Petitions Received and WTC Health Program Responses

The James Zadroga 9/11 Health and Compensation Act of 2010 allows any interested party to petition the Administrator of the WTC Health Program to add a health condition to the List of WTC-Related Health Conditions. A submission is determined to be a valid or invalid petition using the criteria described in the Policy and Procedures for Handling Submissions and Petitions to Add a Health Condition to the List of WTC-Related Health Conditions [PDF, 9 pages, 231 KB] .

When a submission is determined to be a valid petition, the Program’s Science Team conducts an evaluation of available scientific evidence that supports adding the requested health condition to the List.

Evaluation of scientific evidence is conducted according to the Policy and Procedures for Adding Non-Cancer Conditions to the List of WTC-Related Health Conditions [PDF, 25 pages, 335 KB] . The Science Team then present the results of the evaluation to the Administrator who makes the decision to add or not add the health condition to the List.

Pursuant to 42 C.F.R. § 88.16(a)(4), the Administrator may consider more than one petition at the same time when the petitions propose the addition of the same health condition or a group of similar health conditions. This action may result in a single Administrator’s decision, as published in either a Federal Register Notice (FRN) or Notice of Proposed Rulemaking (NPRM).

The table below lists all petitions received by the WTC Health Program. The table can be filtered by condition category or status of review. A petition with a published decision will include a hyperlink to the Administrator's decision in a FRN, a redacted version of the petition, and the accompanying scientific evaluation where applicable. The Program initially included the details of the scientific evaluations of a petition in the respective FRN or NPRM. As of January 2025, the scientific evaluations are published in a separate document included in the docket for each petition review. Petitions the Program has received that do not have a published decision are currently under review.

Petition #	Date (petition submitted)	Condition name
001	September 7, 2011	Cancer abdomen,abdominal,accessory,adenocarcinoma,adnexa,adult,airway,alpha,alveolar,angiosarcoma,antrum,appendix,areola,arm,aryepiglottic,ascending,auricular,autonomic,basal,basaloid,BC,B-cell,belly,bile,bladder,blood,body,bowel,brachial,breast,bronchus,buccal,Burkitt,Burkitt's,C,CA,caecum,calf,canal,cancer,canthus,cardia,cardiovascular,cartilage,cavity,cell,cellularity,cervical,chain,cheek,child,childhood,cholangiocarcinoma,choroid,ciliary,cleaved,cleft,colon,colorectal,conjunctiva,connective,cornea,CRC,cricoid,CUP,curvature,cutaneous,depletion,differentiated,diffuse,digestive,dome,ducts,ear,elbow,epiglottis,erythremia,erythroleukemia,esophagus,esthesioneuroblastoma,ethmoid,ethmoidal,extramedullary,eye,eyelid,face,flexure,fold,follicular,foot,forearm,fossa,frontal,fundus,fungoides,gamma,gastric,gastrointestinal,gingival,GIST,gland,glottis,granuloma,gum,hairy,hard,HCC,head,heart,heavy,hematopoietic,hepatic,hepatoblastoma,hepatocellular,hepatoma,hip,histiocytic,histiocytosis,Hodgkin,Hodgkins,Hodgkin's,hypopharynx,ICC,immunoblastic,immunoproliferative,instestinal,instestine,intestinal,intestine,intrahepatic,intrathoracic,inverted papilloma,junction,juncture,keratinizing,kidney,knee,lacrimal,Langerhans,large,laryngeal,larynx,left-sided,leg,letterer,leukemia,limb,lingual,lip,liver,lobe,lung,lymphoblastic,lymphocytic,lymphoepithelioid,lymphoid,lymphoma,lymphosarcoma,macroglobulinemia,malignant,mast,maxillary,mediastinum,megakaryoblast,megakaryoblastic,melanoma,mesenchymal,mesothelioma,mesothelium,midline,mixed,monocytic,mouth,mucosa,multiple myeloma,mycosis,myelofibrosis,myeloid,myeloma,myelomonocytic,myelosis,nasal,nasal cavity,nasopharynx,neck,neoplasm,nerves,nervous,neuroblastoma,nipple,nodular,non,non-Hodgkins,non-Hodgkin's,non-Hodkin,non-keratinizing,non-melanoma,NPC,NSCLC,olfactory,OPSCC,oral,orbit,orifice,oropharynx,ovarian,ovary,palate,palatine,pan,papilloma,paranasal,parasinus,paraurethral,parotid,parotid gland,pelvis,peripheral,peritoneum,pharynx,pillar,piriform,plasma,plasmacytoma,pleura,polyps,post,prolymphocytic,promyelocytic,pyloric,pylorus,pyriform,pyriform sinus,rare,recess,rectosigmoid,rectum,region,renal,reproductive,respiratory,retina,retromolar,retroperitoneum,roof,salivary,sarcoma,SCC,SCLC,sclerosis,scrotum,sezary,sezarys,Sezary's,shoulder,sigmoid,sinonasal,sinus,sinuses,siwe,skin,small,smugglers,smuggler's,SNUC,soft,sphenoidal,splenic,squamous,stomach,stromal,subglottis,sublingual,submandibular,supraglottis,system,T,T-cell,third,thoracic,thorax,throat,thyroid,tissue,toes,tongue,tonsil,tonsillar,tonsillar fossa,tonsillar pillar,trachea,tract,trigone,TRUE,trunk,tumor,T-zone,under,underdifferentiated,undifferentiated,urachus,ureter,ureteric,urethra,urinary,uvula,vallecula,vermilion,verrucous,vestibule,waldenstrom,waldeyer's ring,windpipe,zone	Cancer	Addition of Certain Types of Cancer to the List of WTC-Related Health Conditions
002	April 30, 2013	Prostate Cancer acinar,adenocarcinoma,cancer,CaP,CAPRA,ductal,glandular,Gleason,grade,growing,mCRPC,neuroendocrine,nmCRPC,PCA,PI-RADS,PRAD,prostate,prostatic,PSA,PSMA,sarcoma,sarcomatoid,slow,slow-growing,small,stage,transitional,urothelial	Cancer	Addition of Prostate Cancer to the List of WTC-Related Health Conditions
003	January 22, 2014	Kidney Disease acute,aHUS,AKI,artery,atypical,azotemia,chronic,CKD,CRF,damage,diabetic,disease,disorder,eGFR,end,end-stage,ESKD,ESRD,filtration,glomerular,glomerulonephritis,hemolytic,IgA nephropathy,injury,insufficiency,kidney,nephritis,nephropathy,nephrosclerosis,nephrosis,nephrotic,PKD,polycystic,renal,stage,stenosis,syndrome,uremia,uremic	Kidney Disease	Finding of Insufficient Evidence
004	March 7, 2014	Cardiovascular Disease (CVD) aneurysm,angina,aortic,arrest,arrhythmia,artery,ASCVD,atherosclerosis,atrial,attack,blood,blood pressure,bradycardia,CAD,cardiac,cardiomyopathy,cardiopathy,cardiovascular,cerebrovascular,CHD,chest,CHF,cholesterol,congestive,coronary,CV,CVD,deep,disease,dissection,DVT,endocarditis,failure,fibrillation,HBP,heart,heart vessel,high,HTN,hypertension,infarction,irregular,myocardial,PAD,pain,pectoris,peripheral,pressure,resistant,rheumatic,RHTN,rhythm,stroke,tachycardia,thrombosis,TIA,valve,vascular,vein,venous	Cardiovascular Disease	Finding of Insufficient Evidence
005	September 2, 2014	Acoustic Neuroma 2,A,acoustic,AN,antoni,B,balance,bilateral,eighth,nerve,neurinoma,neurofibroma,neurofibromatosis,neuroma,schwannoma,sporadic,tinnitus,type,unilateral,vestibular ,vestibulocochlear,VN,VS	Benign Tumor	Finding of Insufficient Evidence
006	October 20, 2014	Primary Biliary Cirrhosis 1,2,3,4,5,AIH,alkaline,ALP,AMA,AMA-positive,anti,antibodies,autoimmune,bile,biliary,cholangitis,cirrhosis,fibrosis,I,II,III,intrahepatic,IV,liver,mitochondrial,negative,overlap,PBC,periportal,phosphatase,portal,positive,primary,septal,stage,V	Liver Disease	Finding of Insufficient Evidence
007	April 6, 2015	Autoimmune Diseases/Rheumatoid Arthritis AD,AIH,antiphospholipid,APS,ARD,arthritis,autoimmune,autoinflammatory,bowel,celiac,chronic,colitis,cord,Crohn,Crohn's,diabetes,disease,dry,erythematosus,eyes,graves,graves',Hashimoto,Hashimoto's,hepatitis,IBD,inflammation,inflammatory,insulin,intestine,lupus,mouth,MS,multiple,palindromic,psoriasis,psoriatic,RA,rhematic,rheumatism,rheumatoid,SAID,SARD,sclerosis,seronegative,seropositive,Sjogren,sjogren's,spinal,syndrome,systemic,thyroiditis,type	Autoimmune Disease	Finding of Insufficient Evidence
008	May 11, 2015	Autoimmune Disease—Encephalitis of the Brain ADEM,AE,AES,anti,anti-NMDA,aspartate,autoimmune,BBE,Bickerstaff,brain,brainstem,CASPR2,cerebritis,cerebrum,cord,disseminated,encephalitis,GAD65,glycoprotein,HSE,IE,immune,inflammation,LGI1,limbic,mediated,meninges,meningoencephalitis,methyl,MOG,myelin,N,neuroinflammation,neuron,NMDA,NMDAR,NMDARE,oligodendrocyte,paraneoplastic,parenchyma,phrenitis,Rasmussen,receptor,spinal,swelling	Autoiummune Disease	Finding of Insufficient Evidence
009	September 14, 2015	Autoimmune Disease—Multiple Sclerosis (MS) autoimmune,balo,central,cerebro,cerebrospinal,CIS,glial,clinically,CNS,concentric,cord,demyelinating,demyelination,generalized,immune,insular,isolated,matter,MS,multiple,myelin,nerve,nervous,PPMS,primary,progressive,radiologically,relapse,relapsing,remit,remitting,RIS,RRMS,scar,sclerae,sclerosis,secondary,spinal,spine,SPMS,syndrome,system,white	Autoimmune Disease	Finding of Insufficient Evidence
010	January 5, 2016	Peripheral Neuropathy autoimmune,autonomic,axonal,barre,carpal,chemotherapy,chronic,CIDP,CIPN,combination,damage,degeneration,demyelinating,diabetic,disorder,DPN,drug,Eaton,Guillain,Guillain-Barre,immune,induced,inflammatory,lambert,lambert-Eaton,mononeuritis,mononeuropathy,motor,multiplex,myasthenic,nervous,neuritis,neuropathy,optic,optica,painful,pDPN,peripheral,polyneuropathy,polyradiculoneuropathy,sensory,syndrome,system,toxic,tunnel	Nervous System Disease	Finding of Insufficient Evidence
011	January 25, 2016	Autoimmune Disease—Lupus and Rheumatoid Arthritis AD,AIH,antiphospholipid,APS,ARD,arthritis,autoimmune,autoinflammatory,bowel,celiac,chronic,CLE,colitis,cord,Crohn,Crohn's,cutaneous,diabetes,discoid,disease,DLE,drug,dry,erythematosus,eyes,fatigue,fever,graves,graves',Hashimoto,Hashimoto's,hepatitis,IBD,induced,inflammation,inflammatory,insulin,intestine,joint,lupus,mouth,MS,multiple,overlap,pain,palindromic,psoriasis,psoriatic,rhematic,rheumatism,rheumatoid,rhupus,SAID,SARD,sclerosis,Sjogren,sjogren's,SLE,spinal,subacute,syndrome,systemic,thyroiditis,tumid,type	Autoimmune Disease	Finding of Insufficient Evidence
012	April 11, 2016	Atherosclerosis angina,angiogenesis,arteriolosclerosis,arteriosclerosis,artery,AS,ASCVD,atheromatous,atherosclerosis,attack,blood,CAD,calcific,coronary,disease,dyslipidemia,heart,hypercholesterolemia,hypertension,inflammation,ischemic,Monckeberg,Monckeberg’s ,PAD,peripheral,pressure,restenosis,sclerosis,thrombosis,TIA,transient	Cardiovascular Disease	Finding of Insufficient Evidence
013	April 4, 2016	Multiple Sclerosis (MS) autoimmune,balo,central,cerebro,cerebrospinal,CIS,glial,clinically,CNS,concentric,cord,demyelinating,demyelination,generalized,immune,insular,isolated,matter,MS,multiple,myelin,nerve,nervous,PPMS,primary,progressive,radiologically,relapse,relapsing,remit,remitting,RIS,RRMS,scar,sclerae,sclerosis,secondary,spinal,spine,SPMS,syndrome,system,white	Autoimmune Disease	Finding of Insufficient Evidence
014	September 29, 2016	Rheumatoid Arthritis (RA) AD,AIH,antiphospholipid,APS,ARD,arthritis,autoimmune,autoinflammatory,bowel,celiac,chronic,CLE,colitis,cord,Crohn,Crohn's,diabetes,discoid,disease,DLE,dry,erythematosus,eyes,graves,graves',Hashimoto,Hashimoto's,hepatitis,IBD,inflammation,inflammatory,insulin,intestine,lupus,mouth,MS,multiple,palindromic,psoriasis,psoriatic,RA,rheumatic,rheumatism,rheumatoid,SAID,SARD,sclerosis,seronegative,seropositive,Sjogren,sjogren's,SLE,spinal,syndrome,systemic,thyroiditis,type	Autoimmune Disease	Finding of Insufficient Evidence
015	November 25, 2016	Neuropathy autonomic,CIDP,CIPN,cranial,damage,DPN,dysfunction,fiber,focal,impairment,MN,mononeuropathy,motor,nerve,nervous,neuritis,numb,peripheral,PN,polyneuritis,polyneuropathy,proximal,sensory,SFN,small,system,tingle,tingling	Nervous System Disease	Finding of Insufficient Evidence
016	February 22, 2017	Parkinson's Disease and Parkinsonism agitans,anxiety,atrophy,atypical,bodies,bradykinesia,CBD,cognitive,corticobasal,degeneration,dementia,depression,DIP,drug,dysautonomia,early,fall,familial,genetic,idiopathic,induced,instability,Lewy,motor,MSA,multiple,neurological ,onset,palsy,paralysis,Parkinson,parkinsonism,Parkinson's,PD,plus,postural,progressive ,PSP,psychiatric,rigidity,secondary,supranuclear,system,tremor,vascular,young	Neurological Disease	Finding of Insufficient Evidence
017	May 10, 2017	Parkinson's Disease and Parkinsonism agitans,anxiety,atrophy,atypical,bodies,bradykinesia,CBD,cognitive,corticobasal,degeneration,dementia,depression,DIP,drug,dysautonomia,early,fall,familial,genetic,idiopathic,induced,instability,Lewy,motor,MSA,multiple,neurological ,onset,palsy,paralysis,Parkinson,parkinsonism,Parkinson's,PD,plus,postural,progressive ,PSP,psychiatric,rigidity,secondary,supranuclear,system,tremor,vascular,young	Neurological Disease	Finding of Insufficient Evidence
018	January 5, 2018	Hypertension blood,BP,diastolic,dyslipidemia,elevated,essential,HBP,HPT,HTN,hyperlipidemia,hypertension,isolated,malignant,masked,nocturnal,portal,pressure,primary,resistant,secondary,stage,systolic	Cardiovascular Disease	Finding of Insufficient Evidence
019	May 17, 2018	Irritable Bowel Syndrome (IBS) abdominal,bloating,bowels,Bristol,C,colon,constipation,cramp,cramping,D,diarrhea,digestive ,gas,Gastrointestinal,habits,IBS,IBS-C,IBS-D,IBS-M,IBS-U,M,mixed,motility,pain,predominant,U,unclassified	Gastrointestinal Disorder	Finding of Insufficient Evidence
020	August 26, 2018	Stroke aneurysm,arteriovenous?,attack,AVM,bleed,bleeding,block,blockage,blood,brain,Cerebrovascular,clot,CVA,embolic,hemorrhage,Hemorrhagic,intracerebral,ischemic ,malformation,mini,rupture,stroke,subarachnoid,thrombotic,TIA,transient	Cardiovascular Disease	Finding of Insufficient Evidence
021	November 28, 2018	Deep Vein Thrombosis and Pulmonary Embolism (DVT and PE) acute,arm,blood,calf,chronic,clot,distal,DVT,embolism ,extremity,femoral,IVC,knee,LEDVT,leg,lower,Paget,paget-schroetter,PE,pelvis,popliteal,proximal,pulmonary ,schroetter,Thromboembolism,Thrombophilia,thrombosis,thrombus ,tibial,UEDVT,upper,vein,vein ,Venous,VTE	Cardiovascular Disease	Finding of Insufficient Evidence
022	March 11, 2019	Monoclonal Gammopathy of Undetermined Significance (MGUS) abnormal,AL,amyloidosis,antibody,blood,Bone,cells,chain,clinical,cryoglobulinemia,disorder,gammopathies,gammopathy,IgA,IgM,immunofixation,LC,LC-MGUS,light,M,macroglobulinemia,malignant,marrow,MGCS,MGRS,MGUS,MM,Monoclonal,multiple,myeloma,non,non-IgM,Plasma,plasmacytoma,POEMS,protein,renal,Schnitzler,scleromyxedema,significance,SMM,smoldering,solitary,syndrome,undetermined,waldenstrom,waldenstrom's,WM	Blood Disorder	Finding of Insufficient Evidence
023	April 17, 2019	Uterine Cancer, Including Endometrial Cancer 1,2,adenocarcinoma,bleeding,cancer,carcinoma,carcinosarcoma,cell,cervical ,clear,EC,endometrial,endometrium,endometrioid,ESS,fibroids ,heavy,leiomyosarcoma,lining,LMS,menstrual ,MMMT,muscle,myometrium,pelvic ,sarcoma,serous,stromal,type,UC,UT,uterine ,uterus	Cancer	Finding of Insufficient Evidence
024	October 3, 2019	Cardiovascular Disease (CVD) aneurysm,angina,aortic,arrest,arrhythmia,artery,ASCVD,atherosclerosis,atrial,attack,blood,blood pressure,bradycardia,CAD,cardiac,cardiomyopathy,cardiopathy,cardiovascular,cerebrovascular,CHD,chest,CHF,cholesterol,congestive,coronary,CV,CVD,deep,disease,dissection,DVT,endocarditis,failure,fibrillation,HBP,heart,heart vessel,high,HTN,hypertension,infarction,irregular,myocardial,PAD,pain,pectoris,peripheral,pressure,resistant,rheumatic,RHTN,rhythm,stroke,tachycardia,thrombosis,TIA,valve,vascular,vein,venous	Cardiovascular Disease	Currently under review
025	September 30, 2019	Parkinson's Disease and Parkinsonism, Including Heavy Metal- Induced Parkinsonism agitans,alpha,anxiety,atrophy,atypical,bodies,bradykinesia,cadmium,CBD,cognitive,copper,corticobasal,degeneration,dementia,depression,DIP,drug,dysautonomia,dysfunction,early,exposure,fall,familial,genetic,heavy,idiopathic,induced,instability,iron,lead,Lewy,manganese,Manganism,mercury,metal,mitochondrial?,motor,MSA,multiple,neurological ,onset,oxidative?,palsy,paralysis,Parkinson,parkinsonism,Parkinson's,PD,plus,postural,progressive ,PSP,psychiatric,rigidity,secondary,supranuclear,synuclein,system,tremor,vascular,young,zinc	Neurological Disease	Finding of Insufficient Evidence
026	March 12, 2020	Anti-glomerular Basement Membrane disease (anti-GBM)	Autoimmune Disease	Finding of Insufficient Evidence
027	October 14, 2020	Psoriatic Arthritis (Psoriasis)	Autoimmune Disease	Currently under review
028	March 25, 2021	Systemic Lupus Erythematosus (SLE)	Cardiovascular Disease	Currently under review
029	November 12, 2020	Hepatic Steatosis Hepatotoxic Injury, Cirrhosis of the Liver, and Fatty Liver Disease	Liver Disease	Finding of Insufficient Evidence
030	March 17, 2021	Autoimmune Diseases	Autoimmune Disease	Currently under review
031	July 12, 2021	Amyotrophic Lateral Sclerosis (ALS) ALS,Amyotrophic ,bulbar,C9orf72,disease,FALS,familial,Gehrig,Gehrig's,Guamanian,inherited,juvenile,lateral,limb,Lou,motor,motor ,neurodegenerative,neuron,onset,pathogenic,progressive,Sclerosis,SOD1,sporadic	Nervous System Disease	Finding of Insufficient Evidence
032	August 3, 2021	Neuropathy	Nervous System Disease	Finding of Insufficient Evidence
033	September 2, 2021	Peripheral Neuropathy autoimmune,autonomic,axonal,barre,carpal,chemotherapy,chronic,CIDP,CIPN,combination,damage,degeneration,demyelinating,diabetic,disorder,DPN,drug,Eaton,Guillain,Guillain-Barre,immune,induced,inflammatory,lambert,lambert-Eaton,mononeuritis,mononeuropathy,motor,multiplex,myasthenic,nervous,neuritis,neuropathy,optic,optica,painful,pDPN,peripheral,polyneuropathy,polyradiculoneuropathy,sensory,syndrome,system,toxic,tunnel	Nervous System Disease	Finding of Insufficient Evidence
034	August 4, 2021	Hepatic Steatosis Hepatotoxic Injury, Cirrhosis of the Liver, and Fatty Liver Disease	Liver Disease	Finding of Insufficient Evidence
035	November 15, 2021	Hepatic Steatosis Hepatotoxic Injury, Cirrhosis of the Liver, and Fatty Liver Disease	Liver Disease	Finding of Insufficient Evidence
036	April 14, 2022	Amyotrophic Lateral Sclerosis (ALS) ALS,Amyotrophic,bulbar,C9orf72,disease,FALS,familial,Gehrig,Gehrig's,Guamanian,inherited,juvenile,lateral,limb,Lou,motor,motor,neurodegenerative,neuron,onset,pathogenic,progressive,Sclerosis,SOD1,sporadic	Nervous System Disease	Finding of Insufficient Evidence
037	February 25, 2021	Systemic Lupus Erythematosus (SLE)	Autoimmune Disease	Currently under review
038	July 6, 2022	Autoimmune Diseases	Autoimmune Disease	Currently under review
039	August 6, 2021	Amyotrophic Lateral Sclerosis (ALS) ALS,Amyotrophic,bulbar,C9orf72,disease,FALS,familial,Gehrig,Gehrig's,Guamanian,inherited,juvenile,lateral,limb,Lou,motor,motor ,neurodegenerative,neuron,onset,pathogenic,progressive,Sclerosis,SOD1,sporadic	Nervous System Disease	Finding of Insufficient Evidence
040	July 22, 2022	Autoimmune Diseases	Autoimmune Disease	Currently under review
041	August 31, 2022	Persistent Hearing Loss	Hearing Loss	Currently under review
042	January 23, 2023	Cardiovascular Disease (CVD) aneurysm,angina,aortic,arrest,arrhythmia,artery,ASCVD,atherosclerosis,atrial,attack,blood,blood pressure,bradycardia,CAD,cardiac,cardiomyopathy,cardiopathy,cardiovascular,cerebrovascular,CHD,chest,CHF,cholesterol,congestive,coronary,CV,CVD,deep,disease,dissection,DVT,endocarditis,failure,fibrillation,HBP,heart,heart vessel,high,HTN,hypertension,infarction,irregular,myocardial,PAD,pain,pectoris,peripheral,pressure,resistant,rheumatic,RHTN,rhythm,stroke,tachycardia,thrombosis,TIA,valve,vascular,vein,venous	Cardiovascular Disease	Currently under review
043	December 21, 2022	Autoimmune Diseases	Autoimmune Disease	Currently under review
044	February 28, 2023	Autoimmune Diseases	Autoimmune Disease	Currently under review
045	November 29, 2022	Cardiac Sarcoidosis	Granulomatous Disease	Currently under review
046	June 15, 2023	Cardiomyopathy	Cardiovascular Disease	Currently under review
047	September 3, 2023	Cardiovascular Disease (CVD) aneurysm,angina,aortic,arrest,arrhythmia,artery,ASCVD,atherosclerosis,atrial,attack,blood,blood pressure,bradycardia,CAD,cardiac,cardiomyopathy,cardiopathy,cardiovascular,cerebrovascular,CHD,chest,CHF,cholesterol,congestive,coronary,CV,CVD,deep,disease,dissection,DVT,endocarditis,failure,fibrillation,HBP,heart,heart vessel,high,HTN,hypertension,infarction,irregular,myocardial,PAD,pain,pectoris,peripheral,pressure,resistant,rheumatic,RHTN,rhythm,stroke,tachycardia,thrombosis,TIA,valve,vascular,vein,venous	Cardiovascular Disease	Currently under review
048	September 3, 2023	Stroke aneurysm,arteriovenous?,attack,AVM,bleed,bleeding,block,blockage,blood,brain,Cerebrovascular,clot,CVA,embolic,hemorrhage,Hemorrhagic,intracerebral,ischemic ,malformation,mini,rupture,stroke,subarachnoid,thrombotic,TIA,transient	Cardiovascular Disease	Currently under review
049	September 3, 2023	Rheumatologic Autoimmune Disease AD,AIH,antiphospholipid,APS,ARD,arthritis,autoimmune,autoinflammatory,bowel,celiac,chronic,CLE,colitis,cord,Crohn,Crohn's,diabetes,discoid,disease,DLE,dry,erythematosus,eyes,graves,graves',Hashimoto,Hashimoto's,hepatitis,IBD,inflammation,inflammatory,insulin,intestine,lupus,mouth,MS,multiple,palindromic,psoriasis,psoriatic,RA,rheumatic,rheumatism,rheumatoid,SAID,SARD,sclerosis,seronegative,seropositive,Sjogren,sjogren's,SLE,spinal,syndrome,systemic,thyroiditis,type	ANCA-associated vasculitis	Currently under review
050	September 3, 2023	Extra Thoracic Sarcoidosis	Granulomatous Disease	Currently under review
051	November 1, 2023	Cardiovascular Disease (CVD)aneurysm,angina,aortic,arrest,arrhythmia,artery,ASCVD,atherosclerosis,atrial,attack,blood,blood pressure,bradycardia,CAD,cardiac,cardiomyopathy,cardiopathy,cardiovascular,cerebrovascular,CHD,chest,CHF,cholesterol,congestive,coronary,CV,CVD,deep,disease,dissection,DVT,endocarditis,failure,fibrillation,HBP,heart,heart vessel,high,HTN,hypertension,infarction,irregular,myocardial,PAD,pain,pectoris,peripheral,pressure,resistant,rheumatic,RHTN,rhythm,stroke,tachycardia,thrombosis,TIA,valve,vascular,vein,venous	Cardiovascular Disease	Currently under review
052	September 29, 2023	Parkinson's Diseaseagitans,anxiety,atrophy,atypical,bodies,bradykinesia,CBD,cognitive,corticobasal,degeneration,dementia,depression,DIP,drug,dysautonomia,early,fall,familial,genetic,idiopathic,induced,instability,Lewy,motor,MSA,multiple,neurological ,onset,palsy,paralysis,Parkinson,parkinsonism,Parkinson's,PD,plus,postural,progressive ,PSP,psychiatric,rigidity,secondary,supranuclear,system,tremor,vascular,young	Neurological Disease	Currently under review
053	January 30, 2024	Amyotrophic Lateral Sclerosis (ALS) ALS,Amyotrophic ,bulbar,C9orf72,disease,FALS,familial,Gehrig,Gehrig's,Guamanian,inherited,juvenile,lateral,limb,Lou,motor,motor,neurodegenerative,neuron,onset,pathogenic,progressive,Sclerosis,SOD1,sporadic	Nervous System Disease	Finding of Insufficient Evidence
054	January 22, 2024	ANCA-associated vasculitis (ANCA-AAV)	Autoimmune Disease	Currently under review
055	November 25, 2024	Amyotrophic Lateral Sclerosis (ALS) ALS,Amyotrophic ,bulbar,C9orf72,disease,FALS,familial,Gehrig,Gehrig's,Guamanian,inherited,juvenile,lateral,limb,Lou,motor,motor ,neurodegenerative,neuron,onset,pathogenic,progressive,Sclerosis,SOD1,sporadic	Nervous System Disease	Currently under review
056	January 6, 2025	Coronary Artery Disease (CAD)	Cardiovascular Disease	Currently under review
057	January 14, 2025	Cognitive Impairment	Neurological Disease	Currently under review
058	January 31, 2025	Cardiovascular Disease (CVD) aneurysm,angina,aortic,arrest,arrhythmia,artery,ASCVD,atherosclerosis,atrial,attack,blood,blood pressure,bradycardia,CAD,cardiac,cardiomyopathy,cardiopathy,cardiovascular,cerebrovascular,CHD,chest,CHF,cholesterol,congestive,coronary,CV,CVD,deep,disease,dissection,DVT,endocarditis,failure,fibrillation,HBP,heart,heart vessel,high,HTN,hypertension,infarction,irregular,myocardial,PAD,pain,pectoris,peripheral,pressure,resistant,rheumatic,RHTN,rhythm,stroke,tachycardia,thrombosis,TIA,valve,vascular,vein,venous	Cardiovascular Disease	Currently under review
059	February 10, 2025	Amyotrophic Lateral Sclerosis (ALS) ALS,Amyotrophic ,bulbar,C9orf72,disease,FALS,familial,Gehrig,Gehrig's,Guamanian,inherited,juvenile,lateral,limb,Lou,motor,motor ,neurodegenerative,neuron,onset,pathogenic,progressive,Sclerosis,SOD1,sporadic	Nervous System Disease	Currently under review
060	March 24, 2025	Dementia	Neurological Disease	Currently under review
061	April 22, 2025	Dementia	Neurological Disease	Currently under review
062	May 14, 2025	Hepatic Steatosis Hepatotoxic Injury, Cirrhosis of the Liver, and Fatty Liver Disease	Liver Disease	Finding of Insufficient Evidence
063	April 15, 2025	Parkinson's Disease	Neurological Disease	Currently under review
064	June 27, 2025	Lupus	Autoimmune Disease	Currently under review
065	July 2, 2025	Rheumatoid Arthritis (RA) AD,AIH,antiphospholipid,APS,ARD,arthritis,autoimmune,autoinflammatory,bowel,celiac,chronic,CLE,colitis,cord,Crohn,Crohn's,cutaneous,diabetes,discoid,disease,DLE,drug,dry,erythematosus,eyes,fatigue,fever,graves,graves',Hashimoto,Hashimoto's,hepatitis,IBD,induced,inflammation,inflammatory,insulin,intestine,joint,lupus,mouth,MS,multiple,overlap,pain,palindromic,psoriasis,psoriatic,rhematic,rheumatism,rheumatoid,rhupus,SAID,SARD,sclerosis,Sjogren,sjogren's,SLE,spinal,subacute,syndrome,systemic,thyroiditis,tumid,type	Autoimmune Disease	Currently under review
066	July 30, 2025	Parkinsons Disease and Parkinsonism agitans,anxiety,atrophy,atypical,bodies,bradykinesia,CBD,cognitive,corticobasal,degeneration,dementia,depression,DIP,drug,dysautonomia,early,fall,familial,genetic,idiopathic,induced,instability,Lewy,motor,MSA,multiple,neurological ,onset,palsy,paralysis,Parkinson,parkinsonism,Parkinson's,PD,plus,postural,progressive ,PSP,psychiatric,rigidity,secondary,supranuclear,system,tremor,vascular,young	Neurological Disease	Currently under review
067	September 3, 2025	Ischemic Cardiomyopathy	Cardiovascular Disease	Currently under review
068	September 3, 2025	Bilateral Neuropathy	Nervous Sytem Disease	Finding of Insufficient Evidence
069	November 16, 2025	Cognitive Impairment	Neurological Disease	Currently under review

Petitions 032, 033, and 068— Peripheral Neuropathy

Petition 032: Petition letter received from individual
(4 pages, 4 MB)
July 29, 2021

Petition 033: Petition letter received from individual
(8 pages, 1 MB)
September 2, 2021

Petition 068: Petition letter received from individual
(13 pages, 5 MB)
September 3, 2025

Health Condition Requested for Consideration:? [Neuropathy, Peripheral Neuropathy, Paresthesia]

Findings and Categorization of Evidence Presented to the Administrator :
WTC Health Program Science Team Evaluation of Scientific Evidence Supporting the Addition of Peripheral Neuropathy to the List of WTC-Related Health Conditions
(36 pages, 330 KB)
April 28, 2026

Finding of Insufficient Evidence Published in the Federal Register:
Peripheral Neuropathy; Finding of Insufficient Evidence
Federal Register, Vol. 91, No. 90
Pages: 25573-25576
Published: May 11, 2026

Petitions 029, 034, 035, and 062— Hepatic Steatosis

Petition 029: Petition letter received from individual
(4 pages, 2.11 MB)
November 12, 2020

Petition 034: Petition letter received from individual
(3 pages, 864 KB)
August 4, 2021

Petition 035: Petition letter received from individual
(4 pages, 2.98 MB)
November 15, 2021

Petition 062: Petition letter received from individual
(8 pages, 284 KB)
May 14, 2025

Health Condition Requested for Consideration:? Hepatic Steatosis, Hepatotoxic Injury, Cirrhosis of the Liver, and Fatty Liver Disease

Findings and Categorization of Evidence Presented to the Administrator :
WTC Health Program Science Team Evaluation of Scientific Evidence Regarding the Addition of Hepatic Steatosis to the List of WTC-Related Health Conditions
(25 pages, 483 KB)
March 24 , 2025

Finding of Insufficient Evidence Published in the Federal Register:
Hepatic Steatosis; Finding of Insufficient Evidence
Federal Register, Vol. 91, No. 66
(5 pages,240 KB)
April 7, 2026

Petitions 031, 036, 039, and 053— Amyotrophic Lateral Sclerosis

Petition 031: Petition letter received from individual
(76 pages, 17.94 MB)
July 12, 2021

Petition 036: Petition letter received from individual
(6 pages, 4.1 MB)
April 14, 2022

Petition 039: Petition letter received from individual
(27 pages, 22.43 MB)
August 6, 2021

Petition 053: Petition letter received from individual
(5 pages, 616.96 KB)
January 30, 2024

Health Condition Requested for Consideration: Amyotrophic Lateral Sclerosis and Lou Gehrig's Disease

Findings and Categorization of Evidence Presented to the Administrator :
WTC Health Program Science Team Evaluation of Scientific Evidence Regarding the Addition of Amyotrophic Lateral Sclerosis to the List of WTC-Related Health Conditions
(48 pages, 509 KB)
January 22, 2025

Finding of Insufficient Evidence Published in the Federal Register:
Amyotrophic Lateral Sclerosis; Finding of Insufficient Evidence
Federal Register, Vol. 90, No. 13
(5 pages, 238 KB)
January 22, 2025

Petition 026—Anti-Glomerular Basement Membrane Disease Glomerulonephritis

Petition letter received from individual
(9 pages, 7 MB)
March 12, 2020

Health Condition Requested for Consideration: Anti-Glomerular Basement Membrane Disease Glomerulonephritis

Finding of Insufficient Evidence Presented to the Administrator:
WTC Health Program Science Team Evaluation of Scientific Evidence Regarding the Addition of Anti-Glomerular Basement Membrane Disease Glomerulonephritis to the List of WTC-Related Health Conditions
(15 pages, 179 KB)
March 19, 2026

Finding of Insufficient Evidence Published in the Federal Register:
Anti-Glomerular Basement Membrane Disease Glomerulonephritis; Finding of Insufficient Evidence
Federal Register, Vol. 91, No. 53
(3 pages, 217 KB)
March 19, 2026

Petition 025—Parkinson's Disease and Parkinsonism, Including Heavy Metal- Induced Parkinsonism

Petition letter received from individual
(9 pages, 5.37 MB)
September 30, 2019

Health Condition Requested for Consideration: Parkinson's Disease and Parkinsonism, Including Heavy Metal-Induced Parkinsonism;

Finding of Insufficient Evidence Published in the Federal Register:
Petition 025—Parkinson's Disease and Parkinsonism, Including Heavy Metal- Induced Parkinsonism; Finding of Insufficient Evidence
Federal Register, Vol. 85, No. 33
(4 pages, 347 KB)
February 20, 2020

Health Condition Requested for Consideration: Cardiovascular Disease

Petition 023—Uterine Cancer, Including Endometrial Cancer

Petition letter received from individual
(36 pages, 13.6 MB)
April 17, 2019

Health Condition Requested for Consideration: Uterine Cancer, Including Endometrial Cancer;

Finding of Insufficient Evidence Published in the Federal Register:
Petition 23 – Uterine Cancer, Including Endometrial Cancer; Finding of Insufficient Evidence
Federal Register, Vol. 84, No. 185
(6 pages, 342 KB)
September 24, 2019

Petition 022—Monoclonal Gammopathy of Undetermined Significance

Petition letter received from individual
(26 pages, 16 MB)
March 11, 2019

Health Condition Requested for Consideration: Monoclonal Gammopathy of Undetermined Significance

Finding of Insufficient Evidence Published in the Federal Register:
Petition 22 – Monoclonal Grammopathy of Undetermined Significance
Federal Register, Vol. 84, No. 151
(4 pages, 315 KB)
August 6, 2019

Petition 21 - Deep Vein Thrombosis and Pulmonary Embolism

Petition letter received from individual
(4 pages, 2.51 MB)
November 28, 2018

Health Condition Requested for Consideration: Deep Vein Thrombosis and Pulmonary Embolism

Finding of Insufficient Evidence Published in the Federal Register:
Petition 021 — Deep Vein Thrombosis and Pulmonary Embolism
Federal Register, Vol. 84, No. 58
Pages: 11267-11268
March 26, 2019

Petition 20 - Stroke

Petition letter received from individual
(35 pages, 277 KB)
August 26, 2018

Health Condition Requested for Consideration: Stroke

Finding of Insufficient Evidence Published in the Federal Register:
Petition 020 — Stroke
Federal Register, Vol. 84, No. 37
Pages: 5972-5977
February 25, 2019

Petition 19 - Irritable Bowel Syndrome (IBS)

Petition letter received from individual
(8 pages, 528 KB)
May 17, 2018

Health Condition Requested for Consideration: Irritable Bowel Syndrome

Finding of Insufficient Evidence Published in the Federal Register:
Petition 019 — Irritable Bowel Syndrome (IBS)
Federal Register, Vol. 83, No. 160
Pages: 41039-41041
August 17, 2018

Petition 18 - Hypertension

Petition letter received from individual
(12 pages, 528 KB)
January 5, 2018

Health Condition Requested for Consideration: Hypertension

Finding of Insufficient Evidence Published in the Federal Register:
Petition 018 — Hypertension; Finding of Insufficient Evidence; Finding of Insufficient Evidence
Federal Register, Vol. 83, No. 79
Pages: 17783-17787
April 24, 2018

Petition 17 - Parkinson's Disease and Parkinsonism

Petition letter received from individual
(4 pages, 1.1 MB)
May 10, 2017

Health Condition Requested for Consideration: Parkinson's Disease and Parkinsonism

Finding of Insufficient Evidence Published in the Federal Register:
Petition 017 — Parkinson's Disease and Parkinsonism; Finding of Insufficient Evidence
Federal Register, Vol. 82, No. 133
Pages: 32312-32315
July 13, 2017

Petition 16 - Parkinson's Disease and Parkinsonism

Petition letter received from individual
(4 pages, 1.1 MB)
February 22, 2017

Health Condition Requested for Consideration: Parkinson's Disease and Parkinsonism

Finding of Insufficient Evidence Published in the Federal Register:
Petition 016 — Parkinson's Disease and Parkinsonism; Finding of Insufficient Evidence
Federal Register, Vol. 82, No. 133
Pages: 32312-32315
July 13, 2017

Petition 15 - Neuropathy

Petition letter received from individual
(4 pages, 1.1 MB)
November 25, 2016

Health Condition Requested for Consideration: Neuropathy

Finding of Insufficient Evidence Published in the Federal Register:
Petition 015 — Neuropathy; Finding of Insufficient Evidence
Federal Register, Vol. 82, No. 90
Pages: 22004-22006
May 11, 2017

Petition 14 - Rheumatoid Arthritis

Petition letter received from individual
(5 pages, 1 MB)
September 29, 2016

Health Condition Requested for Consideration: Rheumatoid Arthritis

Finding of Insufficient Evidence Published in the Federal Register:
Petition 014 — Rheumatoid Arthritis; Finding of Insufficient Evidence
Federal Register, Vol. 82, No. 33
Pages: 11164-11166
February 21, 2017

Petition 13 - Multiple Sclerosis (Autoimmune)

Petition letter received from individual
(6 pages, 1.23 MB)
April 4, 2016

Health Condition Requested for Consideration: Multiple Sclerosis (Autoimmune)

Finding of Insufficient Evidence Published in the Federal Register:
Petition 013 — Multiple Sclerosis (Autoimmune); Finding of Insufficient Evidence
Federal Register, Vol. 81, No. 170
Pages: 60329-60332
September 1, 2016

Petition 12 - Atherosclerosis

Petition letter received from individual
(14 pages, 3 MB)
April 11, 2016

Health Condition Requested for Consideration: Atherosclerosis

Finding of Insufficient Evidence Published in the Federal Register:
Petition 012 — Atherosclerosis; Finding of Insufficient Evidence
Federal Register, Vol. 81, No. 240
Pages: 90295-90297
December 14, 2016

Petition 11 - Autoimmune Disease—Lupus and Rheumatoid Arthritis

Petition letter received from individual
(8 pages, 2.18 MB)
January 25, 2016

Health Condition Requested for Consideration: Autoimmune Disease, Lupus, and Rheumatoid Arthritis

Finding of Insufficient Evidence Published in the Federal Register:
Petition 011 — Autoimmune Diseases; Finding of Insufficient Evidence
Federal Register, Vol. 81, No. 79
Pages: 24047-24050
April 25, 2016

Petition 10 - Peripheral Neuropathy

Petition letter received from individual
(5 pages, 1.46 MB)
January 5, 2016

Health Condition Requested for Consideration: Peripheral Neuropathy

Finding of Insufficient Evidence Published in the Federal Register:
Petition 010 — Peripheral Neuropathy; Finding of Insufficient Evidence
Federal Register, Vol. 81, No. 64
Pages: 19108-19110
April 4, 2016

Petition 9 - Autoimmune Disease—Multiple Sclerosis

Petition letter received from individual
(45 pages, 526 KB)
September 14, 2015

Health Condition Requested for Consideration: Autoimmune Diseases/Multiple Sclerosis

Finding of Insufficient Evidence Published in the Federal Register:
Petition 009 — Autoimmune Diseases—Multiple Sclerosis; Finding of Insufficient Evidence
Federal Register, Vol. 80, No. 208
Pages: 65980-65982
October 28, 2015

Petition 8 - Autoimmune Disease—Encephalitis of the Brain

Petition letter received from individual
(45 pages, 11 MB)
May 11 , 2015

Health Condition Requested for Consideration: Autoimmune Diseases/Encephalitis of the Brain

Finding of Insufficient Evidence Published in the Federal Register:
Petition 008 — Autoimmune Diseases; Finding of Insufficient Evidence
Federal Register, Vol. 80, No. 132
Pages: 39720-39722
July 10, 2015

Petition 7 - Autoimmune Diseases/Rheumatoid Arthritis

Petition letter received from individual
(4 pages, 992 KB)
April 6, 2015

Health Condition Requested for Consideration: Autoimmune Diseases/Rheumatoid Arthritis

Finding of Insufficient Evidence Published in the Federal Register:
Petition 007 — Autoimmune Diseases; Finding of Insufficient Evidence
Federal Register, Vol. 80, No. 109
Pages: 32333-32334
June 8, 2015

Petition 6 - Primary Biliary Cirrhosis

Petition letter received from individual
(87 pages, 24 MB)
October 20, 2014

Health Condition Requested for Consideration: Primary Biliary Cirrhosis

Finding of Insufficient Evidence Published in the Federal Register:
Petition 006 — Primary Biliary Cirrhosis; Finding of Insufficient Evidence
Federal Register, Vol. 79, No. 243
Pages: 75528-75529
December 18, 2014

Petition 5 - Acoustic Neuroma

Petition letter received from individual
(9 pages, 2.13 MB)
September 2, 2014

Health Condition Requested for Consideration: Acoustic Neuroma

Finding of Insufficient Evidence Published in the Federal Register:
Petition 005 — Acoustic Neuroma; Finding of Insufficient Evidence
Federal Register, Vol. 79, No. 213
Pages: 65369-65371
November 4, 2014

Petition 4 - Cardiovascular Disease

Petition letter received from individual
(10 pages, 2 MB)
March 7, 2014

Health Condition Requested for Consideration: Cardiovascular disease

Finding of Insufficient Evidence Published in the Federal Register:
Petition 004 — Cardiovascular Disease; Finding of Insufficient Evidence
Federal Register, Vol. 79, No. 87
Pages: 25766-25767
May 6, 2014

Petition 3 - Kidney Damage

Petition letter received from individual
(7 pages, 1.57 MB)
January 22, 2014

Health Condition Requested for Consideration: Kidney damage

Finding of Insufficient Evidence Published in the Federal Register:
Petition 003 — Kidney Damage; Finding of Insufficient Evidence
Federal Register, Vol. 79, No. 61
Pages: 17972-17973
March 31, 2014

Petition 2 - Prostate Cancer

Petition letter received from Patrick Lynch, Patrolmen's Benevolent Association
(1 page, 276 KB)
April 30, 2013

Health Condition Requested for Consideration: Prostate cancer

Final Rule Published in the Federal Register:
Addition of Prostate Cancer to the List of WTC-Related Health Conditions
Federal Register, Vo. 78, No. 182
Pages: 57505-57523
Published: September 19, 2013

Proposed Rule Published in the Federal Register:
Addition of Prostate Cancer to the List of WTC-Related Health Conditions
Federal Register, Vo. 78, No. 127
Pages: 39670-39691
Published: July 2, 2013

Statement from the Administrator

July 3, 2013: Statement from the Administrator regarding the Federal Register Notice of Proposed Rulemaking: Addition of Prostate Cancer to the List of WTC-Related Health Conditions

Petition 1 - Cancer

Petition letter received from various Congressional members
(2 pages, 1,412 KB)
September 7, 2011

Health Condition Requested for Consideration: Cancer

Letter from John Howard, MD, Director, National Institute for Occupational Safety and Health (NIOSH) to Elizabeth Ward, Ph.D., Chair, WTC Health Program Scientific/Technical Advisory Committee
(1 page, 187 KB)
October 5, 2011

Administrator's Request to the Scientific/Technical Advisory Committee:
March 21, 2012
(2 pages, 574 KB)

Advisory Committee Recommendation for Health Condition under Consideration:
March 31, 2012
(52 pages, 574 KB)

Statement from the Administrator:
April 2, 2012

Proposed Rule Published in the Federal Register:
Addition of Certain Types of Cancer to the List of WTC-Related Health Conditions
Federal Register, Vol. 77, No. 114
Pages: 35574-35615
June 13, 2012

Final Rule Published in the Federal Register:
Addition of Certain Types of Cancer to the List of WTC-Related Health Conditions
Federal Register, Vol. 77, No. 177
Pages: 56138-56168
September 12, 2012

Final Rule Correction Published in the Federal Register:
Addition of Certain Types of Cancer to the List of WTC-Related Health Conditions
Federal Register, Vol. 77, No. 198
Pages: 62167-62176
October 12, 2012

Miscellaneous Items:

STAC Email Traffic During Preparatory Work on Report for Petition 001 – Cancer
(36 pages, 270 KB)
March 22, 2012