This paper aims to review the state of the art technologies for the energy efficiency within the hospitals sector. Hospitals are liable for an unstable amount of energy demand and joint emissions, because of their 24/7 nature of operation and hence resulting larger energy consumption than a typical commercial building. Additionally, they need high quality and warranted supplies of electricity. Due to increased energy demand and therefore the depletion of existing fossil fuel based sources, it is required to use the energy more efficient.

Accounting for over 70% of global CO2 emissions, cities are major contributors to climate change. Acknowledging this, urban climate change adaptation and mitigation plans are increasingly developed to make progress toward enhancing climate resilience. While there is consensus that focusing on both adaptation and mitigation is necessary for addressing climate change impacts, better understanding of their interactions is needed to efficiently maximize their potentials. This paper, first, provides a bibliographic analysis to map existing knowledge regarding adaptation-mitigation interactions.

Ecosystem-based adaptation (Eba) uses biodiversity and ecosystem services as part of a larger adaptation strategy to climate change. While the conservation and sustainable development community considers EbA to be a strong method of addressing climate change and its associated challenges, there is still a tendency for policy makers to implement traditional engineering solutions for adaptation, rather than investing in EbA.