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        1. About the Program
        2. Program Statistics

        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
        Mar 2018 70,742 15,434
        Jun 2018 71,765 16,586
        Sep 2018 72,951 17,557
        Dec 2018 74,033 18,852
        Mar 2019 74,961 20,219
        Jun 2019 76,037 21,630
        Sep 2019 76,840 22,799
        Dec 2019 77,708 24,254
        Mar 2020 78,487 25,447
        Jun 2020 78,948 26,215
        Sep 2020 79,476 27,093
        Dec 2020 80,102 28,296
        Mar 2021 80,699 29,400
        Jun 2021 81,423 30,542
        Sep 2021 82,297 31,928
        Dec 2021 82,779 32,762
        Mar 2022 83,328 33,671
        Jun 2022 83,760 34,686
        Sep 2022 84,283 35,949
        Dec 2022 84,924 37,384

        Note: The Program started on July 1, 2011, and at that time, 56,117 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,725 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 December 31, 2022

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        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 276 393 669
        Jul 2021 248 376 624
        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 116 204 320
        Feb 2022 121 213 334
        Mar 2022 312 492 804
        Apr 2022 165 394 559
        May 2022 123 277 400
        Jun 2022 144 344 488
        Jul 2022 105 280 385
        Aug 2022 160 432 592
        Sep 2022 258 551 809
        Oct 2022 236 476 712
        Nov 2022 231 555 786
        Dec 2022 174 404 578

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

        Data current as of December 31, 2022

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 66,643 54%
        FDNY Responders 17,050 14%
        Survivors 37,384 31%
        Pentagon / Shanksville Responders 1,231 1%
        Total Members 122,308 100%

        Note: Of the total members, 5,578 are deceased.

        Data current as of December 31, 2022

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 265 <1% 633 1% 898 1%
        35-44 3,022 3% 2,121 2% 5,143 4%
        45-54 23,367 20% 6,237 5% 29,604 25%
        55-64 33,067 28% 11,437 10% 44,504 38%
        65-74 14,908 13% 9,634 8% 24,542 21%
        Older than 74 5,487 5% 5,991 5% 11,478 10%
        Not Available 561 <1% 0 0% 561 <1%
        Total Members 80,677 69% 36,053 31% 116,730

        Note: This data does not include 4,247 deceased Responders or 1,331 deceased Survivors.

        Data current as of Data current as of December 31, 2022

        WTC Health Program Member Type by Gender

        Note: These data do not include the 4,759 deceased males or 819 deceased females

        Gender Responder Survivor Total
        Male 70,601 60% 19,360 17% 89,961 77%
        Female 10,053 9% 16,692 14% 26,745 23%
        Not Available 23 <1% 1 0% 24 <1%
        Total Members 80,677 69% 36,053 31% 116,730

        Data current as of December 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 50-99
        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 116,730 living members enrolled in the program, 28,525 living members are served through the Nationwide Provider Network.

        Data current as of December 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 38,989 12,916
        Cancer 16,252 12,850
        Mental Health 14,030 6,778
        Musculoskeletal and Acute Traumatic Injuries 559 44

        Deceased Members

        Certification Category Responder Survivor
        Aerodigestive 1,556 405
        Cancer 1,442 610
        Mental Health 669 174
        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 December 31, 2022

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 29,099 7,355
        Gastroesophageal Reflux Disease 27,054 6,218
        Cancers 17,694 13,460
        Asthma 14,072 5,792
        Sleep Apnea 16,059 1,735
        Post-Traumatic Stress Disorder (PTSD) 9,690 4,248
        Chronic Respiratory Disorder - Fumes / Vapors 8,000 1,312
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,482 1,112
        Anxiety Disorder (NOS)* 2,691 1,143
        Major Depressive Disorder 2,660 971

        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, 2022

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 6,675 2,041
        Prostate 4,150 2,919
        Breast – Female 480 2,145
        Melanoma of Skin 723 353
        Lymphoma 794 891
        Thyroid 700 893
        Lung/Bronchus 653 776
        Kidney 702 555
        Leukemia 555 508
        Colon 521 487
        Bladder 543 384
        Myeloma 274 337
        Rectum 211 271
        Neuroendocrine 193 140
        Pancreas 190 120

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

        Data current as of December 31, 2022

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 22,670 30
        2 16,288 22
        3 12,884 17
        4 9,378 13
        5 5,801 8
        6 3,583 5
        7 1,907 3
        8 1,000 1
        9 598 1
        10 or more 722 1

        Note: 74,831 members have one or more certifications, which is the sum of the numbers on the chart above.

        Data current as of December 31, 2022

        Members with Certifications Age Distribution

        21%
        Age Responder Survivor Total
        Under 35 20 <1% 239 <1% 259 <1%
        35-44 990 1% 985 1% 1,975 3%
        45-54 11,440 16% 16% 3,532 5% 14,972 21%
        55-64 20,981 29% 7,254 10% 28,235 39%
        65-74 11,455 16% 7,411 10% 18,866 26%
        Older than 74 3,346 5% 3,868 5% 7,214 10%

        Note: 71,521 members have at least one certification. These data do not include members have at least one certification. These data do not include the 3,310 deceased members who had certifications deceased members who held certifications.

        Data current as of December 31, 2022

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 45 815 2% 792 2% 1,607 3%
        45-54 9,881 19% 1,994 4% 11,875 23%
        55-64 17,245 33% 4,184 8% 21,429 41%
        65-74 8,681 17% 3,934 8% 12,615 24%
        Older than 74 2,367 5% 2,012 4% 4,379 8%

        Note: 51,905 members have at least one Aerodigestive certification. These data do not include 1,961 deceased members who have Aerodigestive certifications.

        Data current as of December 31, 2022

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 32 <1% 32 <1%
        35-44 132 <1% 306 1% 438 2%
        45-54 2,025 7% 1,676 6% 3,701 13%
        55-64 6,691 23% 3,806 13% 10,497 36%
        65-74 5,384 19% 4,452 15% 9,836 34%
        Older than 74 2,020 7% 2,578 9% 4,598 16%

        Note: 29,102 members hold at least one cancer certification. These data do not include 2,052 deceased members who held cancer certifications.

        Data current as of December 31, 2022

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 19 <1% 88 <1% 107 1%
        35-44 349 2% 425 2% 774 4%
        45-54 3,351 16% 1,224 6% 4,575 22%
        55-64 6,384 31% 2,339 11% 8,723 42%
        65-74 3,257 16% 1,967 9% 5,224 25%
        Older than 74 670 3% 735 4% 1,405 7%

        Note: 20,808 members hold at least one mental health certification. These data do not include 843 deceased members who held mental health certifications.

        Data current as of December 31, 2022

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

        Age Responder Survivor Total
        < 55 89 15% 11 2% 100 17%
        55-64 243 40% 14 2% 257 43%
        Greater than 64 227 38% 19 3% 246 41%

        Note: 603 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, 2022

        Download Print Version

        Previously Reported Information

        Page Last Reviewed: November 3, 2022
        Page Last Updated: May 10, 2023

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