Book excerpt: This report examines fire and alcohol studies performed by medical scientists, fire investigators, and social theorists. The physiological effects of long and short-term alcohol use are described. Alcohol's effect on behavior and its role in unintentional injuries is examined. The demographics of alcohol use and abuse as well as societal factors influencing alcohol use are noted. Caretakers who are under the influence of alcohol are also studied in regards to how their impairment may affect a dependent individual. The demographics of fire and fire fatalities are described. The leading causes of fire fatalities are also discussed, specifically how and to what extent they are affected by alcohol.