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.

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.

We systematically review the impact of polyurethane insulation and polyurethane household products on the indoor environmental quality of buildings. The review breaks down polyurethane products into constituent compounds (isocyanate, polyol, flame retardant, blowing agent and catalyst) as well as secondary emissions, and discusses their implications on human health. Concentrations of compounds emitted from insulation, and household materials, measured in laboratory experiments and case studies are presented in the context of the built environment.