Injury or death caused by fire is frequent and largely preventable. Th
is study was undertaken to define the populations locations, times and
behaviours associated with fatal fires. Seven hundred and twenty-seve
n fatalities occurring within the State of New Jersey, between the yea
rs 1985 and 1991, were examined retrospectively. Most deaths were attr
ibuted to a combination of smoke inhalation and burn injury. Five hund
red and seventy-four fatalities occurred in residential fires. Smoking
materials were the most common source of ignition for residential fir
es. More than half of the fatal residential fires started between the
hours of 11 p.m. and 7 a.m. Children and the elderly represented a dis
proportionate percentage of fire victims. Victims under the age of 11
years or over the age of 70 years constituted 22.1 per cent of the sta
te population but 39.5 per cent of all fire fatalities. Fire-preventio
n efforts should target home fire safety and should concentrate on chi
ldren and the elderly. The development of fire-safe smoking materials
should be encouraged.