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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
        Dec 2017 69,598 14,274
        Mar 2018 70,744 15,439
        Jun 2018 71,767 16,591
        Sep 2018 72,952 17,562
        Dec 2018 74,034 18,857
        Mar 2019 74,962 20,225
        Jun 2019 76,038 21,638
        Sep 2019 76,841 22,807
        Dec 2019 77,709 24,262
        Mar 2020 78,488 25,455
        Jun 2020 78,949 26,223
        Sep 2020 79,477 27,101
        Dec 2020 80,103 28,304
        Mar 2021 80,700 29,408
        Jun 2021 81,424 30,551
        Sep 2021 82,298 31,938
        Dec 2021 82,780 32,772
        Mar 2022 83,329 33,681
        Jun 2022 83,762 34,696
        Sep 2022 84,289 35,958

        Note: The Program started on July 1, 2011, and at that time, 56,119 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,745 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 30th, 2018).

        Adjustments are made each quarter to account for member records changes

        Data current as of September 30, 2022

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        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 205 387 592
        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 122 223 345
        Dec 2021 120 206 326
        Jan 2022 116 205 321
        Feb 2022 121 212 333
        Mar 2022 312 492 804
        Apr 2022 165 394 559
        May 2022 123 277 400
        Jun 2022 145 344 489
        Jul 2022 105 280 385
        Aug 2022 160 432 592
        Sep 2022 262 550 812

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

        Data current as of September 30, 2022

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 66,029 55%
        FDNY Responders 17,044 14%
        Survivors 35,958 30%
        Pentagon / Shanksville Responders 1,216 1%
        Total Members 120,247 100%

        Note: Of the total members, 5,472 are deceased.

        Data current as of September 30, 2022

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 273 <1% 691 1% 964 1%
        35-44 3,602 3% 2,191 2% 5,793 5%
        45-54 24,323 21% 6,185 5% 30,508 27%
        55-64 32,389 28% 11,169 10% 43,558 38%
        65-74 13,968 12% 9,087 8% 23,055 20%
        Older than 74 4,989 4% 5,343 5% 10,332 9%
        Not Available 565 0% 0 0% 565 0%
        Total Members 80,109 70% 34,666 30% 114,775

        Note: This data does not include 4,180 deceased Responders or 1,292 deceased Survivors.

        Data current as of September 30, 2022

        WTC Health Program Member Type by Gender

        Note: These data do not include the 4,671 deceased males or 801 deceased females

        Gender Responder Survivor Total
        Male 70,088 61% 18,541 16% 88,629 77%
        Female 10,000 9% 16,125 14% 26,125 23%
        Not Available 21 <1% 0 0% 21 <1%
        Total Members 80,109 70% 34,666 30% 114,775

        Data current as of September 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 100-499
        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 114,775 living members enrolled in the program, 27,290 living members are served through the Nationwide Provider Network.

        Data current as of September 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 38,636 12,577
        Cancer 15,800 12,321
        Mental Health 13,916 6,607
        Musculoskeletal and Acute Traumatic Injuries 557 43

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 1,525 397
        Cancer 1,389 577
        Mental Health 652 170
        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 September 30, 2022

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 28,827 7,152
        Gastroesophageal Reflux Disease 26,728 6,038
        Cancers 17,189 12,898
        Asthma 13,983 5,650
        Sleep Apnea 15,819 1,669
        Post-Traumatic Stress Disorder (PTSD) 9,585 4,138
        Chronic Respiratory Disorder - Fumes / Vapors 7,931 1,291
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,456 1,076
        Anxiety Disorder (NOS)* 2,676 1,101
        Major Depressive Disorder 2,651 947

        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, 2022

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 6,410 1,887
        Prostate 4,013 2,758
        Breast – Female 448 1,988
        Melanoma of Skin 1,333 613
        Lymphoma 769 848
        Thyroid 690 860
        Lung/Bronchus 637 741
        Kidney 683 530
        Leukemia 542 485
        Colon 502 462
        Bladder 524 364
        Myeloma 264 324
        Rectum 207 265
        Oropharynx 235 204
        Neuroendocrine 189 133

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

        Data current as of September 30, 2022

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 22,246 30
        2 15,980 22
        3 12,603 17
        4 9,225 13
        5 5,705 8
        6 3,531 5
        7 1,878 3
        8 972 1
        9 592 1
        10 or more 713 1

        Note: 73,445 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of September 30, 2022

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 20 <1% 238 <1% 258 <1%
        35-44 1,071 2% 989 1% 2,060 3%
        45-54 11,578 16% 3,417 5% 14,995 21%
        55-64 20,744 29% 7,106 10% 27,850 40%
        65-74 11,158 16% 7,007 10% 18,235 26%
        Older than 74 3,292 5% 3,709 5% 7,001 10%

        Note: 70,399 members have at least one certification. These data do not include 3,046 deceased members who held certifications.

        Data current as of September 30, 2022

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 45 895 2% 813 2% 1,708 3%
        45-54 10,051 20% 1,941 4% 11,992 23%
        55-64 17,058 33% 4,149 8% 21,207 41%
        65-74 8,387 16% 3,772 7% 12,159 24%
        Older than 74 2,245 4% 1,902 4% 4,147 8%

        Note: 51,213 members have at least one Aerodigestive certification. These data do not include 1,922 deceased members who have Aerodigestive certifications.

        Data current as of September 30, 2022

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 31 <1% 31 <1%
        35-44 142 1% 315 1% 457 2%
        45-54 2,053 7% 1,633 6% 3,686 13%
        55-64 6,552 23% 3,722 13% 10,274 37%
        65-74 5,157 18% 4,225 15% 9,382 33%
        Older than 74 1,896 7% 2,395 9% 4,291 15%

        Note: 28,121 members hold at least one cancer certification. These data do not include 1,966 deceased members who held cancer certifications.

        Data current as of September 30, 2022

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 19 <1% 92 <1% 111 1%
        35-44 373 2% 435 2% 808 4%
        45-54 3,407 17% 1,197 6% 4,604 22%
        55-64 6,340 31% 2,310 11% 8,650 42%
        65-74 3,141 15% 1,882 9% 5,023 24%
        Older than 74 636 3% 691 3% 1,327 6%

        Note: 20,523 members hold at least one mental health certification. These data do not include 822 deceased members who held mental health certifications.

        Data current as of September 30, 2022

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

        Age Responder Survivor Total
        < 55 96 16% 11 2% 107 18%
        55-64 240 40% 14 2% 254 42%
        Greater than 64 221 37% 18 3% 239 40%

        Note: 600 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 September 30, 2022

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        Previously Reported Information

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

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