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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 56,188
        Sep 2015 63,986 9,114
        Dec 2015 64,383 9,301
        Mar 2016 64,781 9,529
        Jun 2016 65,185 9,746
        Sep 2016 65,651 10,032
        Dec 2016 66,373 10,585
        Mar 2017 67,067 11,184
        Jun 2017 67,905 12,027
        Sep 2017 68,801 13,339
        Dec 2017 69,663 14,312
        Mar 2018 70,811 15,477
        Jun 2018 71,835 16,633
        Sep 2018 73,020 17,605
        Dec 2018 74,101 18,902
        Mar 2019 75,030 20,273
        Jun 2019 76,103 21,685
        Sep 2019 76,909 22,856
        Dec 2019 77,776 24,313
        Mar 2020 78,553 25,510
        Jun 2020 79,001 26,271
        Jul 2011 56,182
        Dec 2015 64,377 9,300
        Mar 2016 64,775 9,528
        Jun 2016 65,179 9,745
        Sep 2016 65,645 10,031
        Dec 2016 66,367 10,584
        Mar 2017 67,060 11,184
        Jun 2017 67,898 12,027
        Sep 2017 68,801 13,339
        Dec 2017 69,663 14,312
        Mar 2018 70,811 15,477
        Jun 2018 71,835 16,633
        Sep 2018 73,020 17,605
        Dec 2018 74,101 18,902
        Mar 2019 75,030 20,273
        Jun 2019 76,103 21,685
        Sep 2019 76,909 22,856
        Dec 2019 77,776 24,313
        Mar 2020 78,533 25,510
        Jun 2020 79,001 26,271

        Note: The Program started on July 1, 2011, and at that time, 56,188 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,747 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 June 30th, 2020

        New Enrollees - Past 24 Months

        0
        Month Responder Survivor Total
        Jul 2018 358 329 687
        Aug 2018 370 342 712
        Sep 2018 457 301 758
        Oct 2018 421 431 852
        Nov 2018 354 424 778
        Dec 2018 306 442 748
        Jan 2019 335 508 843
        Feb 2019 312 424 736
        Mar 2019 282 439 721
        Apr 2019 382 572 954
        May 2019 400 429 829
        Jun 2019 291 411 702
        Jul 2019 288 439 727
        Aug 2019 248 347 595
        Sep 2019 270 385 655
        Oct 2019 260 459 719
        Nov 2019 238 488 726
        Dec 2019 369 510 879
        Jan 2020 189 360 549
        Feb 2020 281 404 685
        Mar 2020 307 433 740
        Apr 2020 168 230 398
        May 2020 147 249 396
        Jun 2020 133 282 415

        Data current as of June 30th, 2020

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 61,075 58%
        FDNY Responders 17,016 16%
        Survivors 26,271 25%
        Pentagon / Shanksville Responders 910 1%
        Total Members 105,272 100%

        Note: Of the total members, 3,496 are deceased.

        Data current as of June 30th, 2020

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 311 <1% 788 1% 1,099 1%
        35-44 6,404 6% 2,154 2% 8,558 8%
        45-54 27,573 27% 5,269 5% 32,842 32%
        55-64 27,788 27% 8,381 8% 36,169 36%
        65-74 10,191 10% 6,234 6% 16,425 16%
        Older than 75 3,268 3% 2,793 3% 6,061 6%
        Not Available 622 1% 0 0% 622 1%
        Total Members 76,157 75% 25,619 25% 101,776

        Note: This data does not include 2,844 deceased Responders or 652 deceased Survivors.

        Data current as of June 30th, 2020

        WTC Health Program Member Type by Gender

        Note: These data do not include the 3,001 deceased males or 495 deceased females

        Gender Responder Survivor Total
        Male 66,404 65% 13,359 13% 79,763 78%
        Female 9,321 9% 12,260 12% 21,581 21%
        Not Available 432 <1% 0 <1% 432 0%
        Total Members 76,157 75% 25,619 25% 101,776

        Data current as of June 30th, 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 100-499
        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 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
        Of the 101,776 living members enrolled in the program, 20,709 living members are served through the Nationwide Provider Network.

        Data current as of June 30th, 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 34,831 9,731
        Mental Health 12,384 5,281
        Cancer 11,413 6,692
        Musculoskeletal and Acute Traumatic Injuries 532 34

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 966 201
        Mental Health 426 107
        Cancer 849 196
        Musculoskeletal and Acute Traumatic Injuries 16 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 June 30th, 2020

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 28,885 5,441
        Gastroesophageal Reflux Disease 23,435 4,571
        Asthma 12,790 4,526
        Cancers 12,262 6,888
        Sleep Apnea 13,456 1,184
        Post-Traumatic Stress Disorder (PTSD) 8,193 3,254
        Chronic Respiratory Disorder - Fumes / Vapors 7,337 1,135
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,139 728
        Anxiety Disorder (NOS)* 2,440 840
        Major Depressive Disorder 2,376 747

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

        Data current as of June 30th, 2020

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 4,362 792
        Prostate 2,752 1,326
        Breast – Female 321 1,079
        Melanoma of Skin 947 265
        Lymphoma 568 498
        Thyroid 520 506
        Lung/Bronchus 458 445
        Kidney 492 297
        Leukemia 403 298
        Colon 382 232
        Bladder 374 177
        Myeloma 184 199
        Oropharynx 184 128
        Rectum 150 141
        Neuroendocrine 127 67

        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 June 30th, 2020

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 16,707 28
        2 12,862 22
        3 10,319 18
        4 7,695 13
        5 4,798 8
        6 2,971 5
        7 1,586 3
        8 861 1
        9 497 1
        10 or more 637 1

        Note: 58,933 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of June 30th, 2020

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 21 <1% 292 1% 313 1%
        35-44 2,040 4% 970 2% 3,010 5%
        45-54 12,940 23% 2,691 5% 15,631 27%
        55-64 17,396 30% 5,092 9% 22,488 39%
        65-74 7,573 13% 4,460 8% 12,033 21%
        Older than 74 1,869 3% 1,720 3% 3,589 6%

        Note: 57,064 members have at least one certification. These data do not include 1,869 deceased members who held certifications.

        Data current as of June 30th, 2020

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 <10* <1% <212 <1% 212 <1%
        35-44 1,732 4% 645 1% 2,377 5%
        45-54 11,319 25% 1,716 4% 13,035 29%
        55-64 14,505 33% 3,334 7% 17,839 40%
        65-74 5,892 13% 2,738 6% 8,630 19%
        Older than 74 1,381 3% 1,088 2% 2,469 6%

        Note: 44,562 members hold at least one Aerodigestive certification. These data do not include 1,167 deceased members who held Aerodigestive certifications.

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

        Data current as of June 30th, 2020

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 19 <1% 128 1% 147 1%
        35-44 620 4% 430 2% 1,050 6%
        45-54 3,821 22% 1,067 6% 4,888 28%
        55-64 5,419 31% 1,897 11% 7,316 41%
        65-74 2,142 12% 1,331 8% 3,473 20%
        75+ 363 2% 428 2% 791 4%

        Note: 17,665 members hold at least one mental health certification. These data do not include 533 deceased members who held mental health certifications.

        Data current as of June 30th, 2020

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 36 <1% 36 <1%
        35-44 204 1% 278 2% 482 3%
        45-54 2,070 11% 1,028 6% 3,098 17%
        55-64 4,948 27% 2,157 12% 7,105 39%
        65-74 3,187 18% 2,269 13% 5,456 30%
        Older than 74 1,004 6% 924 5% 1,928 11%

        Note: 18,105 members hold at least one cancer certification. These data do not include 1,045 deceased members who held cancer certifications.

        Data current as of June 30th, 2020

        Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

        Age Responder Survivor
        Under 35 0 0% 0 0%
        35-44 12 2% <10* <1%
        45-54 114 20% 10 2%
        55-64 243 43% 12 2%
        65-74 134 24% <10* 1%
        Greater than 75 29 5% <10* 1%

        Note: 566 members have at least one Musculoskeletal certification. These data do not include 16 deceased members who held Musculoskeletal certifications.

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

        Data current as of June 30th, 2020

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