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.

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.).

The white paper puts forward recommendations for the coordinated enhancement of policies, codes, and regulations. It lay out a framework for guidance for the Ministry of Housing and Urban Affairs (MoHUA), the Ministry of Health and Family Welfare (MoHFW), and the Review Committees of the Bureau of Indian Standards (BIS) for the National Building Code (NBC), to harmonise their actions for healthy affordable housing in urban areas.