Advocating for improvements to building codes for the population's health

Construction codes are a major component of building codes. They provide normative standards by which buildings are designed, built, altered, inspected, and assessed. Persistently high, fall-related injury rates on stairs and in bathrooms indicate that public health advocacy is needed to enhance the passive protection of these codes. Targets and strategies for code improvement advocacy by public health professionals, organizations, and associations are discussed. Approaches pertinent to describing the problem, proposing solutions, and framing the message are considered. Attention is given to issues that may be particularly challenging for advocates. These include the need to address minimum standards, tackling gaps in injury-related surveillance data that may be used by the building industry to rebut proposed code changes, describing how construction code changes align with other progressive legal tools that shape our built environments, and considering which sector pays and which sector benefits from code improvements. Ergonomic and epidemiologic evidence indicates that construction code improvements can reduce falls and fall-related injuries. Public health advocates have an important role to play in strengthening these codes.