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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 56,165
        Mar 2017 67,048 11,172
        Jun 2017 67,886 12,015
        Sep 2017 68,782 13,326
        Dec 2017 69,644 14,299
        Mar 2018 70,791 15,464
        Jun 2018 71,815 16,619
        Sep 2018 72,997 17,594
        Dec 2018 74,081 18,886
        Mar 2019 75,010 20,257
        Jun 2019 76,084 21,670
        Sep 2019 76,887 22,843
        Dec 2019 77,755 24,300
        Mar 2020 78,534 25,494
        Jun 2020 78,994 26,264
        Sep 2020 79,520 27,142
        Dec 2020 80,147 28,348
        Mar 2021 80,744 29,452
        Jun 2021 81,466 30,598
        Sep 2021 82,338 31,983
        Dec 2021 82,818 31,812

        Note: The Program started on July 1, 2011, and at that time, 56,165 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,741 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 December 31, 2018).

        Adjustments are made each quarter to account for member records changes

        Data current as of December 31, 2021

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Jan 2020 189 359 548
        Feb 2020 284 405 689
        Mar 2020 306 430 736
        Apr 2020 168 231 399
        May 2020 153 252 405
        Jun 2020 139 287 426
        Jul 2020 126 196 322
        Aug 2020 235 377 612
        Sep 2020 165 305 470
        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 245 460 705
        Apr 2021 243 372 615
        May 2021 204 380 584
        Jun 2021 275 394 669
        Jul 2021 247 376 623
        Aug 2021 310 454 764
        Sep 2021 315 555 870
        Oct 2021 239 404 643
        Nov 2021 122 222 344
        Dec 2021 119 203 322

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

        Data current as of December 31, 2021

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 64,629 56%
        FDNY Responders 17,042 15%
        Survivors 32,812 28%
        Pentagon / Shanksville Responders 1,147 1%
        Total Members 115,630 100%

        Note: Of the total members, 5,050 are deceased.

        Data current as of December 31, 2021

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 276 <1% 706 1% 982 1%
        35-44 4,130 4% 2,162 2% 6,292 6%
        45-54 25,002 23% 5,825 5% 30,827 28%
        55-64 31,450 28% 10,250 9% 41,700 38%
        65-74 13,021 12% 8,230 7% 21,251 19%
        Older than 74 4,489 4% 4,467 4% 8,956 8%
        Not Available 572 1% 0 0% 572 1%
        Total Members 78,940 71% 31,640 29% 110,580

        Note: This data does not include 3,878 deceased Responders or 1,172 deceased Survivors.

        Data current as of December 31, 2021

        WTC Health Program Member Type by Gender

        Note: These data do not include the 4,308 deceased males or 742 deceased females

        Gender Responder Survivor Total
        Male 69,028 62% 16,763 15% 85,791 78%
        Female 9,911 9% 14,877 13% 24,788 22%
        Not Available <10 <1% 0 0% 1 <1%
        Total Members 78,940 71% 31,640 29% 110,580

        Data current as of December 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 50-99
        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 110,580 living members enrolled in the program, 25,418 living members are served through the Nationwide Provider Network.

        Data current as of December 31, 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 37,338 11,595
        Cancer 14,323 10,136
        Mental Health 13,415 6,085
        Musculoskeletal and Acute Traumatic Injuries 548 40

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 1,378 357
        Cancer 1,230 508
        Mental Health 594 158
        Musculoskeletal and Acute Traumatic Injuries 24 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, 2021

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 27,875 6,651
        Gastroesophageal Reflux Disease 25,646 5,583
        Cancers 15,553 10,644
        Asthma 13,614 5,285
        Sleep Apnea 15,092 1,523
        Post-Traumatic Stress Disorder (PTSD) 9,147 3,819
        Chronic Respiratory Disorder - Fumes / Vapors 7,752 1,256
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,353 940
        Anxiety Disorder (NOS)* 2,600 984
        Major Depressive Disorder 2,573 883

        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, 2021

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 5,716 1,415
        Prostate 3,596 2,197
        Breast – Female 401 1,684
        Melanoma of Skin 1,194 471
        Lymphoma 708 737
        Thyroid 644 743
        Lung/Bronchus 575 643
        Kidney 618 440
        Leukemia 500 423
        Colon 463 395
        Bladder 474 294
        Myeloma 232 274
        Oropharynx 215 178
        Rectum 195 229
        Neuroendocrine 159 115

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

        Data current as of December 31, 2021

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 20,214 30
        2 14,826 22
        3 11,882 17
        4 8,773 13
        5 5,381 8
        6 3,337 5
        7 1,783 3
        8 945 1
        9 565 1
        10 or more 692 1

        Note: 68,398 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of December 31, 2021

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 19 <1% 279 <1% 298 <1%
        35-44 1,395 2% 1,023 2% 2,418 4%
        45-54 12,219 19% 3,152 5% 15,371 23%
        55-64 19,624 30% 6,428 10% 26,052 40%
        65-74 9,871 15% 6,068 9% 15,939 24%
        Older than 74 2,627 4% 2,811 4% 5,438 8%

        Note: 65,516 members have at least one certification. These data do not include 2,882 deceased members who held certifications.

        Data current as of December 31, 2021

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 45 1,171 2% 874 2% 2,045 4%
        45-54 10,600 22% 1,865 4% 12,465 25%
        55-64 16,174 33% 3,894 8% 20,068 41%
        65-74 7,527 15% 3,402 7% 10,929 22%
        Older than 74 1,866 4% 1,560 3% 3,426 7%

        Note: 48,933 members have at least one Aerodigestive certification. These data do not include 1,735 deceased members who have Aerodigestive certifications.

        Data current as of December 31, 2021

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 38 <1% 38 <1%
        35-44 161 1% 313 1% 474 2%
        45-54 2,090 9% 1,399 6% 3,489 14%
        55-64 6,042 25% 3,160 13% 9,202 38%
        65-74 4,481 18% 3,460 14% 7,941 32%
        Older than 74 1,549 6% 1,766 7% 3,315 14%

        Note: 24,459 members hold at least one cancer certification. These data do not include 1,738 deceased members who held cancer certifications.

        Data current as of December 31, 2021

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 18 <1% 116 1% 134 1%
        35-44 464 2% 440 2% 904 5%
        45-54 3,606 18% 1,148 6% 4,754 24%
        55-64 5,984 31% 2,146 11% 8,130 42%
        65-74 2,834 15% 1,664 9% 4,498 23%
        Older than 74 509 3% 571 3% 1,080 6%

        Note: 19,500 members hold at least one mental health certification. These data do not include 752 deceased members who held mental health certifications.

        Data current as of December 31, 2021

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

        Age Responder Survivor Total
        < 55 112 19% 11 2% 123 21%
        55-64 237 40% 12 2% 249 42%
        Greater than 64 199 34% 17 3% 216 37%

        Note: 588 members have at least one Musculoskeletal certification or Acute Traumatic Injury. These data do not include 24 deceased members who had Musculoskeletal or Acute Traumatic Injury certifications.

        Data current as of December 31, 2021

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        Previously Reported Information

        Page Last Reviewed: March 18, 2021 | Page Last Updated: February 3, 2022

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