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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
        Mar 2019 74,945 20,200
        Jun 2019 76,020 21,610
        Sep 2019 76,824 22,778
        Dec 2019 77,692 24,229
        Mar 2020 78,469 25,422
        Jun 2020 78,930 26,190
        Sep 2020 79,458 27,067
        Dec 2020 80,084 28,267
        Mar 2021 80,681 29,371
        Jun 2021 81,406 30,512
        Sep 2021 82,282 31,894
        Dec 2021 82,764 32,727
        Mar 2022 83,312 33,635
        Jun 2022 83,742 34,649
        Sep 2022 84,264 35,909
        Dec 2022 84,902 37,342
        Mar 2023 85,471 38,481
        Jun 2023 85,948 39,519
        Sep 2023 86,479 40,928
        Dec 2023 87,183 42,620

        Note: The Program started on July 1, 2011, and at that time, 56,105 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,713 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 31st, 2018).

        Data current as of December 31, 2023

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Jan 2022 116 204 320
        Feb 2022 121 213 334
        Mar 2022 311 491 802
        Apr 2022 163 363 526
        May 2022 123 277 400
        Jun 2022 144 344 488
        Jul 2022 105 280 385
        Aug 2022 160 431 591
        Sep 2022 257 549 806
        Oct 2022 236 476 712
        Nov 2022 230 553 783
        Dec 2022 172 404 576
        Jan 2023 200 335 535
        Feb 2023 168 381 549
        Mar 2023 201 423 624
        Apr 2023 135 308 443
        May 2023 175 435 610
        Jun 2023 167 295 462
        Jul 2023 141 399 540
        Aug 2023 164 394 558
        Sep 2023 226 616 842
        Oct 2023 233 498 731
        Nov 2023 214 530 744
        Dec 2023 257 664 921

        Monthly totals include Responders and Survivors. Adjustments are made each quarter to account for member records changes.

        Data current as of December 31, 2023

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 68,841 55%
        FDNY Responders 17,058 14%
        Survivors 42,620 30%
        Pentagon / Shanksville Responders 1,284 1%
        Total Members 129,803 100%

        Note: Of the total members, 6,781 are deceased. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of December 31, 2023

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 246 <1% 562 <1% 808 1%
        35-44 2,096 2% 2,089 2% 4,185 3%
        45-54 21,432 17% 6,714 5% 28,146 23%
        55-64 34,482 28% 12,501 10% 46,983 38%
        65-74 16,972 14% 11,264 9% 28,236 23%
        Older than 74 6,458 5% 7,651 6% 14,109 11%
        Not Available 555 <1% 0 0% 555 <1%
        Total Members 82,241 67% 40,781 33% 123,022

        Note: These Data do not include the 4,942 deceased Responders or 1,839 deceased Survivors. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of Data current as of December 31, 2023

        WTC Health Program Member Type by Gender

        Note: These Data do not include the 5,708 deceased Males or 1,073 deceased Females. This includes all causes of death, not just deaths from WTC-related conditions.

        Gender Responder Survivor Total
        Male 71,995 59% 22,013 18% 94,008 76%
        Female 10,220 8% 18,766 15% 28,986 24%
        Not Available 26 <1% 2 <1% 28 <1%
        Total Members 82,241 67% 40,781 33% 123,022

        Data current as of December 31, 2023

        WTC Health Program Members by State


        State Members
        Alabama 100-499
        Alaska 1-49
        Arizona 500-999
        Arkansas 50-99
        California 1000-9,999
        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 50-99
        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 500-999
        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 100-499
        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 123,022 living members enrolled in the Program, 31,788 living members are served through the Nationwide Provider Network.

        Data current as of December 31, 2023

        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 40,170 14,217
        Cancer 18,292 15,821
        Mental Health 14,590 7,477
        Musculoskeletal and Acute Traumatic Injuries 561 50

        Deceased Members (from all causes of death - not just 9/11-related)

        Certification Category Responder Survivor
        Aerodigestive 1,878 590
        Cancer 1,821 960
        Mental Health 794 236
        Musculoskeletal and Acute Traumatic Injuries 32 <10

        Note: Individual members may have certifications in more than one category. Data in the bar graph represents living members only. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of December 31, 2023

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 30,211 8,147
        Cancer 20,113 16,781
        Gastroesophageal Reflux Disease 28,236 6,911
        Asthma 14,584 6,392
        Sleep Apnea 16,991 2,026
        Post-Traumatic Stress Disorder (PTSD) 10,236 4,777
        Chronic Respiratory Disorder - Fumes / Vapors 8,129 1,361
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,620 1,353
        Anxiety Disorder (NOS)* 2,759 1,253
        Major Depressive Disorder 2,745 1,093

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

        Data current as of December 31, 2023

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 7,714 2,869
        Prostate 4,835 3,617
        Breast – Female 534 2,614
        Lymphoma 891 1,068
        Thyroid 763 1,026
        Lung/Bronchus 751 937
        Kidney 783 661
        Melanoma of Skin 842 434
        Leukemia 630 605
        Colon 584 601
        Bladder 620 504
        Myeloma 305 413
        Rectum 239 316
        Neuroendocrine 233 183
        Pancreas 222 166

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

        Data current as of December 31, 2023

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 25,066 31%
        2 17,790 22%
        3 14,012 17%
        4 10,145 12%
        5 6,223 8%
        6 3,882 5%
        7 2,051 3%
        8 1,054 1%
        9 615 1%
        10 or more 779 1%

        Note: 81,617 members have one or more certifications, which is the sum of the numbers in the chart above

        Data current as of December 31, 2023

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 17 <1% 238 <1% 255 <1%
        35-44 663 1% 914 1% 1,577 2%
        45-54 10,603 14% 3,811 5% 14,414 19%
        55-64 21,874 28% 8,005 10% 29,879 39%
        65-74 13,202 17% 8,880 11% 22,082 29%
        Older than 74 4,065 5% 5,098 7% 9,163 12%

        Note: 77,370 members have at least one certification. These data do not include the 4,247 deceased members who had certifications. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of December 31, 2023

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 176 <1% 176 <1%
        35-44 523 1% 569 1% 1,092 2%
        45-54 9,107 17% 2,088 4% 11,195 21%
        55-64 17,834 33% 4,405 8% 22,239 41%
        65-74 9,926 18% 4,474 8% 14,400 26%
        Older than 74 2,780 5% 2,505 5% 5,285 10%

        Note: 54,387 members have at least one Aerodigestive certification. These data do not include 2,468 deceased members who had Aerodigestive certifications. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of December 31, 2023

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 31 <1% 31 <1%
        35-44 98 <1% 275 1% 373 1%
        45-54 1,964 6% 1,873 5% 3,837 11%
        55-64 7,261 21% 4,438 13% 11,699 34%
        65-74 6,433 19% 5,637 17% 12,070 35%
        Older than 74 2,536 7% 3,567 10% 6,103 18%

        Note: 34,113 members have at least one Cancer certification. These data do not include 2,781 deceased members who had Cancer certifications. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of December 31, 2023

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 17 <1% 84 <1% 101 <1%
        35-44 245 1% 397 2% 642 3%
        45-54 3,128 14% 1,291 6% 4,419 20%
        55-64 6,647 30% 2,461 11% 9,108 41%
        65-74 3,722 17% 2,294 10% 6,016 27%
        Older than 74 831 4% 950 4% 1,781 8%

        Note: 22,067 members have at least one Mental Health certification. These data do not include 1,030 deceased members who had Mental Health certifications. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of December 31, 2023

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

        Age Responder Survivor Total
        < 55 73 12% 11 2% 84 14%
        55-64 242 40% 17 3% 259 42%
        Greater than 64 246 40% 22 4% 268 44%

        Note: 611 members have at least one Musculoskeletal and/or Acute Traumatic Injuries certification. These data do not include deceased members who had Musculoskeletal and/or Acute Traumatic Injuries certifications. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of December 31, 2023

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