Enhancing Fire Safety in Taiwan’s Elderly Welfare Institutions: An Analysis Based on Disaster Management Theory

Elderly welfare institutions in Taiwan have experienced multiple severe fire incidents, with smoke inhalation accounting for the majority of fatalities. Hot smoke can rapidly propagate through interconnected ceiling spaces, complicating evacuation for residents with limited mobility who depend heavily on caregiving staff and external responders. Field inspections conducted in this study indicate that 82% of residents require assisted evacuation, underscoring the critical role of early detection, staff-mediated response, and effective smoke control. Drawing on disaster management theory, this study examines key determinants of fire safety performance in elderly welfare institutions, where caregiving staff are primarily trained in medical care rather than fire safety. A total of 64 licensed institutions in Tainan City were investigated through on-site inspections, structured checklist-based surveys, and statistical analyses of fire protection systems. In addition, a comparative review of building and fire safety regulations in Taiwan, the United States, Japan, and China was conducted to contextualize the findings. Using the defense-in-depth framework, this study proposes a three-layer fire safety strategy comprising (1) prevention of fire occurrence, (2) rapid fire detection and early suppression, and (3) containment of fire and smoke spread. From a sustainability perspective, this study conceptualizes fire safety in elderly welfare institutions as a problem of risk governance, illustrating how defense-in-depth can be operationalized as a governance-oriented framework for managing fire and smoke risks, safeguarding vulnerable older adults, and sustaining the resilience and continuity of long-term care systems in an aging society.