The geographic and demographic distribution of residential fires, related injuries, and deaths in four Canadian provinces.

OBJECTIVE: A considerable number of Canadians are injured or killed every year as a result of residential fires. Until recently, the absence of representative national data limited our understanding of the current situation. This study used a novel dataset to describe the geographic and demographic distribution of residential fires and related casualties across 4 Canadian provinces and to explore changes over time.
METHODS: A cross-sectional study design was applied to data from the National Fire Information Database, which reported fire incidents, locations, and associated casualties attended by a fire service across 4 Canadian provinces between 2005 and 2015. Residential fire incident, injury, and death rates were described and compared between sex and age groups. Simple linear regressions were used to assess the trends of casualty rates per population and per fire incidents over time.
RESULTS: A total of 145,252 residential fires were reported for the provinces of British Columbia, Alberta, Manitoba, and Ontario, of which 5.5% resulted in casualties. Death and severe injury rates per population decreased significantly between 2005 and 2015, while casualties per 1000 house fires did not change. Death rates per house fire incidents were generally higher in urban than in remote areas but tended to increase as distance from city centres increased and moved closer to suburban areas. Injury rates were higher than death rates for all age groups and significantly higher for males than for females.
CONCLUSION: These findings represent an important step forward in identifying the most vulnerable municipalities and populations to inform evidence-based cross-provincial efforts to reduce the societal burden of residential fires.