Asbestos, 9/11 and the World Trade Center

Asbestos Exposure and 9/11

The collapse of the twin towers on Sept. 11, 2001, released a toxic plume across lower Manhattan. It contained 400 tons of pulverized asbestos and other hazardous materials.

World Trade Center Dust Composition

• 50% nonfibrous construction materials
• 40% glass and other fibers
• 9.2% cellulose from disintegrated paper
• 0.8% asbestos

The attacks exposed an estimated 410,000 to 525,000 people to toxic dust. This number includes more than 90,000 workers involved in the rescue, recovery and cleanup efforts.The composition of the WTC dust contained pulverized glass and concrete, gypsum from drywall, asbestos fibers, steel and cellulose from paper. The intense fires that brought the towers down continued to smolder at Ground Zero until Dec. 14, 2001, over four months after the attack.

Why Was Asbestos in the World Trade Center?

During the World Trade Center construction in the late 1960s and early 1970s, developers commonly used asbestos in construction materials to strengthen and resist heat. Builders incorporated a variety of asbestos-containing products into both towers.

For example, hundreds of tons of spray-on asbestos fireproofing material was present on steel beams along the first 40 floors of the north tower. Amid construction, the builders discontinued using asbestos because of stricter regulations on the mineral.

Who Is at Risk of Health Effects?

According to the World Trade Center Health Program, anyone within a 1.5-mile radius of the center was at risk of exposure to asbestos. Other carcinogens included lead, mercury, benzene and dioxins. A 2011 study in The Lancet of firefighters exposed to this dust proved that the group is 19% more likely to develop cancer than the general population.

People Most at Risk

• Cleanup workers
• First responders, including firefighters and paramedics
• Search and rescue workers
• Survivors and residents

As of 2025, nearly 7,000 people, including firefighters, police officers, medical personnel, survivors and work crews, have died since that day as a result of their exposure, far surpassing the 2,753 who died on the day of the attacks.

Exclusive Content

Dr. Raja Flores: 25 Years Later: Ongoing Health Toll of 9/11

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As a kid, I used to ride my skateboard in between the Twin Towers. I worked there during college. I worked for UPS delivering through all those buildings, and on the first floor was where our little stalls used to be. So when those buildings went down, a piece of me died with it.

A kid in my high school that I graduated with died in those buildings. So it’s a very personal thing. Now what’s happening at the twenty fifth anniversary, there’s a new moment of silence for people who have died from 9-11 related illnesses. And more people have died from 9-11 illnesses now that died on that day.

What people don’t understand is that there are people out there that are still alive. So in my practice as a thoracic surgeon, lung cancer, esophageal cancer, mesothelioma, I have patients who’ve been cured of those diseases who are still suffering. They’re being treated. They’re alive.

But there’s no moment of silence for them. There’s no bell that’s ringing to focus on them. They’re lucky if they get health care. From my perspective, as thoracic surgeon, I still see the effects of 9-11, not just physically, but emotionally.

So from a exposure perspective, they were exposed to asbestos, pulverized concrete, heavy metals, etc. These are carcinogenic. These cause cancer. When you look at the effects of 9-11, the number one thing is chronic sinusitis.

Number two is cancer.

So we’ve got to be aware of what is happening with these patients so that we can treat them and so that we can screen them. So many patients ask, Doc, I was exposed twenty five years ago. Do I still need to be worried about it? The typical thing, mesothelioma.

You get exposed to asbestos, you don’t get measles till thirty years later. And I think that’s what’s happening with 9-11. Many people were exposed. Some don’t even know that there are programs that they can join to get monitored.

And then they show up with advanced cancer. It’s not just the first responders, the police officers, firefighters, construction workers. You had a bunch of kids in school there, Stuyvesant High School. You had a bunch of people who lived in Tribeca, in Brooklyn, where you saw that plume of smoke over downtown Brooklyn.

And I think you just need them to know that this is a possibility. There are many things that are screenable, and that’s how we can help now, is to make sure that we can screen patients who are at high risk. There’s a lot of cancers that we are seeing from 9-11, and from my standpoint as a thoracic surgeon, I want that patient screened with a low dose CAT scan. You should be getting screened.

A doctor should be looking at you at least once a year.

Health Effects from Exposure to 9/11 Dust

The World Trade Center Health Registry tracks the health effects of 9/11 dust exposure. According to the registry, those health effects include respiratory diseases, gastrointestinal conditions, cancer and psychological conditions. By March 2024, the registry had certified these conditions among more than 132,530 responders and survivors.

2025 Health Survey Facts

• 15% of certified members have asthma, which can worsen with asbestos and other airborne fibers.
• 2,405 cases of asbestosis and other interstitial lung diseases have been certified.
• 25% have been diagnosed with gastroesophageal reflux disease, which has a known link to toxic dust inhalation​.
• 27% suffer from chronic rhinosinusitis, a condition often triggered by inhaled irritants like asbestos and dust​.
• 40% received paid medical treatment through the program in 2024.
• By the end of 2024, about 30% had a cancer diagnosis, up significantly from 8% in 2007​.
• Over 50% of cancer certifications are in responders.​
• Over 577,000 medical claims were approved in 2024 alone.

The most common respiratory health effect is “World Trade Center cough syndrome.” It involves chronic rhinosinusitis, asthma and bronchitis. All of these can worsen with gastrointestinal reflux disease.

Asbestos exposure can take decades to reveal itself in the form of related cancers. The latency period for mesothelioma is 20 to 60 years, meaning that some of those exposed at Ground Zero may only now be showing symptoms of the rare form of cancer.

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9/11-Related Cancers and Conditions

As of 2025, more than 44,000 people had been diagnosed with 9/11-related cancer. According to the World Trade Center Health Registry, the 10 most common cancers include:

• Prostate cancer
• Breast cancer
• Thyroid cancer
• Lung cancer
• Kidney cancer
• Colon cancer
• Nonmelanoma skin cancer
• Melanoma
• Lymphoma
• Leukemia

Other health effects registry reports include chronic obstructive pulmonary disease, sleep apnea, musculoskeletal syndromes, sarcoidosis (an inflammatory disease), post-traumatic stress disorder, anxiety and depression. In all, more than 63,000 people have been diagnosed with a 9/11-related health condition.

Mesothelioma and 9/11 Dust

According to mesothelioma expert Dr. Raja Flores of New York’s Mount Sinai Hospital, the number of mesothelioma cases related to 9/11 dust has been minimal, but cases will likely increase soon. A 2024 study in Annals of Case Reports described 4 cases of mesothelioma among 9/11 survivors who lived near the WTC.

“We haven’t seen many yet, but we’re going to see a very significant rise in [mesothelioma] cases,” Flores said. “What I am seeing is a lot more esophageal cancers. Would they have developed anyway? Or are they a result of all the exposure? I think exposure. The patients seem a lot younger now. It’s going to be another 30 to 40 years before all this plays out.”

In 2020, 9/11 first responder and firefighter Nick Ursta died of pleural mesothelioma. Ursta and his wife spent three days at Ground Zero while sharing a mask to protect themselves from the dust. The oncology team at the University of Pittsburgh Medical Center who treated Ursta believed his exposure to 9/11 dust caused his cancer.

In 2006, first responder and paramedic Deborah Reeve died of mesothelioma at the age of 41. She developed a severe cough not long after the attacks and was diagnosed with mesothelioma in 2003. Her doctors believed her exposure to asbestos at Ground Zero led to her cancer. 

Health Safety Tips Following Exposure to 9/11 Dust

Anyone exposed to 9/11 dust should closely monitor their health. Reporting early symptoms can improve mesothelioma treatment options and survival outcomes. World Trade Center Health Program doctors have recommended health tips to those exposed to 9/11 dust.

Health Tips for 9/11 Dust Exposure

• Follow through with the treatments and medications prescribed by your doctor.
• Get a complete medical evaluation of your respiratory and digestive system.
• Get a comprehensive mental health evaluation.
• Manage chronic conditions well, which can control their severity over time.
• Seek multidisciplinary treatment that addresses your physical and mental health.

Responders and survivors can get annual check-ups, benefits help and medical and mental health care for 9/11-related conditions through the World Trade Center Health Program. Veterans who worked at Ground Zero may also qualify for VA health care benefits.

Compensation for Responders and Survivors

After the 10th anniversary of the 9/11 attacks, the U.S. government created the James Zadroga 9/11 Health and Compensation Act. This law helps people who got sick due to 9/11. It builds on the Victim Compensation Fund from 2001 and allocates $8.1 billion for first responders, cleanup workers, and New York City residents who faced exposure to dust after the attacks.

Thanks to the Zadroga Act and its updates, over 19,000 responders and survivors have received money from the fund. This support is crucial for those affected by the tragic events of 9/11.

Fighting for Proper Funding

In 2025, the Trump administration twice cut funding and jobs that affected the WTC Health Program. The administration made a rare reversal of the first cut over political backlash. As of April 2025, legislators are fighting the second round of cuts to an agency that supports the program.

The fight for proper funding has been a concern for decades. The Zadroga Act initially provided compensation from 2011 to 2016. In 2015, Congress reauthorized it to offer lifetime health care for people who might get illnesses like mesothelioma from 9/11 dust. But in February 2019, the fund’s manager said there was not enough money to cover all claims. They cut pending claims by 50% and new claims by 70%. 

On June 11, 2019, the former host of “The Daily Show,” Jon Stewart, testified before the House Judiciary Committee to demand additional funding. The next day, the committee passed a bill to permanently reauthorize the September 11th Victim Compensation Fund and extend it until 2092.

9/11 Lawsuits and Settlements

Tens of thousands of people exposed to 9/11 dust have developed severe respiratory conditions and several types of cancer. Many have filed lawsuits to seek compensation for asbestos exposure, alleging the dust caused their health problems.

9/11 Legal Settlements

• In 2010, more than 10,000 rescue and recovery workers claiming dust-related injuries opted into a $713 million court settlement from WTC Captive Insurance Co. Inc.
• Previous settlements with other defendants, including the Port Authority of New York and New Jersey, bring the total settlement awards to about $810 million.

Before 2012, the Zadroga Act offered no compensation for cancer due to the lack of evidence linking it to 9/11 dust. Cancer patients can now file claims, though they may receive lower payments if they win a 9/11 lawsuit. Because of the slow development of asbestos-related cancers, lawsuits may emerge linking these conditions to 9/11 dust.

Ongoing 9/11 Dust Research

A Molecular Cancer Research study found that 9/11 prostate cancer victims had a unique increase in a specific T-cell. Researchers concluded that 9/11 dust may trigger a prostate inflammatory response, raising cancer risk. Dr. Craig Stevens, a specialist at Beaumont Cancer Institute, predicts that asbestos-related diseases from 9/11 will peak by 2041.

“It’s hard to determine absolute risk for each person, but I expect a surge in mesothelioma and lung cancer cases to start 20 years after 9/11, peaking around 40 years after,” Stevens said. “This is a looming health issue that the public currently underestimates.”