Background
The built and natural environment and health are inextricably linked. However, there is considerable debate surrounding the strength and quality of the evidence base underpinning principles of good practice for built and natural environment design in promoting health. This umbrella review aimed to assess relationships between the built and natural environment and health, concentrating on five topic areas: neighbourhood design, housing, food environment, natural and sustainable environment, and transport.

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.

The untapped / hidden benefits of environmental policies are huge, this piece of research showcases and places a monetary value on the added benefits to our health, society and the economy that environmental investments and policy linked to energy efficiency can bring. Findings show that green policies can improve both our health and the economy and can go hand-in-hand. This study provides guidance to policy and decision-makers in developing a methodology for the inclusion of multiple benefits in a cost/benefit assessment of energy efficiency policy.