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.

People spend most of their time inside buildings, and buildings are responsible for approximately one third of total direct and indirect energy-related worldwide carbon emissions. Likewise, buildings in the U.S. account for about 40% of total U.S. energy consumption. Future building development will be driven not only by emerging challenges such as vulnerability to a changing climate and resource scarcity, but also by disruptive innovations and societal changes.

The built environment accounts for approximately forty percent of the total energy consumption in developed countries. Because buildings have a long life, the greatest opportunity for energy reduction in the built environment will come from energy conservation in the existing building stock. An overview of the policy challenges presented by the built environment, with an emphasis on existing facilities, is accompanied by a discussion of specific technologies that may have the potential to reduce energy use.