This paper reviews empirical data from evaluations of the influence of residential energy efficiency retrofits on indoor environmental quality conditions and self-reported thermal comfort and health. Data were extracted from 36 studies described in 44 papers plus two reports. Nearly all reviewed studies were performed in Europe or United States. Most studies evaluated retrofits of homes with low-income occupants. Indoor radon and formaldehyde concentrations tended to increase after retrofits that did not add whole-house mechanical ventilation.

Over half of the population of the world live in
urban areas. This means that efforts to meet human
development goals and sustain economic growth
must be concentrated in cities. However, the pursuit
of more prosperous, inclusive and sustainable urban
development is complicated by climate change, which
multiplies existing environmental risks, undermines the
effectiveness of existing infrastructure, and creates new
resource constraints.
In this paper, we conclusively demonstrate that there

This study presents three cost-optimal calculations. The overall aim is to provide a deeper analysis and to provide additional guidance on how to properly implement the cost-optimality methodology in Member States. Without proper guidance and lessons from exemplary case studies using realistic input data (reflecting the likely future development), there is a risk that the cost-optimal methodology may be implemented at suboptimal levels.