In an era of U.S. energy abundance, the persistently high energy bills paid by low-income households is troubling. After decades of weatherization and bill-payment programs, low-income households still spend a higher percent of their income on electricity and gas bills than any other income group. Their energy burden is not declining, and it remains persistently high in particular geographies such as the South, rural America, and minority communities.

While household mould growth has been increasingly highlighted in response to its adverse health outcomes and building management burden, studies are reviewed respectively from perspective of epidemiological survey, or building technology. This paper thus presents a literature review to address the building environment and mould exposure in homes, including the mould growth and exposure characteristics, interaction with building features, design requirements from current standards.