Casualties of the September 11 attacks
2,974 victims were confirmed to have died in the initial attacks; this includes Sneha Anne Philip, a doctor, who in 2008 was ruled to have died on 9/11. In 2007, the New York City medical examiner's office began to add people who died of illnesses caused by exposure to dust from the site to the official death toll. The first such victim was a woman, a civil rights lawyer, who had died from a chronic lung condition in February 2002. In September 2009, the office added a man who died in October 2008, and in 2011, a male accountant who had died in December 2010. This raises the number of victims at the World Trade Center site to 2,753, and the overall 9/11 death toll to 2,996.
World Trade Center Health Program
On September 11, 2001, 19 terrorists associated with the Islamist militant group al-Qaeda hijacked four passenger jets in a series of suicide attacks on the United States, killing 2,996 people and injuring more than 6,000 others. Hijackers flew planes into two main towers of the World Trade Center, resulting in the collapse of three buildings of the World Trade Center complex, and the Pentagon, resulting in the partial destruction of the western side in the building. The resulting dust cloud due to the collapse of the World Trade Center covered Manhattan for days and contained thousands of tons of toxic debris, including asbestos and other known carcinogens. Another hijacked plane crashed into a field in Shanksville, Pennsylvania following an attempt by the passengers to retake control of the plane. No one in the airliners survived.
As of 2011, approximately 18,000 people have received medical treatment for illnesses related to toxic dust from the World Trade Center site. A study of rescue workers released in April 2010 found that all those studied had impaired lung functions, and that 30–40% were reporting little or no improvement in persistent symptoms that started within the first year of the attack. In 2011 a major research study showed significant long term medical and psychological effects among first responders to the World Trade Center site. These effects include elevated levels of asthma, sinusitis, Gastroesophageal reflux disease and posttraumatic stress disorder.