The existing residential building stock accounts for a substantial portion of worldwide energy consumption and greenhouse emissions. Improvements to the thermal performance of existing buildings is a vital activity to mitigate climate change, and often has additional benefits in the form of improved comfort, health and well-being for occupants. Despite the extensive body of literature in this area, it remains a difficult task to assess the performance of retrofit packages in occupied residential buildings.

Background: The transformation of the global energy sector from fossil-based fuels to low/non-carbon fuels will reduce environmental pollutant load, which in turn will benefit human health. However, with upscaling of emerging renewable technologies and energy sources, it is important to identify the potential for unintended health impacts, and to understand where the knowledge gaps lie with respect to health. We aimed to identify these gaps by conducting a scoping review. Methods: We conducted a systematic search of Medline, Web of Science, PubMed and EMBASE.

People spend most of their time inside buildings, and buildings are responsible for approximately one third of total direct and indirect energy-related worldwide carbon emissions. Likewise, buildings in the U.S. account for about 40% of total U.S. energy consumption. Future building development will be driven not only by emerging challenges such as vulnerability to a changing climate and resource scarcity, but also by disruptive innovations and societal changes.

The built environment accounts for approximately forty percent of the total energy consumption in developed countries. Because buildings have a long life, the greatest opportunity for energy reduction in the built environment will come from energy conservation in the existing building stock. An overview of the policy challenges presented by the built environment, with an emphasis on existing facilities, is accompanied by a discussion of specific technologies that may have the potential to reduce energy use.