Ground Zero Adds Seventh Bell for 9/11 Illnesses
Ground Zero Adds Seventh Bell for 9/11 Illnesses

The News
The September 11 commemoration at Ground Zero will add a seventh moment of silence this year to honor the responders and survivors who died from illnesses linked to the toxic dust at the World Trade Center site.
Until now the ceremony has held six moments of silence — one for each of the four plane crashes and each of the two tower collapses — as the names of the nearly 3,000 people killed on Sept. 11, 2001, are read aloud.
A spokesman for the 9/11 Memorial & Museum said survivors still living and the families of those who died years later will join the ceremony at 11:00, and the new seventh bell and moment of silence will follow at approximately 12:30.
The Numbers
More than 57,000 responders and survivors enrolled in the World Trade Center Health Program had been diagnosed with cancer as of June, according to federal figures. As of March 2024, nearly 7,000 people enrolled in the program had died.
The toll is still growing: more than 7,000 first responders were certified with a 9/11-related health condition in the 12 months ending June 30, according to CDC data released last month.
Timeline
Hijacked planes strike the twin towers, the Pentagon and a field in Shanksville, Pennsylvania. Firefighters, police and civilian workers spend the following months in the smoldering pit at Ground Zero.
The federal September 11th Victim Compensation Fund launches, but initially runs only until 2003, leaving many responders without long-term care or money.
After nearly a decade of advocacy by first responders, President Barack Obama signs the James Zadroga 9/11 Health and Compensation Act of 2010, creating the World Trade Center Health Program and reopening the compensation fund. The law is named for an NYPD officer whose death was linked to the toxic plume.
After emotional testimony in Congress, including an angry speech by comedian Jon Stewart, lawmakers extend the health program's funding through 2090.
New York City releases more than 170,000 pages of previously undisclosed records showing city officials at the time knew the air around Ground Zero was unsafe to breathe while publicly assuring New Yorkers it was safe.
The seventh bell rings for the first time, on the 25th anniversary of the attacks.
Reactions
"It means having my dad's story along with all the other stories acknowledged as a part of the entire 9/11 story, as well," said Leah Betso, whose father, NYPD Officer James Betso, died of brain cancer in 2015 after months of recovery work at Ground Zero. "For a long time, I think that a lot of the focus is on the people who lost their lives on that horrific day. But for families like me, the loss came many years later, and this moment is recognizing that."
New York Mayor Zohran Mamdani, who announced this week's document release alongside 9/11 families and Stewart, was blunt about the cause. "People got sick because the leaders they trusted lied and told them they were safe to breathe in toxic air," Mamdani said.
Bridget Gormley, whose father Billy Gormley was an FDNY firefighter who worked for months at the site and died of bladder cancer in 2017, told CNN the risk was "never discussed" at home, even after he got sick. While making a film about 9/11 health effects, she said one of his friends recalled telling a colleague in the early days at Ground Zero, "This is going to kill us all one day."
Michael O'Connell, a probationary firefighter who was 25 on 9/11, said almost no one saw it coming. "I don't think anybody else ever really thought that, 'Oh, this is going to be bad in the future, you know, what we're breathing in,'" he said. He was diagnosed with sarcoidosis in 2007 and later testified in Congress for better coverage. "That's when it really became apparent that most people aren't escaping this."
What's Next
The ceremony at Ground Zero takes place Friday, Sept. 11. The traditional six bells ring during the reading of the names; the seventh bell is scheduled for roughly 12:30.
The World Trade Center Health Program, which also covers people who were at the Pentagon and those who responded in Shanksville, is funded through 2090 and continues to certify new diagnoses — meaning the group the seventh bell honors will keep growing.
The 170,000-plus pages released Tuesday are likely to fuel further scrutiny of what city officials knew about the air quality in 2001 and when they knew it.
More
Cancer, respiratory disease and post-traumatic stress disorder are among the conditions most commonly diagnosed in the program. Ivonne Sanchez, who worked in emergency medical services recovering and identifying remains and worked shifts of 20 and even 25 hours, was injured in a fall onto rebar that winter, was later told nerve damage would end her career, and was diagnosed with breast cancer in 2014 — certified, she says, through the WTC Health Program.
A second group is also marking the anniversary differently as it ages: the children. Claudia Szurkowski, 24, was not yet born when her father Norbert, a member of the painters and wallpaper hangers union, went into the North Tower for a quick repair. "They never found anything but his wedding ring," she told USA TODAY. "But we know he was there because he'd signed in." She says the day is slipping from memory in her generation: "It's being forgotten, and I hate to see that."
Matt Bocchi was 9 when his father John, who worked for Cantor Fitzgerald on the 105th floor, was killed. "The children (of 9/11) for many years were overlooked," he said. "You learn to live with it, but you never get over it."
Poll
Should 9/11 illness deaths be counted alongside those killed on the day itself?
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