Despite the humid climate and lack of financial incentives, the American South is a hotbed of zero energy school construction.
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"When designers of the first net zero energy school in the U.S. considered how they would approach the lighting design differently using today’s LED technology, the results extended far beyond just switching out the lightbulbs. The hypothetical redesign of Richardsville (Ky.) Elementary classrooms involves rethinking the daylighting design based on the evolution of LED lighting and the cheaper cost of photovoltaics (PV)."
This Journal of Healthcare Engineering article describes the Advanced Energy Design Guide for Small Hospitals and Healthcare Facilities.