The 9/11 dust and fumes caused pancreatic cancer in downtown residents, workers, students, and first responders. In 2014, the World Trade Center Health Program (WTCHP) formally recognized the definitive link between pancreatic cancer and exposure to the toxic fallout from the 9/11 attacks. At first, the WTCHP did not recognize the link between exposure to the 9/11 toxins and pancreatic cancer. Then in 2014, the WTCHP recognized the findings of the WTCHP Scientific/Technical Advisory Committee that 9/11 exposure is found substantially likely to be a significant factor in aggravating, contributing to, or causing the individual's pancreatic cancer. This finding made, for the first time, pancreatic cancer eligible to be certified for WTCHP treatment services as well as compensation from the September 11th Victim Compensation Fund (VCF) for the cancer victim or, if the person passed, to their family.