Today, buildings still account for almost half of the global energy consumption and carbon emission. This highlights the necessity to increase energy efficiency requirements worldwide in a common effort to reduce the construction sector's impacts on the environment. The current energy policies are driving toward a design that relies on airtight and highly insulated envelopes. As a consequence, energy efficient houses are found to have insufficient indoor air change rates, impacting on the indoor air quality and resulting in higher latent loads.

There are indications that energy-retrofitted buildings can create risks for indoor environmental quality (IEQ) and therefore for health and comfort of occupants. A review was conducted to identify and verify those risks, within three themes: building envelope, heating, ventilating and air conditioning (HVAC)-systems, and occupants. Publications from the last five years in major peer-reviewed journals from different fields (energy, buildings, indoor air, social sciences) were found by using a variety of keywords (health effects, occupant behaviours, energy-efficient retrofitting, etc.).

To address challenges associated with climate resilience, health and well-being in urban areas, current policy platforms are shifting their focus from ecosystem-based to nature-based solutions (NBS), broadly defined as solutions to societal challenges that are inspired and supported by nature. NBS result in the provision of co-benefits, such as the improvement of place attractiveness, of health and quality of life, and creation of green jobs.