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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 56,170
        Dec 2016 66,358 10,573
        Mar 2017 67,052 11,173
        Jun 2017 67,890 12,016
        Sep 2017 68,786 13,327
        Dec 2017 69,648 14,300
        Mar 2018 70,795 15,465
        Jun 2018 71,819 16,621
        Sep 2018 73,001 17,593
        Dec 2018 74,084 18,888
        Mar 2019 75,013 20,259
        Jun 2019 76,087 21,672
        Sep 2019 76,890 22,844
        Dec 2019 77,759 24,302
        Mar 2020 78,538 25,497
        Jun 2020 78,996 26,267
        Sep 2020 79,522 27,145
        Dec 2020 80,150 28,351
        Mar 2021 80,746 29,455
        Jun 2021 81,469 30,597
        Sep 2021 82,331 31,972

        Note: The Program started on July 1, 2011, and at that time, 56,170 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,743 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 September 30, 2021

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Oct 2019 261 459 720
        Nov 2019 238 488 726
        Dec 2019 370 511 881
        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 139 287 426
        Jul 2020 126 197 323
        Aug 2020 235 377 612
        Sep 2020 165 304 469
        Oct 2020 104 173 277
        Nov 2020 299 605 904
        Dec 2020 225 428 653
        Jan 2021 172 293 465
        Feb 2021 180 351 531
        Mar 2021 244 460 704
        Apr 2021 241 371 612
        May 2021 203 380 583
        Jun 2021 279 391 670
        Jul 2021 244 377 621
        Aug 2021 306 450 756
        Sep 2021 312 548 860

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

        Data current as of September 30, 2021

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 64,189 56%
        FDNY Responders 17,039 15%
        Survivors 31,972 28%
        Pentagon / Shanksville Responders 1,103 1%
        Total Members 114,303 100%

        Note: Of the total members, 4,849 are deceased.

        Data current as of September 30, 2021

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 281 <1% 734 1% 1,015 1%
        35-44 4,427 4% 2,160 2% 6,587 6%
        45-54 25,441 23% 5,810 5% 31,251 29%
        55-64 30,990 28% 9,991 9% 40,981 37%
        65-74 12,629 12% 8,003 7% 20,632 19%
        Older than 74 4,231 4% 4,183 4% 8,414 8%
        Not Available 572 1% 2 0% 574 1%
        Total Members 78,571 72% 30,883 28% 109,454

        Note: This data does not include 3,760 deceased Responders or 1,089 deceased Survivors.

        Data current as of September 30, 2021

        WTC Health Program Member Type by Gender

        Note: These data do not include the 4,140 deceased males or 709 deceased females

        Gender Responder Survivor Total
        Male 68,706 63% 16,331 15% 85,037 78%
        Female 9,848 9% 14,552 13% 24,400 22%
        Not Available 17 <1% 0 0% 17 <1%
        Total Members 78,571 72% 30,883 28% 109,454

        Data current as of September 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 500-999
        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 109,454 living members enrolled in the program, 24,855 living members are served through the Nationwide Provider Network.

        Data current as of September 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 36,872 11,173
        Cancer 13,829 9,502
        Mental Health 13,226 5,962
        Musculoskeletal and Acute Traumatic Injuries 542 39

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 1,319 339
        Cancer 1,171 461
        Mental Health 565 153
        Musculoskeletal and Acute Traumatic Injuries 25 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 30, 2021

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 27,558 6,381
        Gastroesophageal Reflux Disease 25,258 5,369
        Cancers 15,000 9,963
        Asthma 13,472 5,120
        Sleep Apnea 14,830 1,466
        Post-Traumatic Stress Disorder (PTSD) 8,970 3,744
        Chronic Respiratory Disorder - Fumes / Vapors 7,684 1,236
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,309 878
        Anxiety Disorder (NOS)* 2,575 953
        Major Depressive Disorder 2,536 865

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

        Data current as of September 30, 2021

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 5,497 1,279
        Prostate 3,453 2,037
        Breast – Female 383 1,574
        Melanoma of Skin 1,145 426
        Lymphoma 681 701
        Thyroid 626 708
        Lung/Bronchus 556 620
        Kidney 594 422
        Leukemia 489 401
        Colon 450 365
        Bladder 457 275
        Myeloma 220 255
        Oropharynx 210 166
        Rectum 188 213
        Neuroendocrine 154 107

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

        Data current as of September 30, 2021

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 19,526 29
        2 14,441 22
        3 11,585 17
        4 8,618 13
        5 5,277 8
        6 3,269 5
        7 1,745 3
        8 938 1
        9 545 1
        10 or more 685 1

        Note: 66,629 members have one or more certifications, which is the sum of the numbers on the chart above.These data include 2,729 deceased members who had certifications.

        Data current as of September 30, 2021

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 18 <1% 282 <1% 300 <1%
        35-44 1,504 2% 1,012 2% 2,516 4%
        45-54 12,354 19% 3,066 5% 15,420 24%
        55-64 19,179 30% 6,186 10% 25,365 40%
        65-74 9,544 15% 5,772 9% 15,316 24%
        Older than 74 2,442 4% 2,541 4% 4,983 8%

        Note: 63,900 members have at least one certification. These data do not include 2,729 deceased members who held certifications.

        Data current as of September 30, 2021

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 45 1,265 3% 865 2% 2,130 4%
        45-54 10,715 22% 1,813 4% 12,528 26%
        55-64 15,850 33% 3,785 8% 19,635 41%
        65-74 7,300 15% 3,265 7% 10,565 22%
        Older than 74 1,742 4% 1,445 3% 3,187 7%

        Note: 48,045 members have at least one Aerodigestive certification. These data do not include 1,658 deceased members who have Aerodigestive certifications.

        Data current as of September 30, 2021

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 39 <1% 39 <1%
        35-44 172 1% 307 1% 479 2%
        45-54 2,122 9% 1,352 6% 3,474 15%
        55-64 5,829 25% 2,985 13% 8,814 38%
        65-74 4,304 18% 3,261 14% 7,565 32%
        Older than 74 1,402 6% 1,558 7% 2,960 13%

        Note: 23,331 members hold at least one cancer certification. These data do not include 1,632 deceased members who held cancer certifications.

        Data current as of September 30, 2021

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 17 <1% 117 1% 134 1%
        35-44 490 3% 442 2% 932 5%
        45-54 3,647 19% 1,147 6% 4,794 25%
        55-64 5,864 31% 2,110 11% 7,974 42%
        65-74 2,732 14% 1,610 8% 4,342 23%
        Older than 74 476 2% 536 3% 1,012 5%

        Note: 19,188 members hold at least one mental health certification. These data do not include 718 deceased members who held mental health certifications.

        Data current as of September 30, 2021

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

        Age Responder Survivor Total
        < 55 114 20% 12 2% 126 22%
        55-64 235 40% 12 2% 247 43%
        Greater than 64 193 33% 15 3% 208 36%

        Note: 581 members have at least one Musculoskeletal certification or Acute Traumatic Injury. These data do not include 25 deceased members who had Musculoskeletal or Acute Traumatic Injury certifications.

        Data current as of September 30, 2021

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        Previously Reported Information

        Page Last Reviewed: March 18, 2021 | Page Last Updated: October 28, 2021

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