The document discusses the history of fire prevention efforts in the United States from ancient Rome to present day. It outlines key organizations that have helped shape fire prevention efforts over time, such as the National Board of Fire Underwriters in the 1800s and Factory Mutuals in the late 1800s. While prevention efforts increased over the centuries, the US still struggles with one of the worst fire records in the Western world due to lack of consistent enforcement and underfunding of strategies.