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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. Additional information is available on the Quarterly Reports page.

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        Statistics

        Enrollment in the WTC Health Program

        Overall Enrollment in the WTC Health Program

        Month Responder Survivor
        Jul 2011 56,175
        Sep 2016 65,642 10,022
        Dec 2016 66,364 10,574
        Mar 2017 67,058 11,174
        Jun 2017 67,896 12,018
        Sep 2017 68,792 13,330
        Dec 2017 69,654 14,303
        Mar 2018 70,801 15,468
        Jun 2018 71,825 16,623
        Sep 2018 73,007 17,595
        Dec 2018 74,090 18,890
        Mar 2019 75,020 20,261
        Jun 2019 76,093 21,674
        Sep 2019 76,897 22,846
        Dec 2019 77,765 24,304
        Mar 2020 78,544 25,499
        Jun 2020 79,001 26,268
        Sep 2020 79,527 27,146
        Dec 2020 80,154 28,352
        Mar 2021 80,750 29,457
        Jun 2021 81,460 30,582

        Note: The Program started on July 1, 2011, and at that time, 56,175 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,742 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).

        Adjustments are made each quarter to account for member records changes

        Data current as of June 30, 2021

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Jul 2019 288 439 727
        Aug 2019 248 348 596
        Sep 2019 268 385 653
        Oct 2019 260 459 719
        Nov 2019 239 488 727
        Dec 2019 369 511 880
        Jan 2020 189 359 548
        Feb 2020 284 405 689
        Mar 2020 306 431 737
        Apr 2020 167 231 398
        May 2020 152 252 404
        Jun 2020 138 286 424
        Jul 2020 126 196 322
        Aug 2020 235 378 613
        Sep 2020 165 304 469
        Oct 2020 104 173 277
        Nov 2020 298 605 903
        Dec 2020 225 428 653
        Jan 2021 172 293 465
        Feb 2021 180 351 531
        Mar 2021 244 461 705
        Apr 2021 242 371 613
        May 2021 198 372 570
        Jun 2021 270 382 652

        Adjustments are made each quarter to account for member records changes.

        Data current as of June 30, 2021

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 63,392 57%
        FDNY Responders 17,031 15%
        Survivors 30,582 27%
        Pentagon / Shanksville Responders 1,037 1%
        Total Members 112,042 100%

        Note: Of the total members, 4,627 are deceased.

        Data current as of June 30, 2021

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 281 <1% 738 1% 1,019 1%
        35-44 4,722 4% 2,141 2% 6,863 6%
        45-54 25,736 24% 5,602 5% 31,338 29%
        55-64 30,418 28% 9,618 9% 40,036 37%
        65-74 12,128 11% 7,625 7% 19,753 18%
        Older than 74 3,968 4% 3,854 4% 7,822 7%
        Not Available 584 1% 0 0% 584 1%
        Total Members 77,837 72% 29,578 28% 107,415

        Note: This data does not include 3,623 deceased Responders or 1,004 deceased Survivors.

        Data current as of June 30, 2021

        WTC Health Program Member Type by Gender

        Note: These data do not include the 3,954 deceased males or 673 deceased females

        Gender Responder Survivor Total
        Male 67,902 63% 15,607 15% 83,509 78%
        Female 9,518 9% 13,971 13% 23,489 22%
        Not Available 417 <1% 0 0% 418 <1%
        Total Members 77,837 72% 29,579 28% 107,415

        Data current as of June 30, 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 50-99
        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 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 1,000-9,999
        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 107,415 living members enrolled in the program, 23,811 living members are served through the Nationwide Provider Network.

        Data current as of June 30, 2021

        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 36,466 10,839
        Cancer 13,330 8,870
        Mental Health 13,116 5,873
        Musculoskeletal and Acute Traumatic Injuries 541 38

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 1,250 321
        Cancer 1,101 409
        Mental Health 528 148
        Musculoskeletal and Acute Traumatic Injuries 22 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 30, 2021

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 27,248 6,180
        Gastroesophageal Reflux Disease 24,902 5,187
        Cancers 14,431 9,279
        Asthma 13,357 4,970
        Sleep Apnea 14,594 1,414
        Post-Traumatic Stress Disorder (PTSD) 8,850 3,687
        Chronic Respiratory Disorder - Fumes / Vapors 7,609 1,210
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,273 843
        Anxiety Disorder (NOS)* 2,552 939
        Major Depressive Disorder 2,514 847

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

        Data current as of June 30, 2021

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 5,232 1,171
        Prostate 3,310 1,887
        Breast – Female 373 1,466
        Melanoma of Skin 1,111 394
        Lymphoma 659 665
        Thyroid 610 660
        Lung/Bronchus 535 581
        Kidney 585 392
        Leukemia 473 381
        Colon 442 332
        Bladder 439 248
        Myeloma 209 247
        Oropharynx 202 156
        Rectum 181 195
        Neuroendocrine 146 100

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

        Data current as of June 30, 2021

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 18,912 29
        2 14,104 22
        3 11,360 17
        4 8,407 13
        5 5,165 8
        6 3,232 5
        7 1,717 3
        8 927 1
        9 542 1
        10 or more 671 1

        Note: 65,037 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of June 30, 2021

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 19 <1% 289 <1% 308 1%
        35-44 1,607 3% 1,004 2% 2,611 4%
        45-54 12,540 20% 2,995 5% 15,535 25%
        55-64 18,866 30% 5,955 10% 24,821 40%
        65-74 9,084 15% 5,505 9% 14,589 23%
        Older than 74 2,284 4% 2,320 4% 4,604 7%

        Note: 62,468 members have at least one certification. These data do not include 2,569 deceased members who held certifications.

        Data current as of June 30, 2021

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 45 1,352 3% 859 2% 2,211 5%
        45-54 10,898 23% 1,805 4% 12,703 27%
        55-64 15,592 33% 3,677 8% 19,269 41%
        65-74 6,983 15% 3,154 7% 10,137 21%
        Older than 74 1,641 3% 1,344 3% 2,985 6%

        Note: 47,305 members have at least one Aerodigestive certification. These data do not include 1,571 deceased members who have Aerodigestive certifications.

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

        Data current as of June 30, 2021

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 38 <1% 38 <1%
        35-44 178 1% 306 1% 484 2%
        45-54 2,120 10% 1,278 6% 3,398 15%
        55-64 5,686 26% 2,812 13% 8,498 38%
        65-74 4,053 18% 3,053 14% 7,106 32%
        Older than 74 1,293 6% 1,383 6% 2,676 12%

        Note: 22,200 members hold at least one cancer certification. These data do not include 1,510 deceased members who held cancer certifications.

        Data current as of June 30, 2021

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 18 <1% 124 1% 142 1%
        35-44 522 3% 441 2% 963 5%
        45-54 3,707 20% 1,146 6% 4,853 26%
        55-64 5,831 31% 2,090 11% 7,921 42%
        65-74 2,594 14% 1,560 8% 4,154 22%
        Older than 74 444 2% 512 3% 956 5%

        Note: 18,989 members hold at least one mental health certification. These data do not include 676 deceased members who held mental health certifications.

        Data current as of June 30, 2021

        Members with Musculoskeletal and/or Acute Traumatic Injuries Certifications Age Distribution

        Age Responder Survivor
        < 55 115 20% 12 2%
        55-64 237 41% 13 2%
        Greater than 64 189 33% 13 2%

        Note: 579 members have at least one Musculoskeletal certification or Acute Traumatic Injury. These data do not include 22 deceased members who had Musculoskeletal or Acute Traumatic Injury certifications.

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

        Data current as of June 30, 2021

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        Previously Reported Information

        Page Last Reviewed: March 18, 2021 | Page Last Updated: June 31, 2021s

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