Energy efficiency (i.e., the ratio of output of performance to input of energy) in office buildings can reduce energy costs and CO2 emissions, but there are barriers to widespread adoption of energy efficient solutions in offices because they are often perceived as a potential threat to perceived comfort, well-being, and performance of office users. However, the links between offices' energy efficiency and users' performance and well-being through their moderators are neither necessary nor empirically confirmed.

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.

A guide with these contents

• Sustainable and accessible ways to keep cool
• Key messages
• How does heat affect the body?
• Doesn’t air conditioning solve the problem?
• How can electric fans help?
• When shouldn’t electric fans be used?
• What if it’s too hot to use a fan or there is no power?
• How can buildings help keep people cool without the need for air conditioning?
• What should governments, employers, services and communities do to promote
• ‘fan-first’ cooling?
• Sources