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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

        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
        Mar 2021 80,745 29,453

        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 March 31, 2021

        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
        Mar 2021 241 451 692

        Data current as of March 31, 2021

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 62,733 57%
        FDNY Responders 17,023 15%
        Survivors 29,453 27%
        Pentagon / Shanksville Responders 989 1%
        Total Members 110,198 100%

        Note: Of the total members, 4,343 are deceased.

        Data current as of March 31, 2021

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 285 <1% 754 1% 1,039 1%
        35-44 5,047 5% 2,153 2% 7,200 7%
        45-54 26,071 25% 5,471 5% 31,542 30%
        55-64 29,790 28% 9,274 9% 39,064 37%
        65-74 11,738 11% 7,325 7% 19,063 18%
        Older than 74 3,790 4% 3,572 3% 7,362 7%
        Not Available 585 1% 0 0% 585 1%
        Total Members 77,306 73% 28,549 27% 105,855

        Note: This data does not include 3,439 deceased Responders or 904 deceased Survivors.

        Data current as of March 31, 2021

        WTC Health Program Member Type by Gender

        Note: These data do not include the 3,707 deceased males or 636 deceased females

        Gender Responder Survivor Total
        Male 67,432 64% 15,038 14% 82,470 78%
        Female 9,456 9% 13,511 13% 22,967 22%
        Not Available 418 <0% 0 0% 418 <0%
        Total Members 77,306 73% 28,549 27% 105,855

        Data current as of March 31, 2021

        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 1,000-9,999
        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 100-499
        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 105,855 living members enrolled in the program, 22,863 living members are served through the Nationwide Provider Network.

        Data current as of March 31, 2021

        Members with Certifications by Zadroga Act Categories of Conditions

        Living Members

        Certification Category Responder Survivor
        Aerodigestive 36,049 10,565
        Cancer 12,835 8,336
        Mental Health 12,897 5,771
        Musculoskeletal and Acute Traumatic Injuries 541 36

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 1,167 302
        Cancer 1,015 351
        Mental Health 500 138
        Musculoskeletal and Acute Traumatic Injuries 20 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, 2021

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 26,910 6,015
        Gastroesophageal Reflux Disease 24,480 5,037
        Cancers 13,850 8,687
        Asthma 13,213 4,853
        Sleep Apnea 14,309 1,363
        Post-Traumatic Stress Disorder (PTSD) 8,653 3,602
        Chronic Respiratory Disorder - Fumes / Vapors 7,524 1,194
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,238 805
        Anxiety Disorder (NOS)* 2,521 930
        Major Depressive Disorder 2,470 831

        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, 2021

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 4,981 1,063
        Prostate 3,164 1,740
        Breast – Female 359 1,362
        Melanoma of Skin 1,063 349
        Lymphoma 640 625
        Thyroid 583 617
        Lung/Bronchus 510 548
        Kidney 561 368
        Leukemia 454 359
        Colon 432 300
        Bladder 422 227
        Myeloma 205 237
        Oropharynx 201 152
        Rectum 170 181
        Neuroendocrine 138 89

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

        Data current as of March 31, 2021

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 18,399 29%
        2 13,813 22%
        3 11,092 17%
        4 8,198 13%
        5 5,067 8%
        6 3,164 5%
        7 1,670 3%
        8 910 1%
        9 527 1%
        10 or more 660 1%

        Note: 63,500 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of March 31, 2021

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 20 0% 287 0% 307 1%
        35-44 1,722 3% 1,006 2% 2,728 4%
        45-54 12,579 21% 2,917 5% 15,496 25%
        55-64 18,552 30% 5,785 9% 24,337 40%
        65-74 8,723 14% 5,242 9% 13,965 23%
        Older than 74 2,154 4% 2,145 4% 4,299 7%

        Note: 61,132 members have at least one certification. These data do not include 2,368 deceased members who held certifications.

        Data current as of March 31, 2021

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 45 1,460 3% 857 2% 2,317 5%
        45-54 10,948 23% 1,776 4% 12,724 27%
        55-64 15,372 33% 3,626 8% 18,998 41%
        65-74 6,712 14% 3,057 7% 9,769 21%
        Older than 74 1,557 3% 1,249 3% 2,806 6%

        Note: 46,614 members have at least one Aerodigestive certification. These data do not include 1,469 deceased members who have Aerodigestive certifications.

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

        Data current as of March 31, 2021

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 38 0% 38 0%
        35-44 186 1% 308 1% 494 2%
        45-54 2,095 10% 1,223 6% 3,318 16%
        55-64 5,492 26% 2,657 13% 8,149 38%
        65-74 3,857 18% 2,846 13% 6,703 32%
        Older than 74 1,205 6% 1,264 6% 2,469 12%

        Note: 21,171 members hold at least one cancer certification. These data do not include 1,366 deceased members who held cancer certifications.

        Data current as of March 31, 2021

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 19 0% 127 1% 146 1%
        35-44 552 3% 439 2% 991 5%
        45-54 3,704 20% 1,121 6% 4,825 26%
        55-64 5,728 31% 2,079 11% 7,807 42%
        65-74 2,474 13% 1,522 8% 3,996 21%
        Older than 74 420 2% 483 3% 903 5%

        Note: 18,668 members hold at least one mental health certification. These data do not include 638 deceased members who held mental health certifications.

        Data current as of March 31, 2021

        Members with Musculoskeletal and Acute Traumatic Injuries Certifications Age Distribution

        Age Responder Survivor
        < 55 120 21% 12 2%
        55-64 241 42% 12 2%
        65-74 145 25% <10* 2%
        Greater than 74 35 6% <10* 1%

        Note: 577 members have at least one Musculoskeletal certification or Acute Traumatic Injury. These data do not include 20 deceased members who had Musculoskeletal or Acute Traumatic Injury certifications.

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

        Data current as of March 31, 2021

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