The indoor environment of a mechanically ventilated hospital building controls infection rates as well as influences patients’ healing processes and overall medical outcomes. This review covers the scientific research that has assessed patients’ medical outcomes concerning at least one indoor environmental parameter related to building heating, ventilation, and air conditioning (HVAC) systems, such as indoor air temperature, relative humidity, and indoor air ventilation parameters. Research related to the naturally ventilated hospital buildings was outside the scope of this review article. After 1998, a total of 899 papers were identified that fit the inclusion criteria of this study. Of these, 176 papers have been included in this review to understand the relationship between the health outcomes of a patient and the indoor environment of a mechanically ventilated hospital building. The purpose of this literature review was to summarize how indoor environmental parameters related to mechanical ventilation systems of a hospital building are impacting patients. This review suggests that there is a need for future interdisciplinary collaborative research to quantify the optimum range for HVAC parameters considering airborne exposures and patients’ positive medical outcomes.

Growth in population, mounting demand for building services and comfort levels, along with the rise in time spent inside buildings, assure the upward trend in energy consumption of large scale public buildings in Dhaka city. For this reason, energy efficiency in buildings is a prime objective today for energy policy at regional, national and international levels. This paper devotes to discuss the holistic utility bills analysis method for investigating and analyzing whole building energy consumption of public buildings with special emphasis on private sector institutions in a tropical region like Dhaka city. Correlations between operational records of energy consumption of three institutional buildings and the meteorological data including monthly mean outdoor dry-bulb temperature (To), and relative humidity (RH) of Dhaka city have been derived. The findings of the study reveals that the overall building energy consumption is highly dependent on climate, building design characteristics including internal layout, orientation, fenestration and site configurations, and ownership. The analysis of such kind of model is especially useful for building managers and owners to track energy use during preretrofit and post-retrofit periods and to reduce building operational costs in the tropical region. Keywords: Energy consumption, Institutional buildings, Utility bills, Heat gain, Meteorological data.