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Fire can be especially dangerous when it occurs in hospitals because many patients in any typical hospital are not physically fit enough to quickly respond to emergency measures, especially evacuation calls. The present paper reports an in-depth assessment of the factors which have led to major fire accidents in Indian hospitals. The study reveals that several building safety codes, acts and guidelines are available, not only to prevent accidental fires but also to minimize harm when such fires do take place. However, observance of the stipulations is very lax, and seems to be exercised more in breach than in compliance. The study reveals that hospitals have zones like the intensive care units which are not only more prone to accidents than other zones but can also cause greater loss of lives due to the presence of critically ill patients, or persons who are extremely vulnerable (for instance newborn babies). Special codes and practices need to be framed for such zones. The study has also identified and catalogued a series of measures which must be implemented in future to prevent accidental fires in hospitals. The study is with reference to accidents that have occurred in India from 2010 to the present but is representative of the situation prevailing in most developing countries. [ABSTRACT FROM AUTHOR]