Cigarettes are the most common ignition source for fatal house fires, which
cause approximately 29% of the fire deaths in the United States. A common
scenario is the delayed ignition of a sofa, chair, or mattress by a lit cig
arette that is forgotten or dropped by a smoker whose alertness is impaired
by alcohol or medication. Cigarettes are designed to continue bunting when
left unattended. If they are dropped on mattresses, upholstered furniture,
or other combustible material while still burning, their propensity to sta
rt fires varies depending on the cigarette design and content. The term "fi
re-safe" has evolved to describe cigarettes designed to have a reduced prop
ensity for igniting mattresses and upholstered furniture. Legislative inter
est in the development of fire-safe smoking materials has existed for more
than 50 years. Studies that showed the technical and economic feasibility o
f commercial production of fire-safe cigarettes were completed more than 10
years ago. Despite this, commercial production of fire-safe smoking materi
als has not been undertaken. The current impasse relates to the lack of con
sensus on a uniform test method on which to base a standard for fire-safe c
igarettes. Although the fire-safe cigarette is a potentially important burn
prevention tool, commercial production of such cigarettes will not occur u
ntil a standard against which fire-starting performance can be measured has
been mandated by law at the state or federal level. The burn care communit
y can play a leadership role in such legislative efforts.