Duct cleaning has never been shown to actually prevent health problems. Neither do studies conclusively demonstrate that particle (e.g., dust) levels in homes increase because of dirty air ducts or go down after cleaning. This is because much of the dirt that may accumulate inside air ducts adheres to duct surfaces and does not necessarily enter the living space. It is important to keep in mind that dirty air ducts are only one of many possible sources of particles that are present in homes. Pollutants that enter the home both from outdoors and indoor activities such as cooking, cleaning, smoking, or just moving around can cause greater exposure to contaminants than dirty air ducts. Moreover, there is no evidence that a light amount of household dust or other particulate matter in air ducts poses any risk to health.
Here in Frisco, TX…just had a tech come out to clean vents. I used a 30 bucks groupon for “complete vent cleaning”. He told me I have 3 AC units and groupon covers only 1. I told him to do the unit upstairs where the kids sleep. He decided on his own to do the downstairs unit. I yelled at him why he is not doing the unit I told him to do! He said they are all connected. I will clean two for you for the price of one… Oh really?
Furnace cleaners are mostly young men, I know this, I have been one for 15 years or so……so heres the truth, if there are any allergies, children, older people with health issues, we are GOING to make money. do not tell the company you have hired about any health complication. they are salesmen. and they don’t care about you. or your money. make sure they do a good job, then kick them out. you don’t need all the bells and whistles they wanna sell you. any idiot can clean duct work, like I said, I am one of them. I am very good at it, but I don’t have the back bone to sell a widowed old lady a humidifier that she doesn’t need for 500 bucks, overall, if you think you need this service done, which you probably don’t, get it done, do not spend anything over 300$ and do not do it again for at least ten years.

I had my ducts somewhat cleaned December 22, 2014. The hose of the machine the technitian used did not fit in some of my vents, therefore, he did not clean them. But I still paid $428.00 for the service. I will be calling the company on Monday, and kindly ask them to come back and clean the ducts they did not as they did not fullfill their part of the service.
Vacuum the ducts as much as possible. Consider renting a heavy duty vacuum for this purpose. The standard household vacuum isn't powerful enough to clean deep into the crevices of the ducts. Make sure that the vacuum you rent has a long hose to reach deep into the ducts. This is important, as there may be mold and mildew growing inside the air ducts [source: Repair Home]. If you want the ducts to be cleaned more thoroughly, consider hiring a professional to do the job.
There are many interesting comments from several informed individuals. The question that has not been answered is how do duct systems get dusty and dirty? As a RESNET Home Energy Rater, I perform pressure tests on homes and duct systems, and the one common thread is . . . most air delivery sytems have large amounts of air leakage. The solution is to seal the duct system, and pay particular attention to the return duct system and ductwork near the air handler (the 'blower'). As others have said, a captive (sealed) duct system with proper filter maintenance should be more then adequate for most occupants. For those who have allergy, asthma, or other breathing problems, a filter with a higher MERV rating (number should be listed on the package) or a HEPA filter are good choices. These filters will capture smaller particulates and should improve the indoor air quality. Again, make certain that the entire duct system is sealed, preferably with mastic, second choice UL-181 foil tape - never use cloth duct (also known as duck) tape.
Duct cleaning has never been shown to actually prevent health problems. Neither do studies conclusively demonstrate that particle (e.g., dust) levels in homes increase because of dirty air ducts. This is because much of the dirt in air ducts adheres to duct surfaces and does not necessarily enter the living space. It is important to keep in mind that dirty air ducts are only one of many possible sources of particles that are present in homes. Pollutants that enter the home both from outdoors and indoor activities such as cooking, cleaning, smoking, or just moving around can cause greater exposure to contaminants than dirty air ducts. Moreover, there is no evidence that a light amount of household dust or other particulate matter in air ducts poses any risk to your health.
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