824
        Jun 2018 244 304 548
        Jul 2018 358 330 688
        Aug 2018 366 338 704
        Sep 2018 455 292 747

        Data current as of September 30, 2018

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 55,518 61%
        FDNY Responders 16,950 19%
        Survivors 17,618 19%
        Pentagon / Shanksville Responders 557 1%
        Total Members 90,643

        Note: Of the total members, 2,104 are deceased.

        Data current as of September 30, 2018

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 381 0% 638 1% 1,019 1%
        35-44 8,117 9% 1,647 2% 9,764 11%
        45-54 27,723 31% 3,863 4% 31,586 36%
        55-64 23,407 26% 5,707 6% 29,114 33%
        65-74 8,017 9% 3,932 4% 11,949 13%
        Older than 75 2,513 3% 1,624 2% 4,137 5%
        Not Available 965 1% 5 0% 970 1%
        Total Members 71,123 80% 17,416 20% 88,539

        Note: This data does not include 1,902 deceased Responders or 202 deceased Survivors.

        Data current as of September 30, 2018

        WTC Health Program Member Type by Gender

        Note: These data do not include the 1,875 deceased males or 229 deceased females

        Age Responder Survivor Total
        Male 62,002 70% 8,808 10% 70,810 80%
        Female 8,688 10% 8,605 10% 17,293 20%
        Not Available 433 <1% 3 <1% 436 <1%
        Total Members 71,123 80% 17,416 20% 88,539

        Data current as of September 30, 2018

        WTC Health Program Members by State

        State Members
        Alabama 50-99
        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 50-99
        Minnesota 50-99
        Mississippi 100-499
        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 88,539 members enrolled in the Program, 14,767 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

        Data current as of September 30, 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 31,337 6,150
        Mental Health 10,850 3,582
        Cancer 7,942 2,136
        Musculoskeletal and Acute Traumatic Injuries 512 16

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 612 54
        Mental Health 256 26
        Cancer 503 80
        Musculoskeletal and Acute Traumatic Injuries 6 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 30, 2018

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 23,241 3,295
        Gastroesophageal Reflux Disease 20,720 2,851
        Asthma 11,720 3,101
        Sleep Apnea 10,495 554
        Cancers 8,445 2,216
        Post-Traumatic Stress Disorder (PTSD) 6,835 2,023
        Chronic Respiratory Disorder - Fumes / Vapors 6,917 889
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 2,803 340
        Depression (NOS)* 2,352 480
        Anxiety Disorder (NOS)* 2,218 533

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

        Data current as of September 30, 2018

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 3,007 204
        Prostate 1,844 382
        Melanoma of Skin 628 53
        Thyroid 376 204
        Breast – Female 224 346
        Lymphoma 383 121
        Lung/Bronchus 325 154
        Kidney 337 97
        Leukemia 286 98
        Colon 280 76
        Bladder 278 62
        Myeloma 129 75
        Oropharynx 107 39
        Rectum 90 24
        Stomach 86 19

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

        Data current as of September 30, 2018

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 11,927 26
        2 9,996 22
        3 8,262 18
        4 6,202 14
        5 3,888 8
        6 2,503 5
        7 1,359 3
        8 748 2
        9 444 1
        10 or more 565 1

        Note: 45,894 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of September 30, 2018

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 34 0% 244 1% 278 1%
        35-44 2,716 6% 666 1% 3,382 8%
        45-54 12,989 29% 1,644 4% 14,633 33%
        55-64 14,202 32% 2,855 6% 17,057 38%
        65-74 5,336 12% 2,166 5% 7,502 17%
        Older than 74 1,232 3% 762 2% 1,994 4%

        Note: 44,846 members have at least one certification. These data do not include 1,048 deceased members who held certifications.

        Data current as of September 30, 2018

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 14 0% 178 0% 192 1%
        35-44 2,335 6% 502 1% 2,837 8%
        45-54 11,542 31% 1,220 3% 12,762 34%
        55-64 12,140 32% 2,097 6% 14,237 38%
        65-74 4,356 12% 1,579 4% 5,935 16%
        Older than 74 950 3% 574 2% 1,524 4%

        Note: 37,487 members hold at least one Aerodigestive certification. These data do not include 666 deceased members who held Aerodigestive certifications.

        Data current as of September 30, 2018

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 24 0% 113 1% 137 1%
        35-44 799 6% 330 2% 1,129 8%
        45-54 3,828 27% 738 5% 4,566 32%
        55-64 4,439 31% 1,286 9% 5,725 40%
        65-74 1,512 10% 842 6% 2,354 16%
        Older than 74 248 2% 273 2% 521 4%

        Note: 14,432 members hold at least one mental health certification. These data do not include 282 deceased members who held mental health certifications.

        Data current as of September 30, 2018

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 < 10 0% 18 0% 18 0%
        35-44 220 2% 94 1% 314 3%
        45-54 1,797 18% 353 4% 2,150 21%
        55-64 3,440 34% 743 7% 4,183 42%
        65-74 1,923 19% 699 7% 2,622 26%
        Older than 74 562 6% 229 2% 791 8%

        Note: 10,878 members hold at least one cancer certification. These data do not include 583 deceased members who held cancer certifications.

        Data current as of September 30, 2018

        Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

        Age Responder Survivor
        Under 35 <10 0% <10 0%
        35-45 20 4% <10 1%
        45-54 130 25% <10 1%
        55-64 229 43% <10 1%
        65-74 114 22% <10 0%
        Greater than 75 19 4% <10 0%

        528 members have at least one Musculoskeletal certification. These data do not include 6 deceased members who held Musculoskeletal certifications.

        Data current as of September 30, 2018

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        Previously Reported Information

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