There are indications that energy-retrofitted buildings can create risks for indoor environmental quality (IEQ) and therefore for health and comfort of occupants. A review was conducted to identify and verify those risks, within three themes: building envelope, heating, ventilating and air conditioning (HVAC)-systems, and occupants. Publications from the last five years in major peer-reviewed journals from different fields (energy, buildings, indoor air, social sciences) were found by using a variety of keywords (health effects, occupant behaviours, energy-efficient retrofitting, etc.).

Naturally ventilated buildings have been worldwide increasingly welcomed, given the current global awareness toward environmental sustainability, indoor health-quality and renewable energy. As Natural Ventilation (NV) performance relies on building design and interaction with the local environment, its potential benefits are not always easy to take advantage of, and thus sets up a vital field of study. This paper provides an overview of investigations on the subject by collecting researches focused on thermal comfort, energy efficiency and indoor air quality.

Many recent major studies, including the IPCC’s Fourth Assessment Report, have attested that energy efficiency is humanity’s prime option to combat climate change in the short- to mid-term. The potential to avoid CO2 emissions cost-effectively has been reported to be significant through efficiency policies. However, the review of global research findings on the quantification of cost-effectiveness of opportunities through improved efficiency has highlighted that there is a major shortcoming in the vast majority of such calculations.