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Making Homes Healthy: International Code Council Processes and Patterns.

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Public health officials can improve healthy housing by understanding International Code Council (ICC) code change processes. Submitting proposals through federal agencies and encouraging positive public comment increases adoption success.

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Area of Science:

  • Public Health
  • Building Codes
  • Health Policy

Background:

  • Over 90% of Americans spend time indoors, making home environments critical for health.
  • Poor indoor environments, including air quality and safety hazards, contribute to preventable illnesses.
  • Previous efforts to promote healthy housing through building code changes have yielded mixed results.

Purpose of the Study:

  • To analyze the International Code Council's (ICC) building code change process.
  • To identify patterns in content and context that influence the successful adoption of model codes.
  • To discover facilitators and barriers for code amendment proposals.

Main Methods:

  • A mixed-methods study was conducted.
  • Analysis of 2,660 International Code Council (ICC) records of past code change proposals.
  • Examined proposal outcomes: accepted as submitted, accepted as modified, accepted by public comment, or denied.

Main Results:

  • The number of proponents was inversely correlated with proposal success.
  • Organizations submitting over 15 proposals had higher success rates.
  • Proposals from federal agencies and those with positive public comments showed increased adoption likelihood, while negative comments decreased it.

Conclusions:

  • Public health officials seeking to improve healthy housing should submit code changes via internal ICC committees or federal agencies.
  • Limiting cosponsors, becoming active proposal submitters, and encouraging positive public comments can enhance adoption success.
  • Strategic engagement with the ICC code change process is key to advancing healthy housing initiatives.