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.).

Many recent major studies, including the IPCC’s Fourth Assessment Report, have attested that energy efficiency is humanity’s prime option to combat climate change in the short- to mid-term. The potential to avoid CO2 emissions cost-effectively has been reported to be significant through efficiency policies. However, the review of global research findings on the quantification of cost-effectiveness of opportunities through improved efficiency has highlighted that there is a major shortcoming in the vast majority of such calculations.

Background: The transformation of the global energy sector from fossil-based fuels to low/non-carbon fuels will reduce environmental pollutant load, which in turn will benefit human health. However, with upscaling of emerging renewable technologies and energy sources, it is important to identify the potential for unintended health impacts, and to understand where the knowledge gaps lie with respect to health. We aimed to identify these gaps by conducting a scoping review. Methods: We conducted a systematic search of Medline, Web of Science, PubMed and EMBASE.