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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
        Sep 2017 68,738 13,312
        Dec 2017 69,599 14,284
        Mar 2018 70,746 15,450
        Jun 2018 71,769 16,602
        Sep 2018 72,953 17,574
        Dec 2018 74,036 18,869
        Mar 2019 74,964 20,238
        Jun 2019 76,039 21,651
        Sep 2019 76,842 22,822
        Dec 2019 77,710 24,277
        Mar 2020 78,489 25,471
        Jun 2020 78,950 26,240
        Sep 2020 79,478 27,119
        Dec 2020 80,104 28,322
        Mar 2021 80,701 29,426
        Jun 2021 81,425 30,569
        Sep 2021 82,299 31,956
        Dec 2021 82,781 32,789
        Mar 2022 83,330 33,698
        Jun 2022 83,764 34,710

        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, 4,742 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 March 31, 2018).

        Adjustments are made each quarter to account for member records changes

        Data current as of June 30, 2022

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Jul 2020 128 196 324
        Aug 2020 235 378 613
        Sep 2020 165 305 470
        Oct 2020 104 173 277
        Nov 2020 298 602 900
        Dec 2020 224 428 652
        Jan 2021 172 293 465
        Feb 2021 180 351 531
        Mar 2021 245 460 705
        Apr 2021 243 371 614
        May 2021 205 378 583
        Jun 2021 276 394 670
        Jul 2021 248 377 625
        Aug 2021 310 454 764
        Sep 2021 316 556 872
        Oct 2021 240 405 645
        Nov 2021 122 222 344
        Dec 2021 120 206 326
        Jan 2022 116 205 321
        Feb 2022 121 212 333
        Mar 2022 312 492 804
        Apr 2022 164 394 558
        May 2022 126 276 402
        Jun 2022 144 342 486

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

        Data current as of June 30, 2022

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 65,536 55%
        FDNY Responders 17,038 14%
        Survivors 34,710 29%
        Pentagon / Shanksville Responders 1,190 1%
        Total Members 118,474 100%

        Note: Of the total members, 5,380 are deceased.

        Data current as of June 30, 2022

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 272 <1% 682 1% 954 1%
        35-44 3,579 3% 2,129 2% 5,708 5%
        45-54 24,180 21% 5,938 5% 30,118 27%
        55-64 32,204 28% 10,759 10% 42,963 38%
        65-74 13,889 12% 8,776 8% 22,665 20%
        Older than 74 4,966 4% 5,154 5% 10,120 9%
        Not Available 566 1% 0 0% 566 1%
        Total Members 79,656 70% 33,438 30% 113,094

        Note: This data does not include 4,108 deceased Responders or 1,272 deceased Survivors.

        Data current as of June 30, 2022

        WTC Health Program Member Type by Gender

        Note: These data do not include the 4,588 deceased males or 792 deceased females

        Gender Responder Survivor Total
        Male 69,677 62% 17,811 16% 87,488 77%
        Female 9,961 9% 15,627 14% 25,588 23%
        Not Available 18 <1% 0 0% 18 <1%
        Total Members 79,656 70% 33,438 30% 113,094

        Data current as of June 30, 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 June 30, 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 38,149 12,088
        Cancer 15,237 11,280
        Mental Health 13,736 6,317
        Musculoskeletal and Acute Traumatic Injuries 555 43

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 1,488 389
        Cancer 1,350 567
        Mental Health 635 168
        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 June 30, 2022

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 28,503 6,915
        Gastroesophageal Reflux Disease 26,330 5,809
        Cancers 16,587 11,847
        Asthma 13,830 5,477
        Sleep Apnea 15,566 1,611
        Post-Traumatic Stress Disorder (PTSD) 9,426 3,961
        Chronic Respiratory Disorder - Fumes / Vapors 7,873 1,273
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,408 1,020
        Anxiety Disorder (NOS)* 2,649 1,040
        Major Depressive Disorder 2,630 904

        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, 2022

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 6,161 1,660
        Prostate 3,859 2,507
        Breast – Female 436 1,846
        Melanoma of Skin 1,284 544
        Lymphoma 743 795
        Thyroid 673 806
        Lung/Bronchus 612 693
        Kidney 663 490
        Leukemia 530 463
        Colon 487 433
        Bladder 505 330
        Myeloma 255 300
        Rectum 202 246
        Oropharynx 229 197
        Neuroendocrine 183 124

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

        Data current as of June 30, 2022

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 21,419 30
        2 15,428 22
        3 12,274 17
        4 9,038 13
        5 5,592 8
        6 3,456 5
        7 1,843 3
        8 958 1
        9 586 1
        10 or more 705 1

        Note: 71,299 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of June 30, 2022

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 19 <1% 268 <1% 287 <1%
        35-44 1,305 2% 1,023 1% 2,328 3%
        45-54 12,199 18% 3,320 5% 15,519 23%
        55-64 20,264 30% 6,855 10% 27,119 40%
        65-74 10,398 15% 6,561 10% 16,959 25%
        Older than 74 2,963 4% 3,191 5% 6,154 9%

        Note: 68,366 members have at least one certification. These data do not include 2,933 deceased members who held certifications.

        Data current as of June 30, 2022

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 45 987 2% 830 2% 1,817 4%
        45-54 10,246 20% 1,886 4% 12,132 24%
        55-64 16,784 33% 4,033 8% 20,817 41%
        65-74 8,015 16% 3,585 7% 11,600 23%
        Older than 74 2,117 4% 1,754 4% 3,871 8%

        Note: 50,237 members have at least one Aerodigestive certification. These data do not include 1,877 deceased members who have Aerodigestive certifications.

        Data current as of June 30, 2022

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 31 <1% 31 <1%
        35-44 149 1% 309 1% 458 2%
        45-54 2,076 8% 1,514 6% 3,590 14%
        55-64 6,351 24% 3,464 13% 9,815 37%
        65-74 4,878 18% 3,847 15% 8,725 33%
        Older than 74 1,783 7% 2,115 8% 3,898 15%

        Note: 26,517 members hold at least one cancer certification. These data do not include 1,917 deceased members who held cancer certifications.

        Data current as of June 30, 2022

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 18 <1% 101 1% 119 1%
        35-44 403 2% 429 2% 832 4%
        45-54 3,494 17% 1,161 6% 4,655 23%
        55-64 6,210 31% 2,204 11% 8,414 42%
        65-74 3,010 15% 1,785 9% 4,795 24%
        Older than 74 601 3% 637 3% 1,238 6%

        Note: 20,053 members hold at least one mental health certification. These data do not include 803 deceased members who held mental health certifications.

        Data current as of June 30, 2022

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

        Age Responder Survivor Total
        < 55 101 17% 11 2% 112 19%
        55-64 238 40% 14 2% 252 42%
        Greater than 64 216 36% 18 3% 234 39%

        Note: 598 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 June 30, 2022

        Download Print Version

        Previously Reported Information

        Page Last Reviewed: August 16, 2022
        Page Last Updated: November 3, 2022

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