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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.

        Download Print Version

        Statistics

        Enrollment in the WTC Health Program

        Overall Enrollment in the WTC Health Program

        Month Responder Survivor
        Jun 2017 67,881 12,016
        Sep 2017 68,778 13,327
        Dec 2017 69,639 14,299
        Mar 2018 70,787 15,465
        Jun 2018 71,810 16,620
        Sep 2018 72,994 17,592
        Dec 2018 74,007 18,888
        Mar 2019 75,006 20,259
        Jun 2019 76,081 21,673
        Sep 2019 76,884 22,846
        Dec 2019 77,752 24,301
        Mar 2020 78,531 25,496
        Jun 2020 78,991 26,265
        Sep 2020 79,519 27,144
        Dec 2020 80,146 28,350
        Mar 2021 80,743 29,455
        Jun 2021 81,467 30,601
        Sep 2021 82,341 31,988
        Dec 2021 82,823 32,822
        Mar 2022 83,371 33,724

        Note: The Program started on July 1, 2011, and at that time, 56,168 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 March 31, 2018).

        Adjustments are made each quarter to account for member records changes

        Data current as of March 31, 2022

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Apr 2020 168 231 399
        May 2020 153 252 405
        Jun 2020 139 286 425
        Jul 2020 128 196 324
        Aug 2020 235 378 613
        Sep 2020 165 305 470
        Oct 2020 104 173 277
        Nov 2020 298 605 903
        Dec 2020 225 428 653
        Jan 2021 172 294 466
        Feb 2021 180 351 531
        Mar 2021 245 460 705
        Apr 2021 243 372 615
        May 2021 205 380 585
        Jun 2021 276 394 670
        Jul 2021 248 377 625
        Aug 2021 310 454 764
        Sep 2021 316 556 872
        Oct 2021 240 404 644
        Nov 2021 122 223 345
        Dec 2021 120 207 327
        Jan 2022 116 205 321
        Feb 2022 121 213 334
        Mar 2022 311 484 795

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

        Data current as of March 31, 2022

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 65,154 56%
        FDNY Responders 17,048 15%
        Survivors 33,724 29%
        Pentagon / Shanksville Responders 1,169 1%
        Total Members 117,095 100%

        Note: Of the total members, 5,230 are deceased.

        Data current as of March 31, 2022

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 273 <1% 697 1% 970 1%
        35-44 3,869 3% 2,160 2% 6,029 5%
        45-54 24,623 22% 5,905 5% 30,528 27%
        55-64 31,883 29% 10,420 9% 42,303 38%
        65-74 13,403 12% 8,510 8% 21,913 20%
        Older than 74 4,744 4% 4,807 4% 9,551 9%
        Not Available 571 1% 0 0% 571 1%
        Total Members 79,366 71% 32,499 29% 111,865

        Note: This data does not include 4,005 deceased Responders or 1,225 deceased Survivors.

        Data current as of March 31, 2022

        WTC Health Program Member Type by Gender

        Note: These data do not include the 4,467 deceased males or 763 deceased females

        Gender Responder Survivor Total
        Male 69,406 62% 17,249 15% 86,655 77%
        Female 9,943 9% 15,250 14% 25,193 23%
        Not Available 17 <1% 0 0% 17 <1%
        Total Members 79,366 71% 32,499 29% 111,865

        Data current as of March 31, 2022

        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 111,865 living members enrolled in the program, 25,925 living members are served through the Nationwide Provider Network.

        Data current as of March 31, 2022

        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 37,720 11,836
        Cancer 14,782 10,685
        Mental Health 13,583 6,210
        Musculoskeletal and Acute Traumatic Injuries 549 42

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 1,434 370
        Cancer 1,288 543
        Mental Health 617 163
        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 March 31, 2022

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 28,150 6,780
        Gastroesophageal Reflux Disease 25,955 5,696
        Cancers 16,070 11,228
        Asthma 13,729 5,375
        Sleep Apnea 15,304 1,577
        Post-Traumatic Stress Disorder (PTSD) 9,289 3,897
        Chronic Respiratory Disorder - Fumes / Vapors 7,817 1,263
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,383 977
        Anxiety Disorder (NOS)* 2,629 1,010
        Major Depressive Disorder 2,604 893

        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, 2022

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 5,944 1,548
        Prostate 3,732 2,357
        Breast – Female 418 1,767
        Melanoma of Skin 1,237 511
        Lymphoma 728 769
        Thyroid 658 773
        Lung/Bronchus 597 668
        Kidney 641 461
        Leukemia 513 445
        Colon 473 414
        Bladder 494 311
        Myeloma 246 287
        Rectum 198 241
        Oropharynx 223 187
        Neuroendocrine 165 119

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

        Data current as of March 31, 2022

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 20,783 30
        2 15,106 22
        3 12,107 17
        4 8,896 13
        5 5,490 8
        6 3,401 5
        7 1,805 3
        8 951 1
        9 574 1
        10 or more 700 1

        Note: 69,813 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of March 31, 2022

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 19 <1% 269 <1% 288 <1%
        35-44 1,293 2% 1,011 2% 2,304 3%
        45-54 12,052 18% 3,205 5% 15,257 23%
        55-64 19,953 30% 6,590 10% 26,543 40%
        65-74 10,190 15% 6,344 9% 16,534 25%
        Older than 74 2,825 4% 3,045 5% 5,870 9%

        Note: 66,796 members have at least one certification. These data do not include 3,017 deceased members who held certifications.

        Data current as of March 31, 2022

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 45 1,188 2% 894 2% 2,082 4%
        45-54 10,729 22% 1,908 4% 12,637 26%
        55-64 16,348 33% 3,973 8% 20,321 41%
        65-74 7,583 15% 3,475 7% 11,058 22%
        Older than 74 1,872 4% 1,586 3% 3,458 7%

        Note: 49,556 members have at least one Aerodigestive certification. These data do not include 1,804 deceased members who have Aerodigestive certifications.

        Data current as of March 31, 2022

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 39 <1% 39 <1%
        35-44 168 1% 323 1% 491 2%
        45-54 2,178 9% 1,484 6% 3,662 14%
        55-64 6,242 25% 3,337 13% 9,579 38%
        65-74 4,616 18% 3,656 14% 8,272 32%
        Older than 74 1,578 6% 1,846 7% 3,424 13%

        Note: 25,467 members hold at least one cancer certification. These data do not include 1,831 deceased members who held cancer certifications.

        Data current as of March 31, 2022

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 18 <1% 118 1% 136 1%
        35-44 468 2% 451 2% 919 5%
        45-54 3,678 19% 1,173 6% 4,851 25%
        55-64 6,057 31% 2,190 11% 8,247 42%
        65-74 2,848 14% 1,704 9% 4,552 23%
        Older than 74 514 3% 574 3% 1,088 5%

        Note: 19,793 members hold at least one mental health certification. These data do not include 780 deceased members who held mental health certifications.

        Data current as of March 31, 2022

        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% 14 2% 251 42%
        Greater than 64 200 34% 17 3% 217 37%

        Note: 591 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 March 31, 2022

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        Previously Reported Information

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

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