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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
        Sep 2014 61,784 7,971
        Dec 2014 62,501 8,370
        Mar 2015 62,940 8,617
        Jun 2015 63,415 8,895
        Sep 2015 63,995 9,123
        Dec 2015 64,392 9,311
        Mar 2016 64,790 9,539
        Jun 2016 65,194 9,756
        Sep 2016 65,660 10,042
        Dec 2016 66,382 10,595
        Mar 2017 67,074 11,195
        Jun 2017 67,912 12,038
        Sep 2017 68,808 13,350
        Dec 2017 69,669 14,323
        Mar 2018 70,818 15,489
        Jun 2018 71,842 16,647
        Sep 2018 73,023 17,620
        Dec 2018 74,108 18,920
        Mar 2019 75,038 20,289
        Jun 2019 76,109 21,699
        Sep 2019 76,904 22,865

        Note: The Program started on July 1, 2011, and at that time, 56,192 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,753 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 September 30, 2019

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Oct 2017 298 384 682
        Nov 2017 252 314 566
        Dec 2017 311 275 586
        Jan 2018 343 406 749
        Feb 2018 372 354 726
        Mar 2018 434 406 840
        Apr 2018 393 418 811
        May 2018 386 436 822
        Jun 2018 245 304 549
        Jul 2018 358 329 687
        Aug 2018 370 342 712
        Sep 2018 457 302 759
        Oct 2018 421 432 853
        Nov 2018 354 426 780
        Dec 2018 306 442 748
        Jan 2019 336 507 843
        Feb 2019 312 425 737
        Mar 2019 282 437 719
        Apr 2019 381 572 953
        May 2019 399 428 827
        Jun 2019 291 410 701
        Jul 2019 286 437 723
        Aug 2019 241 348 589
        Sep 2019 268 381 649

        Data current as of September 30, 2019

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 59,097 59%
        FDNY Responders 16,993 17%
        Survivors 22,865 23%
        Pentagon / Shanksville Responders 814 1%
        Total Members 99,769

        Note: Of the total members, 2,593 are deceased.

        Data current as of September 30, 2019

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 316 <1% 705 1% 1,021 1%
        35-44 6,960 7% 1,920 2% 8,880 9%
        45-54 27,629 28% 4,709 5% 32,338 33%
        55-64 26,355 27% 7,414 8% 33,769 35%
        65-74 9,417 10% 5,420 6% 14,837 15%
        Older than 75 3,021 3% 2,375 2% 5,396 6%
        Not Available 933 1% 2 <1% 935 1%
        Total Members 74,637 77% 22,545 23% 97,176

        Note: This data does not include 2,273 deceased Responders or 320 deceased Survivors.

        Data current as of September 30, 2019

        WTC Health Program Member Type by Gender

        Note: These data do not include the 2,281 deceased males or 312 deceased females

        Age Responder Survivor Total
        Male 65,066 67% 11,653 12% 76,719 79%
        Female 9,130 9% 10,885 11% 20,015 21%
        Not Available 435 <1% 7 <1% 442 <1%
        Total Members 74,631 77% 22,545 23% 97,176

        Data current as of September 30, 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
        District of Columbia 50-99
        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 100-499
        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 10,000 +
        North Carolina 1,000-9,999
        North Dakota 1-49
        Ohio 100-499
        Oklahoma 50-99
        Oregon 100-499
        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 1,000-9,999
        Washington 100-499
        West Virginia 50-99
        Wisconsin 50-99
        Wyoming 1-49

        Note: Of the 97,176 members enrolled in the Program, 18,570 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

        Data current as of September 30, 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 33,617 8,554
        Mental Health 11,760 4,832
        Cancer 9,967 4,788
        Musculoskeletal and Acute Traumatic Injuries 520 25

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 777 71
        Mental Health 328 36
        Cancer 682 106
        Musculoskeletal and Acute Traumatic Injuries 12 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, 2019

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 24,943 4,676
        Gastroesophageal Reflux Disease 22,469 3,934
        Asthma 12,419 4,043
        Cancers 10,649 4,894
        Sleep Apnea 12,395 902
        Post-Traumatic Stress Disorder (PTSD) 7,638 2,890
        Chronic Respiratory Disorder - Fumes / Vapors 7,185 1,035
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 2,998 583
        Anxiety Disorder (NOS)* 2,335 741
        Major Depressive Disorder 2,238 697

        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, 2019

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 3,731 498
        Prostate 2,356 870
        Breast – Female 268 765
        Melanoma of Skin 822 164
        Lymphoma 508 358
        Thyroid 451 372
        Lung/Bronchus 391 323
        Kidney 425 213
        Leukemia 362 218
        Skin - Carcinoma in Situ 484 88
        Colon 340 162
        Bladder 312 112
        Myeloma 156 148
        Oropharynx 164 95
        Rectum 126 88
        Tonsil 46 162

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

        *Members less than 10 are not displayed for privacy reasons.

        Data current as of September 30, 2019

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 14,900 28
        2 11,852 22
        3 9,479 18
        4 7,123 13
        5 4,439 8
        6 2,784 5
        7 1,495 3
        8 812 2
        9 473 1
        10 or more 613 1

        Note: 53,970 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of Septmeber 30, 2019

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 26 <1% 283 1% 309 1%
        35-44 2,342 4% 878 2% 3,220 6%
        45-54 13,177 25% 2,447 5% 15,624 30%
        55-64 16,143 31% 4,293 8% 20,436 39%
        65-74 6,562 12% 3,564 7% 10,126 19%
        Older than 74 1,582 3% 1,318 3% 2,900 6%

        Note: 52,615 members have at least one certification. These data do not include 1,355 deceased members who held certifications.

        Data current as of September 30, 2019

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 <10* <1% 203 <1% 204-213 <1%
        35-44 2,005 5% 613 1% 2,618 6%
        45-54 11,590 27% 1,630 4% 13,220 31%
        55-64 13,627 32% 2,911 7% 16,538 39%
        65-74 5,198 12% 2,315 5% 7,513 18%
        Older than 74 1,192 3% 882 2% 2,074 5%

        Note: 42,166 – 42,175 members hold at least one Aerodigestive certification. These data do not include 795 deceased members who held Aerodigestive certifications.

        *Members less than 10 are not displayed for privacy reasons.

        Data current as of September 30, 2019

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 22 <1% 132 1% 155 1%
        35-44 685 4% 422 3% 1,107 7%
        45-54 3,850 23% 1,010 6% 4,860 29%
        55-64 5,042 30% 1,711 10% 6,753 41%
        65-74 1,853 11% 1,180 7% 3,033 18%
        75+ 307 2% 377 2% 684 4%

        Note: 16,592 members hold at least one mental health certification. These data do not include 364 deceased members who held mental health certifications.

        Data current as of September 30, 2019

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 <1 <1% 32 <1% 32 <1%
        35-44 219 1% 195 1% 414 3%
        45-54 2,015 14% 814 6% 2,829 19%
        55-64 4,316 29% 1,565 11% 5,881 40%
        65-74 2,602 18% 1,585 11% 4,187 28%
        Older than 74 816 6% 596 4% 1,412 10%

        Note: 14,755 members hold at least one cancer certification. These data do not include 788 deceased members who held cancer certifications.

        Data current as of September 30, 2019

        Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

        Age Responder Survivor
        Under 35 <1 <1% <1 <1%
        35-44 13 2% <10* 1%
        45-54 121 22% <10* 1%
        55-64 239 44% 11 2%
        65-74 124 23% <10* 1%
        Greater than 75 23 4% <10* <1%

        Note: 545 members have at least one Musculoskeletal certification. These data do not include 12 deceased members who held Musculoskeletal certifications.

        *Members less than 10 are not displayed for privacy reasons.

        Data current as of September 30, 2019

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