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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
        Jun 2019 76,022 21,609
        Sep 2019 76,826 22,776
        Dec 2019 77,694 24,227
        Mar 2020 78,471 25,420
        Jun 2020 78,932 26,188
        Sep 2020 79,460 27,065
        Dec 2020 80,086 28,265
        Mar 2021 80,683 29,368
        Jun 2021 81,408 30,508
        Sep 2021 82,284 31,890
        Dec 2021 82,766 32,723
        Mar 2022 83,314 33,631
        Jun 2022 83,745 34,643
        Sep 2022 84,266 35,901
        Dec 2022 84,904 37,333
        Mar 2023 85,473 38,471
        Jun 2023 85,950 39,506
        Sep 2023 86,481 40,915
        Dec 2023 87,185 42,609
        Mar 2024 88,014 44,516

        Note: The Program started on July 1, 2011, and at that time, 56,107 Responders were “grandfathered” from previous Federal activities. On September 29, 2011, 4,712 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., Mar 2024 represents cumulative members through March 31st, 2024). The Deceased Members table includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of March 31, 2024

        New Enrollees - Past 24 Months

        Month Responder Survivor Total
        Apr 2022 164 393 557
        May 2022 123 277 400
        Jun 2022 144 342 486
        Jul 2022 104 280 384
        Aug 2022 160 430 590
        Sep 2022 257 548 805
        Oct 2022 236 475 711
        Nov 2022 230 553 783
        Dec 2022 172 404 576
        Jan 2023 200 335 535
        Feb 2023 168 380 548
        Mar 2023 201 423 624
        Apr 2023 135 306 441
        May 2023 175 433 608
        Jun 2023 167 296 463
        Jul 2023 141 399 540
        Aug 2023 164 395 559
        Sep 2023 226 615 841
        Oct 2023 233 498 731
        Nov 2023 214 530 744
        Dec 2023 257 666 923
        Jan 2024 301 635 936
        Feb 2024 289 713 1,002
        Mar 2024 239 559 798

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

        Data current as of March 31, 2024

        WTC Health Program Enrollment by Member Type

        Member Type # %
        General Responders 69,651 53%
        FDNY Responders 17,059 13%
        Survivors 44,516 34%
        Pentagon / Shanksville Responders 1,304 1%
        Total Members 132,530 100%

        Note: Of the total members, 6,897 are deceased. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of March 31, 2024

        WTC Health Program Enrollment Age Distribution

        Age Responder Survivor Total
        Under 35 240 <1% 566 <1% 806 1%
        35-44 1,911 2% 2,083 2% 3,994 3%
        45-54 21,106 17% 6,880 5% 27,986 22%
        55-64 34,838 28% 13,004 10% 47,842 38%
        65-74 17,542 14% 11,835 9% 29,377 23%
        Older than 74 6,796 5% 8,276 7% 15,072 12%
        Not Available 556 <1% 0 0% 556 <1%
        Total Members 82,989 66% 42,644 34% 125,633

        Note: These Data do not include the 5,025 deceased Responders or 1,872 deceased Survivors. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of Data current as of March 31, 2024

        WTC Health Program Member Type by Gender

        Note: These Data do not include the 5,808 deceased Males or 1,089 deceased Females. This includes all causes of death, not just deaths from WTC-related conditions.

        Gender Responder Survivor Total
        Male 72,701 58% 23,465 19% 96,166 77%
        Female 10,262 8% 19,175 15% 29,437 23%
        Not Available 26 <1% 4 <1% 30 <1%
        Total Members 82,989 66% 42,644 34% 125,633

        Data current as of March 31, 2024

        WTC Health Program Members by State


        State Members
        Alabama 100-499
        Alaska 1-49
        Arizona 500-999
        Arkansas 50-99
        California 1,000-9,999
        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 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 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 125,633 living members enrolled in the Program, 33,119 living members are served through the Nationwide Provider Network.

        Data current as of March 31, 2024

        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 40,546 14,655
        Cancer 19,006 16,949
        Mental Health 14,755 7,695
        Musculoskeletal and Acute Traumatic Injuries 564 50

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

        Certification Category Responder Survivor
        Aerodigestive 1,966 618
        Cancer 1,903 1,022
        Mental Health 834 252
        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 March 31, 2024

        Top 10 Certified Conditions

        Certified Condition Responder Survivor
        Chronic Rhinosinusitis 30,527 8,379
        Cancer 20,909 17,971
        Gastroesophageal Reflux Disease 28,592 7,110
        Asthma 14,730 6,546
        Sleep Apnea 17,246 2,105
        Post-Traumatic Stress Disorder (PTSD) 10,414 4,948
        Chronic Respiratory Disorder - Fumes / Vapors 8,168 1,382
        WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,679 1,451
        Anxiety Disorder (NOS)* 2,780 1,299
        Major Depressive Disorder 2,781 1,149

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

        Data current as of March 31, 2024

        Top 15 Certified Cancers

        Certified Cancer Responder Survivor
        Non-melanoma Skin 8,019 3,159
        Prostate 5,062 3,876
        Breast – Female 557 2,773
        Lymphoma 921 1,122
        Thyroid 780 1,076
        Lung/Bronchus 775 998
        Kidney 827 712
        Melanoma of Skin 878 469
        Leukemia 650 640
        Colon 602 642
        Bladder 644 533
        Myeloma 314 446
        Rectum 248 341
        Neuroendocrine 244 191
        Uterine 80 348

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

        Data current as of March 31, 2024

        Members by Number of Certifications

        Number of Certifications Number Percent
        1 26,030 31%
        2 18,306 22%
        3 14,329 17%
        4 10,378 12%
        5 6,347 8%
        6 3,955 5%
        7 2,107 3%
        8 1,074 1%
        9 624 1%
        10 or more 792 1%

        Note: 83,942 members have one or more certifications, which is the sum of the numbers in the chart above

        Data current as of March 31, 2024

        Members with Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 17 <1% 244 <1% 261 <1%
        35-44 612 1% 897 1% 1,509 2%
        45-54 10,332 13% 3,943 5% 14,275 18%
        55-64 22,219 28% 8,283 10% 30,502 38%
        65-74 13,718 17% 9,416 12% 23,134 29%
        Older than 74 4,275 5% 5,537 7% 9,812 12%

        Note: 79,493 members have at least one certification. These data do not include the 4,449 deceased members who had certifications. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of March 31, 2024

        Members with Aerodigestive Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 177 <1% 177 <1%
        35-44 483 1% 556 1% 1,039 2%
        45-54 8,838 16% 2,109 4% 10,947 20%
        55-64 18,033 33% 4,488 8% 22,521 41%
        65-74 10,296 19% 4,664 8% 14,960 27%
        Older than 74 2,896 5% 2,661 5% 5,557 10%

        Note: 55,201 members have at least one Aerodigestive certification. These data do not include 2,584 deceased members who had Aerodigestive certifications. This includes all causes of death, not just deaths from WTC-related conditions..

        Data current as of March 31, 2024

        Members with Cancer Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 0 0% 38 <1% 38 <1%
        35-44 93 <1% 268 1% 361 1%
        45-54 1,963 5% 1,984 6% 3,947 11%
        55-64 7,486 21% 4,659 13% 12,145 34%
        65-74 6,772 19% 6,076 17% 12,848 36%
        Older than 74 2,692 7% 3,924 11% 6,616 18%

        Note: 35,955 members have at least one Cancer certification. These data do not include 2,925 deceased members who had Cancer certifications. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of March 31, 2024

        Members with Mental Health Certifications Age Distribution

        Age Responder Survivor Total
        Under 35 17 <1% 84 <1% 101 <1%
        35-44 232 1% 394 2% 626 3%
        45-54 3,061 14% 1,308 6% 4,369 19%
        55-64 6,716 30% 2,506 11% 9,222 41%
        65-74 3,860 17% 2,402 11% 6,262 28%
        Older than 74 869 4% 1,001 4% 1,870 8%

        Note: 22,450 members have at least one Mental Health certification. These data do not include 1,086 deceased members who had Mental Health certifications. This includes all causes of death, not just deaths from WTC-related conditions.

        Data current as of March 31, 2024

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

        Age Responder Survivor Total
        < 55 72 12% 10 2% 82 13%
        55-64 240 39% 18 3% 258 42%
        Greater than 64 252 41% 22 4% 274 45%

        Note: 614 members have at least one Musculoskeletal and/or Acute Traumatic Injuries certification. These data do not include 33 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 March 31, 2024

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