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.

This paper provides a review of research that addresses the relationship between indoor temperatures and health outcomes, taking into consideration studies that focus heat or cold exposure within the household context. It aims to extend previous research by considering both indoor temperatures from existing housing, and empirical studies that focus on energy efficiency measures and subsequent health impacts. To achieve this aim, a literature review was undertaken, combining engineering and health databases.

Around the world, engineers, architects and policymakers have been exploring ways to deliver highly efficient buildings whose reduced energy demand is satisfied by clean, renewable energy. Building off of the broader concept of a green or sustainable building, the concept of the “net zero building” focuses on the energy dynamics and performance of the building. And as policymakers and leaders align toward the net zero concept, the focus on achieving deep energy efficiency has centered on integrated technologies as well as ways to connect buildings to the natural environment.