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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 56,183
        Mar 2016 64,776 9,527
        Jun 2016 65,180 9,744
        Sep 2016 65,646 10,030
        Dec 2016 66,368 10,582
        Mar 2017 67,062 11,182
        Jun 2017 67,900 12,025
        Sep 2017 68,796 13,337
        Dec 2017 69,658 14,310
        Mar 2018 70,807 15,475
        Jun 2018 71,831 16,631
        Sep 2018 73,014 17,603
        Dec 2018 74,097 18,899
        Mar 2019 75,026 20,269
        Jun 2019 76,099 21,682
        Sep 2019 76,904 22,852
        Dec 2019 77,770 24,309
        Mar 2020 78,547 25,505
        Jun 2020 79,003 26,275
        Sep 2020 79,529 27,152
        Dec 2020 80,146 28,349

        Note: The Program started on July 1, 2011, and at that time, 56,183 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,746 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 December 31, 2020

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Jan 2019 335 508 843
        Feb 2019 312 424 736
        Mar 2019 282 438 720
        Apr 2019 382 573 955
        May 2019 400 429 829
        Jun 2019 291 411 702
        Jul 2019 288 438 726
        Aug 2019 248 347 595
        Sep 2019 269 385 654
        Oct 2019 260 459 719
        Nov 2019 238 489 727
        Dec 2019 368 509 877
        Jan 2020 189 359 548
        Feb 2020 282 406 688
        Mar 2020 306 431 737
        Apr 2020 167 231 398
        May 2020 151 252 403
        Jun 2020 138 287 425
        Jul 2020 127 196 323
        Aug 2020 235 377 612
        Sep 2020 164 304 468
        Oct 2020 105 173 278
        Nov 2020 297 606 903
        Dec 2020 215 418 633

        Data current as of December 31, 2020

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 62,167 57%
        FDNY Responders 17,022 16%
        Survivors 28,349 26%
        Pentagon / Shanksville Responders 957 1%
        Total Members 108,666 100%

        Note: Of the total members, 4,074 are deceased.

        Data current as of December 31, 2020

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 290 <1% 751 1% 1,041 1%
        35-44 5,368 5% 2,147 2% 7,515 7%
        45-54 26,404 25% 5,362 5% 31,766 30%
        55-64 29,202 28% 9,014 9% 38,216 37%
        65-74 11,334 11% 6,982 7% 18,316 18%
        Older than 74 3,626 3% 3,349 3% 6,975 7%
        Not Available 592 1% 0 0% 592 1%
        Total Members 76,816 74% 27,605 26% 104,421

        Note: This data does not include 3,330 deceased Responders or 744 deceased Survivors.

        Data current as of December 31, 2020

        WTC Health Program Member Type by Gender

        Note: These data do not include the 3,491 deceased males or 583 deceased females

        Gender Responder Survivor Total
        Male 66,991 64% 14,501 14% 81,492 78%
        Female 9,409 9% 13,104 13% 22,513 22%
        Not Available 416 <1% 0 0% 416 <1%
        Total Members 76,816 74% 27,605 26% 104,421

        Data current as of December 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 50-100
        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 10,000 +
        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 104,421 living members enrolled in the program, 22,122 living members are served through the Nationwide Provider Network.

        Data current as of December 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 35,614 10,239
        Cancer 12,330 7,679
        Mental Health 12,718 5,567
        Musculoskeletal and Acute Traumatic Injuries 538 35

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 1,117 246
        Cancer 948 252
        Mental Health 478 121
        Musculoskeletal and Acute Traumatic Injuries 18 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 December 31, 2020

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 26,559 5,783
        Gastroesophageal Reflux Disease 24,138 4,839
        Cancers 13,278 7,931
        Asthma 13,082 4,710
        Sleep Apnea 13,999 1,294
        Post-Traumatic Stress Disorder (PTSD) 8,491 3,438
        Chronic Respiratory Disorder - Fumes / Vapors 7,463 1,177
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,205 774
        Anxiety Disorder (NOS)* 2,501 903
        Major Depressive Disorder 2,436 798

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

        Data current as of December 31, 2020

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 4,752 938
        Prostate 3,025 1,568
        Breast – Female 347 1,239
        Melanoma of Skin 1,017 315
        Lymphoma 623 576
        Thyroid 559 576
        Lung/Bronchus 490 498
        Kidney 536 335
        Leukemia 435 334
        Colon 418 270
        Bladder 409 208
        Myeloma 199 218
        Oropharynx 191 146
        Rectum 164 173
        Neuroendocrine 135 86

        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 December 31, 2020

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 17,776 29
        2 13,459 22
        3 10,767 17
        4 8,041 13
        5 4,953 8
        6 3,087 5
        7 1,643 3
        8 895 1
        9 511 1
        10 or more 653 1

        Note: 61,785 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of December 31, 2020

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 21 <1% 291 <1% 312 1%
        35-44 1,816 3% 997 2% 2,813 5%
        45-54 12,653 21% 2,837 5% 15,490 26%
        55-64 18,208 31% 5,478 9% 23,686 40%
        65-74 8,356 14% 4,921 8% 13,277 22%
        Older than 74 2,053 3% 2,002 3% 4,055 7%

        Note: 59,633 members have at least one certification. These data do not include 2,152 deceased members who held certifications.

        Data current as of December 31, 2020

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 45 1,540 3% 863 2% 2,403 5%
        45-54 11,034 24% 1,744 4% 12,778 28%
        55-64 15,107 33% 3,492 8% 18,599 41%
        65-74 6,447 14% 2,933 6% 9,380 20%
        Older than 74 1,487 3% 1,206 3% 2,693 6%

        Note: 45,853 members hold at least one Aerodigestive certification. These data do not include 1,363 deceased members who held Aerodigestive certifications.

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

        Data current as of December 31, 2020

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 33 <1% 33 <1%
        35-44 191 1% 301 2% 492 2%
        45-54 2,063 10% 1,167 6% 3,230 16%
        55-64 5,325 27% 2,425 12% 7,750 39%
        65-74 3,621 18% 2,606 13% 6,227 31%
        Older than 74 1,130 6% 1,147 6% 2,277 11%

        Note: 20,009 members hold at least one cancer certification. These data do not include 1,200 deceased members who held cancer certifications.

        Data current as of December 31, 2020

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 20 <1% 129 1% 149 1%
        35-44 577 3% 429 2% 1,006 6%
        45-54 3,735 20% 1,102 6% 4,837 26%
        55-64 5,626 31% 1,998 11% 7,624 42%
        65-74 2,360 13% 1,441 8% 3,801 21%
        Older than 74 400 2% 468 3% 868 5%

        Note: 18,285 members hold at least one mental health certification. These data do not include 599 deceased members who held mental health certifications.

        Data current as of December 31, 2020

        Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

        Age Responder Survivor
        < 55 121 21% 12 2%
        55-64 246 43% 12 2%
        65-74 138 24% <10* 1%
        Greater than 74 33 6% <10* 1%

        Note: 573 members have at least one Musculoskeletal certification or Acute Traumatic Injury. These data do not include 18 deceased members who had Musculoskeletal or Acute Traumatic Injury certifications.

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

        Data current as of December 31, 2020

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        Previously Reported Information

        Page Last Reviewed: March 18, 2021 | Page Last Updated: November 23, 2020

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