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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 56,191
        Jun 2015 63,409 8,888
        Sep 2015 63,989 9,115
        Dec 2015 64,386 9,302
        Mar 2016 64,784 9,530
        Jun 2016 65,188 9,747
        Sep 2016 65,654 10,033
        Dec 2016 66,376 10,586
        Mar 2017 67,068 11,186
        Jun 2017 67,906 12,029
        Sep 2017 68,802 13,341
        Dec 2017 69,664 14,314
        Mar 2018 70,813 15,479
        Jun 2018 71,837 16,635
        Sep 2018 73,021 17,607
        Dec 2018 74,102 18,905
        Mar 2019 75,031 20,275
        Jun 2019 76,104 21,687
        Sep 2019 76,910 22,856
        Dec 2019 77,776 24,315
        Mar 2020 78,534 25,484

        Note: The Program started on July 1, 2011, and at that time, 56,191 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,748 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, 2020

        New Enrollees - Past 24 Months

        0
        Month Responder Survivor Total
        Apr 2018 393 416 809
        May 2018 386 437 823
        Jun 2018 245 303 548
        Jul 2018 358 329 687
        Aug 2018 370 342 712
        Sep 2018 456 301 757
        Oct 2018 421 431 852
        Nov 2018 354 424 778
        Dec 2018 306 443 749
        Jan 2019 335 508 843
        Feb 2019 312 424 736
        Mar 2019 282 438 720
        Apr 2019 382 572 954
        May 2019 400 429 829
        Jun 2019 291 411 702
        Jul 2019 288 438 726
        Aug 2019 248 346 594
        Sep 2019 270 385 655
        Oct 2019 260 460 720
        Nov 2019 238 487 725
        Dec 2019 368 512 880
        Jan 2020 190 359 549
        Feb 2020 280 401 681
        Mar 2020 288 409 697

        Data current as of March 31, 2020

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 60,631 58%
        FDNY Responders 17,010 16%
        Survivors 25,483 24%
        Pentagon / Shanksville Responders 894 1%
        Total Members 104,018 100%

        Note: Of the total members, 2,955 are deceased.

        Data current as of March 31, 2020

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 307 <1% 770 1% 1,077 1%
        35-44 6359 6% 2,103 2% 8,462 8%
        45-54 27,393 27% 5,130 5% 32,532 32%
        55-64 27,610 27% 8,160 8% 35,770 35%
        65-74 10,139 10% 6,090 6% 16,229 16%
        Older than 75 3,299 3% 2,810 3% 6,109 6%
        Not Available 891 1% 2 <1% 893 1%
        Total Members 75,998 75% 25,065 25% 101,063

        Note: This data does not include 2,536 deceased Responders or 419 deceased Survivors.

        Data current as of March 31, 2020

        WTC Health Program Member Type by Gender

        Note: These data do not include the 2,573 deceased males or 382 deceased females

        Gender Responder Survivor Total
        Male 66,272 66% 13,031 13% 79,303 78%
        Female 9,294 9% 12,029 12% 21,323 21%
        Not Available 432 <1% 5 <1% 437 <1%
        Total Members 75,998 75% 25,065 25% 101,063

        Data current as of March 31, 2020

        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 500-999
        Texas 500-999
        Utah 50-99
        Vermont 50-99
        Virginia 1,000-9,999
        Washington 100-499
        West Virginia 50-99
        Wisconsin 50-99
        Wyoming 1-49
        063358 members enrolled in the Program, 20,236 members live outside the New York City Metropolitan Area. These members are served through the Nationwide Provider Network.

        Data current as of March 31, 2020

        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 34,502 9,389
        Mental Health 12,237 5,165
        Cancer 11,029 6,065
        Musculoskeletal and Acute Traumatic Injuries 531 29

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 869 959
        Mental Health 375 40
        Cancer 781 150
        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 March 31, 2020

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 25,602 5,201
        Gastroesophageal Reflux Disease 23,116 4,335
        Asthma 12,654 4,346
        Cancers 11,810 6,215
        Sleep Apnea 13,176 1,084
        Post-Traumatic Stress Disorder (PTSD) 8,038 3,132
        Chronic Respiratory Disorder - Fumes / Vapors 7,294 1,095
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,093 676
        Anxiety Disorder (NOS)* 2,415 802
        Major Depressive Disorder 2,341 728

        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, 2020

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 4,221 706
        Prostate 2,643 1,178
        Breast – Female 303 978
        Melanoma of Skin 915 232
        Lymphoma 549 456
        Thyroid 503 466
        Lung/Bronchus 435 401
        Kidney 475 266
        Leukemia 397 272
        Colon 371 214
        Bladder 358 159
        Myeloma 175 184
        Oropharynx 179 120
        Rectum 143 128
        Lip 181 <10

        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 March 31, 2020

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 16,150 28
        2 12,563 22
        3 9,979 17
        4 7,546 13
        5 4,687 8
        6 2,912 5
        7 1,553 3
        8 847 1
        9 493 1
        10 or more 627 1

        Note: 57,357 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of March 31, 2020

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 21 <1% 288 1% 309 1%
        35-44 2,138 4% 941 2% 3,079 6%
        45-54 13,103 23% 2,628 5% 15,731 28%
        55-64 17,014 30% 4,853 9% 21,867 39%
        65-74 7,246 13% 4,139 7% 11,385 20%
        Older than 74 1,793 3% 1,633 3% 3,426 6%

        Note: 55,797 members have at least one certification. These data do not include 1,560 deceased members who held certifications.

        Data current as of March 31, 2020

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 <10* <1% 207 <1% 208-216 <1%
        35-44 1,820 4% 637 1% 2,457 6%
        45-54 11,470 26% 1,700 4% 13,170 30%
        55-64 14,211 32% 3,203 7% 17,414 40%
        65-74 5,666 13% 2,600 6% 8,266 19%
        Older than 74 1,333 3% 1,042 2% 2,375 5%

        Note: 43,890 – 43,898 members hold at least one Aerodigestive certification. These data do not include 880 deceased members who held Aerodigestive certifications.

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

        Data current as of March 31, 2020

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 19 <1% 131 1% 150 1%
        35-44 652 4% 422 2% 1,074 6%
        45-54 3,845 22% 1,060 6% 4,905 28%
        55-64 5,307 30% 1,834 11% 7,141 41%
        65-74 2,064 12% 1,293 7% 3,357 19%
        75+ 350 2% 425 2% 775 4%

        Note: 17,402 members hold at least one mental health certification. These data do not include 415 deceased members who held mental health certifications.

        Data current as of March 31, 2020

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 <1 <1% 32 <1% 32 <1%
        35-44 206 1% 256 1% 462 3%
        45-54 2,087 12% 964 6% 3,051 18%
        55-64 4,780 28% 1,985 12% 6,765 40%
        65-74 3,010 18% 1,998 12% 5,008 29%
        Older than 74 946 6% 830 5% 1,776 10%

        Note: 17,094 members hold at least one cancer certification. These data do not include 931 deceased members who held cancer certifications.

        Data current as of March 31, 2020

        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%
        45-54 117 21% <10* 1%
        55-64 241 43% 13 2%
        65-74 134 24% <10* 1%
        Greater than 75 26 5% <10* <1%

        Note: 560 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 March 31, 2020

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        Previously Reported Information

        Page Last Reviewed: August 13, 2019 | Page Last Updated: May 6, 2020

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