Ok, given that, how do suburban areas today, which have enormous population growth, deal with such issues? Those areas never had fire call boxes.
And what about the many cities that have removed their callboxes?
I can't help but wonder that the huge decline in price of electronic equipment has enabled the basic landline phonecos to have far more spare capacity than it once did. Years ago it was simply too expensive to waste trunks and switchgear, no longer. (Same reason a $500 PC today is many times more powerful than a $2,000 PC of 25 years ago). Thus, I think the occurences of no dial tone or lack of trunks would be extremely rare today.
Having a 911 center overwhelmed with incoming calls is another story.