Professional cleaning involves getting the dust and debris outside, so they use outdoor ventilation equipment. It is so important that homeowners make sure the professional contractor is using good equipment then, as they could otherwise spread the spores into the home and further agitate sensitive family members. In the case of mold, a cleaner will only be able to tell you it is there, followed by needing an additional mold professional to come out and test or remove the mold. Air duct cleaning industries do not require state licensing, so make sure to check for a company with references.
Equipment used to clean ducts varies widely. The cheaper the equipment used the more you are just wasting money. This is why it's typically not worth doing. In some situations it may be beneficial, but only after determining and investigating the duct system. This should be done by a licensed HVAC contractor and not a duct cleaner that typically do not hold and HVAC license. (Duct cleaners aren't required to be licensed in HVAC in many areas.)
You and your family spend hours sitting on your favorite chairs, couches and sectionals. Over time, dander and body oil become trapped in the upholstery, but with regular cleanings you can keep these delicate fabrics looking, feeling and smelling great. We examine your furniture and select the best process to safely clean and protect any kind of upholstery, including leather. 
I own an HVAC company. Dirt in your ducts stays there and hurts no one. It is like dirt on the ground outside. This industry was infiltrated by a bunch of money grubbing low lifes years ago. As a credible company, we do not clean air ducts. Some who were credible probably signed on not knowing what else to do or to try to make a buck another way. These companies, because they also do HVAC work not only rip off private homeowners, they are ripping off legitimate HVAC company's customers and the integrity of what can and should as a rule be a great service industry. Some probably have gotten into this to simply offer what competitors who were ripping off their customers were offering. Anyone cleaning ducts is in my opinion raising a big red flag that they cannot and should not be trusted. Political pressure from NADCA, advertising dollars, manufacturers and marketers of duct cleaning equipment, and intense competition for the customers is the only reason the government and adverstising companies have not run them out of business and that this cancer perpetuates itself.
I read your article with interest and think it is a good start. One service that is always talked about is fogging ductwork for sanitizing. Many companies offer this service for disinfecting or adding a clean smell to the ductwork. Before any chemical or disinfectant is used, please read the MSDS (Material Safety Data Sheet). You might be surprise on what you are putting into the air stream. This is a high profit service and should be explored thoroughly before purchasing,
I'd have to disagree with all of your statements. Not only are they derived from no experience in the field, you are missing keys facts. Ducts even if air tight will get dirty. If they are not getting dirty, it means they are not working. Your returns side of the duct work is always under negative pressure when the system is operational.Therefore it is always drawing air in. Seeing how dust is made up mostly from dead skin humans shed daily. Around 1.6 Pounds of skin a year per human. Living in your home anything that is air born will be drawn back towards the cold air returns. That is what they are designed for, to draw stale air back to the system to be filtered and sent back through the house.Homes with carpet will actually have cleaner duct work than home with all tile or hardwood. This is because carpets hold onto dust particles and you vacuum them up. Whereas on hardwood or tile, dust can run freely back to the returns. Even if a duct system was sealed 100%, which is next to impossible to achieve 100% would still need to be cleaned. The cleaning may only have to be every 7-10 years for example. Most homes require every 5-7 years. And that's if it was done properly the first time. If you constantly hire people that have no or minimal knowledge of duct cleaning, You home would require cleaning more often. Every 2 years. That's a trade secret, The longer they recommend before the next cleaning, the odds are they did it right. That's not to say there aren't people that lie, because there are. Just have your duct cleaner take pictures before and after cleaning. Not just an outside view. Get in there, picture entire joist liners, Whole main runs and even long round pipes. Also it helps to have a company that guarantees their work. If it's not done right, they will come back and do it until it is. Most companies that do this make sure it is right the first time. Your not getting paid to do the job twice.
Chemical biocides are regulated by EPA under Federal pesticide law. A product must be registered by EPA for a specific use before it can be legally used for that purpose. The specific use(s) must appear on the pesticide (e.g., biocide) label, along with other important information. It is a violation of federal law to use a pesticide product in any manner inconsistent with the label directions.
Moisture can enter the duct system through leaks or if the system has been improperly installed or serviced. Research suggests that condensation (which occurs when a surface temperature is lower than the dew point temperature of the surrounding air) on or near cooling coils of air conditioning units is a major factor in moisture contamination of the system. The presence of condensation or high relative humidity is an important indicator of the potential for mold growth on any type of duct. Controlling moisture can often be difficult, but here are some steps you can take:
You should be aware that although a substance may look like mold, a positive determination of whether it is mold or not can be made only by an expert and may require laboratory analysis for final confirmation. For about $50, some microbiology laboratories can tell you whether a sample sent to them on a clear strip of sticky household tape is mold or simply a substance that resembles it.
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