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.).

Cities are crucial sites for achieving socio-technical transitions in technology and infrastructure systems. Raising building energy efficiency (BEE) through new construction or retrofitting holds particular relevance to sustainability transitions since this requires diffusion of new technologies and energy management practices. In pursuit of this, city policymakers around the world are increasingly utilising mixes of multiple policy instruments.