Abstract
A major change in the way that model building codes and related model codes are developed in the USA, within the so-called International Code Council, has not been marked by a major improvement in code requirements that deal with problems of poor fit between design and user needs plus capabilities. Advocacy by the author, on both procedures and technical issues, has had mixed success especially in relation to stair and railing design and construction in homes. One response to this is a new public policy of the American Public Health Association which should help improve the potential for impact of public health professionals and ergonomists in the development of legally-enforced requirements for safety and usability of buildings.
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