Over half of the population of the world live in
urban areas. This means that efforts to meet human
development goals and sustain economic growth
must be concentrated in cities. However, the pursuit
of more prosperous, inclusive and sustainable urban
development is complicated by climate change, which
multiplies existing environmental risks, undermines the
effectiveness of existing infrastructure, and creates new
resource constraints.
In this paper, we conclusively demonstrate that there

This paper provides a review of research that addresses the relationship between indoor temperatures and health outcomes, taking into consideration studies that focus heat or cold exposure within the household context. It aims to extend previous research by considering both indoor temperatures from existing housing, and empirical studies that focus on energy efficiency measures and subsequent health impacts. To achieve this aim, a literature review was undertaken, combining engineering and health databases.

This study presents three cost-optimal calculations. The overall aim is to provide a deeper analysis and to provide additional guidance on how to properly implement the cost-optimality methodology in Member States. Without proper guidance and lessons from exemplary case studies using realistic input data (reflecting the likely future development), there is a risk that the cost-optimal methodology may be implemented at suboptimal levels.