Uhmm...I see a problem for countries where you have wall to wall connected urban environments...If all 60 connected houses on a street, install external heat pumps, it will add up.
Turns out cities are loud! In NYC, at least, heat pumps are far more quiet than the endless window unit A/C's, or larger traditional A/C's, in my experience.
Outdoor noise is less of an issue in the winter in big cities because windows are closed.