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Patharla SSR et al. Int J Community Med Public Health. 2020 Oct;7(10):3896-3906
http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040
DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20204351
Original Research Article
*Correspondence:
Dr. Souri Reddy Pyreddy,
E-mail: hosp.admin@kimsmedicalcollege.org
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: An uncontrolled fire is dangerous especially in the healthcare establishments as they frequently cater to
the sick who often require assistance. We studied the various aspects of fire incidents that occurred in major Indian
hospitals through media reports in the past decade (January 2010 to December 2019). It is our intention that this study
would act as a reference to prioritize and stimulate research in hospital fire safety.
Methods: An extensive internet search was done for news reports/articles on fire incidents in major hospitals by
mainstream media outlets. Major hospitals were those with more than 100 in-patient beds.
Results: 33 major fire incidents were reported during the defined period. The most common cause of fire was due to
electrical short circuit 78% with air conditioners being the most common source. Functional firefighting systems were
reported in 19 incidents. Fires originated at or near intensive care units (ICU’s) in 10 instances. 72.72% accidents
occurred at night (8:01 p.m. to 7:59 a.m.). Casualties were reported in 39% of the fire accidents.
Conclusions: The most common cause of fire accidents is electrical short circuit. Hospitals need to prioritize periodic
testing of firefighting systems and regular training of staff on their use. Judicious placement of electrical equipment
combined with oxygen monitoring devices in intensive care areas is recommended. Storage of flammable materials and
placement of central gas supply points should be away from the vicinity of patient care areas and always in conjunction
with robust fire detection and control methods. Hospitals should adhere to their planned capacity.
Keywords: Fire, Hospital fire, Fire accidents, Fire safety, Indian hospitals
International Journal of Community Medicine and Public Health | October 2020 | Vol 7 | Issue 10 Page 3896
Patharla SSR et al. Int J Community Med Public Health. 2020 Oct;7(10):3896-3906
Study setting
CHAIN REACTION
Geographical location of India.
The AERB monograph states that the combustion All fire incidents reported by mainstream media/new
phenomena are of five types.1 They are- explosion: the media through websites/web pages. Multiple news reports
rapid release of high-pressure gas into the environment, the of the same incident were also included.
main difference between a fire and an explosion is the rate
at which energy is released; deflagration: burning of a gas Exclusion criteria
or aerosol that is characterized by a combustion wave;
detonation: the burning of a gas or aerosol characterized by News reported on social media e.g. Facebook, Twitter and
a shock wave, the shock wave travels at a speed greater in clinics, nursing homes or hospitals with less than 100
than the speed of sound, and the wave is characterized by inpatient-beds.
very high pressure, which serves to create a heat source for
igniting other combustibles; flashover: a fire in an enclosed Data sources
area that fosters the buildup of heat, when the temperature
reaches the ignition temperature of the majority of Media/press article available on internet.
combustibles in the area, there is spontaneous combustion
of the combustibles in the area and; backdraft: sometimes RESULTS
referred to as a smoke explosion because it is a fire in an
enclosed area that consumes the oxygen supply and The details of fire incidents were compiled and tabulated
generated carbon monoxide and heat. as in Table 1.
Presently there is no compiled reference of such fire A total of 33 fire incidents were reported online by
accidents that have been reported in the Indian health care mainstream media sources. A total of 131 fatalities were
sector. It is our intention that this study would act as a occurred in 8 of these incidents. 25 incidents were reported
reference to prioritize and stimulate research in hospital to have occurred in government owned establishments, 7
fire safety and help learn from past mistakes. in private hospitals and 1 in a trust hospital. In 19 incidents
occurred in hospitals which reported having functional
The aim of the research was to study the fire incidents that firefighting measures. 7 fire incidents each were reported
occurred in major Indian hospitals reported via various from states of West Bengal, Orissa and National Capital
media outlets in the past decade (January 2010 – December Region (NCR). West Bengal reported the highest number
2019). of hospital fire related deaths in the past decade (n=117);
most of these were due to the AMRI hospital incident. The
The objective was to enumerate the fire incidents that most common cause of fire was reported as due to
occurred in major hospitals in the past decade and to electrical short circuit 78%. Air conditioners were the most
analyze the various aspects such as hospital attributes, common source of origin for short circuit.
details of the incident and extent of damage.
International Journal of Community Medicine and Public Health | October 2020 | Vol 7 | Issue 10 Page 3897
Patharla SSR et al. Int J Community Med Public Health. 2020 Oct;7(10):3896-3906
Functional status
No. of
No. of of existing Time taken
Govt./ patients
Hospital Location of Time of Reported people firefighting till control Damage as
No. Date pvt./ Location shifted to
name hospital incident cause of fire injured systems, achieved reported
trust nearby
/dead Additional fire (hour)
hospitals
tenders used
2019
KEM Mumbai, Pediatric
1. November Govt. Night Short circuit 1 injured
hospital Maharashtra ward
8
2019 Shine Short circuit
Hyderabad, NICU 4th 1 dead
2. October 22 Children’s Pvt. Night from
Telangana floor 4 injured
Hospital refrigerator
North
2019 Bengal
Siliguri, West Critical
3. September Medical Govt. Morning 1 dead 9
Bengal Care Unit
27 College and
Hospital
Dispensary
2019 AIIMS New Delhi Functional, 34 fire
4. Govt. Afternoon at ground _ Nil _ 6 _
August 17 tenders
floor
Medical
2019, May SMS Jaipur,
5. Govt. Night shop in Short circuit Nil 12 fire tenders 125 4
10 Hospital Rajasthan
ground floor
Lok Nayak First floor
2019 April Jai Prakash plastic
6. Govt. Central, Delhi Night _ _ 4 fire tenders
10 Narayan surgery
Hospital ward
Lab
equipment’s,
SCB
Short circuit crores worth
Medical Cuttack,
2019, Pathology [AC were left of material
7. college and Govt. Orissa Night Nil Functional _
March 8 Department on during the were burnt,
Hospital
night] Complete
,
department
was destroyed
Ground Short circuit 2
AIIMS
floor (leakage of
2019 March Trauma Functional, 24 fire
8. Govt. New Delhi Afternoon (operation oxygen supply Nil 50 _
24 Centre tenders
theatre) pipe behind the
manifold)
Continued.
International Journal of Community Medicine and Public Health | October 2020 | Vol 7 | Issue 10 Page 3898
Patharla SSR et al. Int J Community Med Public Health. 2020 Oct;7(10):3896-3906
Functional status
No. of
No. of of existing Time taken
Govt./ patients
Hospital Location of Time of Reported people firefighting till control Damage as
No. Date pvt./ Location shifted to
name hospital incident cause of fire injured systems, achieved reported
trust nearby
/dead Additional fire (hour)
hospitals
tenders used
Main
SCB
Cuttack, Operation
2019 Medical
9. Govt. Orissa Night Theatre of Short circuit Nil Functional Nil _
February 27 college And
Surgery
Hospital,
Departent
Metro
Short circuit
2019, Hospital Noida, Uttar 2nd floor of
[water heater Non functional, 10
10. February 7 and Heart Pvt. Pradesh Morning the hospital No >40 _
inside recovery fire tenders
Institute (NCR) [ICU]
area]
5th floor
battery
2019, Non functional
Apollo Bhubaneswar, room
11. February 2 Pvt. Morning Short circuit Nil 26 1 _
Hospital Orissa [ICU is
present
beside]
3 people
Chhattisgar
fainted
2019, h Institute Functional
Bilaspur, Paediatric (fire
12. January 23 of Medical Govt. Morning Short circuit 40 children 40 mins _
Chattisgarh ward fighting
Sciences
employees
)
2019, Basement of
ESIC Noida, Uttar 100120
13. January 9 Govt. Morning 7 storey Nil 5 fire tenders 2
hospital Pradesh people
building
Oxygen
2019,
Geetanand Alwar, pipeline linked
14. January 1 Govt. Night NICU 1 dead
Hospital Rajasthan to a radiant
warmer
Suburban 8 dead _
ESIC
2018 Andheri, 145
Kamgar Third/Fourt Short circuit Non functional,
15. December Govt. Mumbai, Afternoon injured 147 3
Hospital h floor [AC] 810 fire tenders
20 Maharashtra incl. a
firefighter
Continued.
International Journal of Community Medicine and Public Health | October 2020 | Vol 7 | Issue 10 Page 3899
Patharla SSR et al. Int J Community Med Public Health. 2020 Oct;7(10):3896-3906
Functional status
No. of
No. of of existing Time taken
Govt./ patients
Hospital Location of Time of Reported people firefighting till control Damage as
No. Date pvt./ Location shifted to
name hospital incident cause of fire injured systems, achieved reported
trust nearby
/dead Additional fire (hour)
hospitals
tenders used
Calcutta Second
2018 Short circuit in
Medical floor
December Kolkata, West a refrigerator in Functional, 3 fire
16. College and Govt. Night haemato- Nil _ _ _
31 Bengal haematology tenders
Hospital logy
deptt.
department
2018 Chittaranjan South Genetic
November National Kolkata, West research Short circuit Functional, 3 fire
17. Govt. Afternoon Nil _ 1.5 _
20 Cancer Bengal wing [AC] tenders
Institute [laboratory]
Calcutta
2018 School of
Calcutta, Ground Short circuit Non functional, 3
18. November Tropical Govt. Morning Nil 7 1.5 _
West Bengal floor [AC] fire tenders
12 Medicine
4th floor
2018 Safdarjung
[eye Overheating of
September Hospital Functional, 7 fire
21. Govt. New Delhi Morning Operation chemical 3 injured _ 0.5 No damage
13 tenders
Theatre] in [spirit]
new OPD
Trauma _
Center, Second
King Lucknow , floor
2017
22. George Govt. Uttar Pradesh Afternoon [Disaster Short circuit Nil Functional 250 3
July16
Medical managemen
University t ward]
Continued.
International Journal of Community Medicine and Public Health | October 2020 | Vol 7 | Issue 10 Page 3900
Patharla SSR et al. Int J Community Med Public Health. 2020 Oct;7(10):3896-3906
Functional status
No. of
No. of of existing Time taken
Govt./ patients
Hospital Location of Time of Reported people firefighting till control Damage as
No. Date pvt./ Location shifted to
name hospital incident cause of fire injured systems, achieved reported
trust nearby
/dead Additional fire (hour)
hospitals
tenders used
SUM
First floor
Hospital
Bhubaneswar, [dialysis] 22 dead, Functional, 7 fire
2016 ,Shiksha
23. Govt. Orissa Afternoon Spread to Short circuit 120 tenders _ _ _
October 18 ‘O’
near by ICU injured
Anusandha
n Univ.
2016 Safdarjung Ground
New Delhi Short circuit Functional, 4 fire
24. September Hospital Govt. Afternoon floor, near Nil Nil few minutes _
from meter box tenders
21 Casuality
2nd floor
SCB Duty room
Cuttack, Short circuit
2016 May Medical [cardiac Functional, 3 fire
25. Govt. Orissa Afternoon [AC] Nil 104 0.5 _
31 College wing] tenders
5 stored
building
Murshidaba
d Medical Baharampur,
2016 Second Short circuit 3 dead ,
26. College Govt. West Bengal Morning Nonfunctional _ _ _
August 27 floor [ward] [AC] 50 injured
Hospital
Sardar
Vallabhai
Patel
Medical
Postgraduat Neonatal
2015 Cuttack, Short circuit equipment
e Institute Intensive 22
27. November Govt. Orissa _ [Electrical nil Functional other
of Care Unit newborns
29 warmer] infrastructure
Pediatrics (NICU)
in NICU
(Sishu
bhawan)
Acharya _
3rd floor
Harihar
Cuttack, [Store
2015 Regional Short circuit Non functional, 4
28. Govt. Orissa Afternoon Room], 1 dead 80
October16 Cancer [AC] fire tenders
operation
Centre
theatre
Continued.
International Journal of Community Medicine and Public Health | October 2020 | Vol 7 | Issue 10 Page 3901
Patharla SSR et al. Int J Community Med Public Health. 2020 Oct;7(10):3896-3906
Functional status
No. of
No. of of existing Time taken
Govt./ patients
Hospital Location of Time of Reported people firefighting till control Damage as
No. Date pvt./ Location shifted to
name hospital incident cause of fire injured systems, achieved reported
trust nearby
/dead Additional fire (hour)
hospitals
tenders used
Surana Functional, 4 fire
2015 Sethia engine
Chembur, [ICU] Short circuit
29. September Hospital Trust Afternoon Nil 3 tankers 48 2 _
Mumbai 5th floor [AC]
19 2 special fire
appliances
2013 PBM Bikaner, Short circuit 3 injured Functional, 2 fire 107
30. Govt. Morning ICU few minutes _
January 13 Rajasthan [AC] tenders children
3rd floor
Medi Point Aundh, Pune, Functional, 3 fire Rs.1.5 lakh
2012 May [store room
31. Hospital Pvt. Maharashtra Morning Short circuit Nil tenders, 2 water 36 45 min worth
26 located on
tankers documents
the terrace]
2011 AMRI Functional, 28 fire
Kolkata, West Flammable
32. December 9 Hospital Pvt. Night Basement 90 dead tenders and 3 sky 70 5 _
Bengal materials
lifts
Park Super
2010 Hyderabad,Te Ground
33. Specialty Pvt. Morning Short circuit 43 injured Non functional 42 2 _
February 2 langana floor
Hospital
International Journal of Community Medicine and Public Health | October 2020 | Vol 7 | Issue 10 Page 3902
Patharla SSR et al. Int J Community Med Public Health. 2020 Oct;7(10):3896-3906
Power cut in response to the fire turned the floors above having functional firefighting systems. It could be inferred
into smoke chambers. This effect was magnified due to the that staff were unaware of the fire policy and were poorly
glass facade of the centrally air conditioned hospital with trained. In a study conducted in Maharashtra, 83.3%
unopenable windows causing poor ventilation of smoke. respondents reported a lack of awareness of fire service
This was attributed to the main reason behind increased preparedness policy of their hospital and it was concluded
number of casualties.5 that the availability of firefighting equipment did not
correspond to staff knowledge of its use.39 Fires frequently
Multiple fire incidents had occurred in SCB Medical started as an electrical short circuit which was accentuated
College and Hospital, Cuttack. The first one being in 2016 by the presence of flammable materials stored in areas such
and others during a period of three consecutive months in as labs, operation theatres and intensive care areas (n=15).
2019. Other hospitals similar to SCB Medical College such Electric short circuit as the most common source of fire is
as Calcutta Medical College, Kolkata and Sardar Vallabhai graphically represented as a cause and effect diagram
Patel Postgraduate Institute of Pediatrics (Sishubhavan), (Ishikawa diagram) in Figure 2. The presence of oxygen
Cuttack suffered huge losses due to fire incidents that rich environment especially in ICU’s and operating rooms
destroyed equipment, infrastructure and medicines worth reduces the amount of ignition energy required to initiate
millions of rupees. All these institutions were reported as fires. Split air conditioners in ICU’s should not be placed
above the patients bed where the oxygen concentration is
International Journal of Community Medicine and Public Health | October 2020 | Vol 7 | Issue 10 Page 3903
Patharla SSR et al. Int J Community Med Public Health. 2020 Oct;7(10):3896-3906
expected to be high (above 23.5%).40 In a significant control systems. Hospitals, especially in the government
number of the incidents (n=19) fire could not be controlled sector, should strictly adhere to their planned capacity both
by existing firefighting systems which were reported to be in terms of physical space as well as energy needs. It is the
functional. Further, in 21 incidents additional firefighting responsibility of every healthcare establishment to ensure
equipment was pressed into service. This indicates that that fire safety standards and regulations are followed to
these hospitals did not conduct fire safety audits. Though prevent fire accidents and the consequent human suffering.
there were fire incidents where no casualities were
reported, expensive equipment and a number of important Funding: No funding sources
documents were destroyed. Conflict of interest: None declared
Ethical approval: Not required
It took more than 2 hours to achieve fire control in 9
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