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.

This study compares and contrasts Australian and global best practices in policy and regulation for the energy and carbon performance of the built environment. It examines the drivers and opportunities for, and barriers to, the adoption of best practices in Australia. Finally, and as a stimulus to debate, it proposes a potential set of optimal measures, at national, state/territory and local levels, along with an indicative pathway for their implementation.