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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 56,182
        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 68,794 13,339
        Dec 2017 69,656 14,312
        Mar 2018 70,805 15,477
        Jun 2018 71,829 16,633
        Sep 2018 73,012 17,605
        Dec 2018 74,095 18,901
        Mar 2019 75,024 20,272
        Jun 2019 76,097 21,687
        Sep 2019 76,903 22,857
        Dec 2019 77,769 24,312
        Mar 2020 78,546 25,508
        Jun 2020 79,003 26,278
        Sep 2020 79,521 27,145

        Note: The Program started on July 1, 2011, and at that time, 56,182 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 September 30th, 2020

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Oct 2018 422 431 853
        Nov 2018 355 423 778
        Dec 2018 306 442 748
        Jan 2019 335 508 843
        Feb 2019 312 424 736
        Mar 2019 282 439 721
        Apr 2019 382 574 956
        May 2019 400 430 830
        Jun 2019 291 411 702
        Jul 2019 288 438 726
        Aug 2019 248 347 595
        Sep 2019 270 385 655
        Oct 2019 260 459 719
        Nov 2019 238 487 725
        Dec 2019 368 509 877
        Jan 2020 190 359 549
        Feb 2020 282 405 687
        Mar 2020 305 432 737
        Apr 2020 167 231 398
        May 2020 151 252 403
        Jun 2020 139 287 426
        Jul 2020 126 195 321
        Aug 2020 234 375 609
        Sep 2020 158 297 455

        Data current as of September 30th, 2020

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 61,568 58%
        FDNY Responders 17,019 16%
        Survivors 27,145 25%
        Pentagon / Shanksville Responders 934 1%
        Total Members 106,666 100%

        Note: Of the total members, 3,880 are deceased.

        Data current as of September 30th, 2020

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 301 <1% 758 1% 1,059 1%
        35-44 5,655 6% 2,110 2% 7,765 8%
        45-54 26,752 26% 5,234 5% 31,986 31%
        55-64 28,646 28% 8,610 8% 37,256 36%
        65-74 10,905 11% 6,644 6% 17,549 17%
        Older than 74 3,477 3% 3,093 3% 6,570 6%
        Not Available 601 1% 0 0% 601 1%
        Total Members 76,337 74% 26,449 26% 102,786

        Note: This data does not include 3,184 deceased Responders or 696 deceased Survivors.

        Data current as of September 30th, 2020

        WTC Health Program Member Type by Gender

        Note: These data do not include the 3,342 deceased males or 538 deceased females

        Gender Responder Survivor Total
        Male 66,559 65% 13,836 14% 80,395 78%
        Female 9,347 9% 12,613 12% 21,960 21%
        Not Available 431 <1% 0 <1% 431 0%
        Total Members 76,337 74% 26,449 26% 102,786

        Data current as of September 30th, 2020

        WTC Health Program Members by State

        State Members
        Alabama 100-499
        Alaska 1-49
        Arizona 500-999
        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 102,786 living members enrolled in the program, 20,309 living members are served through the Nationwide Provider Network.

        Data current as of September 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 35,146 9,925
        Cancer 11,841 7,008
        Mental Health 12,545 5,389
        Musculoskeletal and Acute Traumatic Injuries 531 35

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 1,064 226
        Cancer 899 228
        Mental Health 452 113
        Musculoskeletal and Acute Traumatic Injuries 19 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 30th, 2020

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 26,167 5,585
        Gastroesophageal Reflux Disease 23,747 4,686
        Cancers 12,740 7,236
        Asthma 12,927 4,599
        Sleep Apnea 13,681 1,224
        Post-Traumatic Stress Disorder (PTSD) 8,341 3,312
        Chronic Respiratory Disorder - Fumes / Vapors 7,393 1,148
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,161 744
        Anxiety Disorder (NOS)* 2,466 869
        Major Depressive Disorder 2,406 769

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

        Data current as of September 30th, 2020

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 4,494 843
        Prostate 2,895 1,386
        Breast – Female 332 1,139
        Melanoma of Skin 985 286
        Lymphoma 600 540
        Thyroid 534 533
        Lung/Bronchus 478 461
        Kidney 510 316
        Leukemia 416 316
        Colon 394 247
        Bladder 389 189
        Myeloma 190 204
        Oropharynx 187 134
        Rectum 158 152
        Neuroendocrine 134 77

        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 30th, 2020

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 17,150 29
        2 13,113 22
        3 10,498 17
        4 7,834 13
        5 4,874 8
        6 3,008 5
        7 1,615 3
        8 874 1
        9 508 1
        10 or more 641 1

        Note: 60,115 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of September 30th, 2020

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 20 <1% 287 1% 307 1%
        35-44 1,938 3% 983 2% 2,921 5%
        45-54 12,745 22% 2,752 5% 15,497 27%
        55-64 17,792 31% 5,209 9% 23,001 40%
        65-74 7,963 14% 4,621 8% 12,584 22%
        Older than 74 1,942 3% 1,826 3% 3,768 6%

        Note: 58,078 members have at least one certification. These data do not include 2,037 deceased members who held certifications.

        Data current as of September 30th, 2020

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 45 1,648 4% 862 2% 2,510 6%
        45-54 11,115 25% 1,720 4% 12,835 28%
        55-64 14,811 33% 3,383 8% 18,194 40%
        65-74 6,156 14% 2,820 6% 8,976 20%
        Older than 74 1,416 3% 1,140 3% 2,556 6%

        Note: 45,071 members hold at least one Aerodigestive certification. These data do not include 1,290 deceased members who held Aerodigestive certifications.

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

        Data current as of September 30th, 2020

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 32 <1% 32 <1%
        35-44 198 1% 284 2% 482 3%
        45-54 2,064 11% 1,083 6% 3,147 17%
        55-64 5,116 27% 2,233 12% 7,349 39%
        65-74 3,409 18% 2,367 13% 5,776 31%
        Older than 74 1,055 6% 1,008 5% 2,063 11%

        Note: 18,849 members hold at least one cancer certification. These data do not include 1,127 deceased members who held cancer certifications.

        Data current as of September 30th, 2020

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 19 <1% 128 1% 147 1%
        35-44 601 3% 424 2% 1,025 6%
        45-54 3,773 21% 1,085 6% 4,858 27%
        55-64 5,529 31% 1,925 11% 7,454 42%
        65-74 2,247 13% 1,382 8% 3,629 20%
        Older than 74 376 2% 445 2% 821 5%

        Note: 17,934 members hold at least one mental health certification. These data do not include 565 deceased members who held mental health certifications.

        Data current as of September 30th, 2020

        Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

        Age Responder Survivor
        Under 35 0 0% 0 0%
        35-44 10 2% <10* <1%
        45-54 112 20% 11 2%
        55-64 244 43% 13 2%
        65-74 135 24% <10* 1%
        Greater than 74 30 5% <10* 1%

        Note: 566 members have at least one Musculoskeletal certification or Acute Traumatic Injury. These data do not include 19 deceased members who had Musculoskeletal or Acute Traumatic Injury certifications.

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

        Data current as of September 30th, 2020

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        Previously Reported Information

        Page Last Reviewed: August 13, 2019 | Page Last Updated: November 23, 2020

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