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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

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