The cooling coils the air comes into contact with appear to need UV-C lights on them in humid climates. That's the biggest thing. If the ducts have never been cleaned, then getting that done goes without saying. But those coils need to be cleaned, disinfected, and then UV-C light(s) installed to prevent mold & bacteria build-up in the future on them. That appears to be chiefly responsible for the dirty laundry and/or sour milk smell coming from forced-air AC systems in humid regions.
If your non metal ductwork is that dirty you should just have it replaced AND sealed. Also most duct systems are not very well designed. Look for proper sizing and do not go cheap with one or two intakes (return grills) You need them through-out the house. Here in Austin the duct cleaners are carpet cleaners and chimney swifts. (this is who the duct cleaning equipment mfgs call on when the hvac people do not get on board. They DO clean other types of ductwork and we (the hvac guys) have to fix them. I am not aware of any of these non hvac guys cleaning and servicing the actual equipment. Here in Texas it is against the law for them to do so. Treat the entire house as a system, not just the ductwork and /or hvac equipment. Home performance really does work to increase comfort and air quality while reducing operating costs.
Your HVAC unit and air ducts deliver heated or cooled air throughout your home year-in and year-out. The air your HVAC unit produces travels through your ductwork and heats or cools your home via the air vents in each room. The dust and other particles in your home’s air are known as particulate matter, which the EPA defines as "a complex mixture of extremely small particles and liquid droplets." The EPA also notes that "particle pollution is made up of a number of components, including acids (such as nitrates and sulfates), organic chemicals, metals, and soil or dust particles." Having clean air ducts means fewer of these particles moving through your home. If you remove your furnace filter and hold it up to the light, you can probably see several hundred of these minuscule particles floating in the air. 
I purchased one of those Amazon air duct cleaning coupons for 49.99. When the company showed up, they removed the vent closest to the air intake and immediately told me I needed $1800.00 for all new duct work. They said they could not clean the system until new duct work was installed. I thanked them and said I would give them a call. The only call I made was to Amazon to get a refund. I know I didn’t need new duct work. Be careful to not fall for unscrupulous salesmen and their pitches and scare tactics.
I am NADCA Certified Air Systems Cleaning Specialist. Over the years I have learned on simple answer to this questions: there air duct cleaners and there are pretenders. There will be no benefit at all if you use on the very cheap pretender because they will not really clean anything. On the other hand if you call a qualified air duct cleaner with a NADCA Certification you will, like 99% of my customers, report improvement with your respiratory problems, you will see less dust and the job will pay for itself with energy savings and repair prevention.
If there is stuff in the ducts, the fact that it’s laying there and not being blown into the rooms is proof positive that it is hurting no-one. The 5-6 exceptions you cite in this article I’ll buy, but only with the caveat that at least some of those could have been avoided by proper protection (during remodeling for example) – and if asbestos/lead/whatever winds up in your ducts- the remodeling contractor should be the one paying to remove it.

Although i love to burn candles, depending on the type your asking for problems big ones! At work one day i had been talking with co workers about these black shadows that were appearing on my ceilings and higher wall areas. They seemed to in the corners and along the stud supports , i could even see what i thought to be where all had been nailed. There would be dark shadows perfectly straight across my ceiling and then real dark circels every few inches within the lines. I thought it was the propane heat but learned quickly that oil heat will do that but not normally propane. A co worker brought me a magazine with a huge article about candles and what actually burns off them when lit, an ashy soot that is attracted to the areas on walls and ceilings that omit the most heat or warmth, of course where the drywall and studs meet and corners of the room. Its been about 8 years since i painted the entire house. I started bending to my love for candles again in the last 3 years, surprise i will be spending part of my summer re painting again!! No more candles ,well maybe at the holidays LOL


To find companies that provide duct cleaning services, check your Yellow Pages under "duct cleaning" or contact the National Air Duct Cleaners Association (NADCA) at the address and phone number in the information section located at the end of this guidance. Do not assume that all duct cleaning service providers are equally knowledgeable and responsible. Talk to at least three different service providers and get written estimates before deciding whether to have your ducts cleaned. When the service providers come to your home, ask them to show you the contamination that would justify having your ducts cleaned.
I guess, I will start with saying that air duct cleaning is almost never needed. It is not a scam, but it is certainly something that uneducated homeowners get suckered into. In regards to air flow, a well balanced HVAC system should be able to deliver more than enough air flow. If you are not getting good air flow, it's because your system may be out of balance. Additionally, regular cleaning/changing of the air filters will solve about 95% of your problem. Though you would be surprised how many people either a. don't have a filter or b. don't know about it and leave it there for 10+years. a washable one should be cleaned every 6 months(spring and fall) and a disposable one should be replaced every 3-4 months.

My best advice has always been that a proper duct cleaning is a valuable investment when moving into a home (new or old), after major renovations and if the ducts have never been cleaned before. It is unlikely that there will be increased air flow, as finding major blockage is unusual, but this will eliminate this as a possible concern if there are air flow concerns. It is also true that the "dust" that is cleared out will most likely never have been distributed through the house unless there has been some work done on the ducts. What is cleared out will be pet hair, toys, clothes, construction material, and biological material (small carcasses and/or feces). Once a proper cleaning is done a follow-up is rarely necessary, but up to the home owners discression.


EPA does not recommend that air ducts be cleaned except on an as-needed basis because of the continuing uncertainty about the benefits of duct cleaning under most circumstances. EPA does, however, recommend that if you have a fuel burning furnace, stove, or fireplace, they be inspected for proper functioning and serviced before each heating season to protect against carbon monoxide poisoning. Some research also suggests that cleaning dirty cooling coils, fans and heat exchangers can improve the efficiency of heating and cooling systems. However, little evidence exists to indicate that simply cleaning the duct system will increase your system's efficiency.
We moved to a house built in 1965 from a 1915 house with a dirt basement. Against what I anticipated, the 1965 house was much dustier. It was like felt on top of everything. I cleaned and cleaned and it did become less dusty over time. We then found out a cat lady with over 2 dozen cats lived in the house in the past. We then had to get our furnace replaced and I was able to look down some of the duct work, the dirt and debris was 3-5 inches deep. Additionally, the basement ducts were entirely plugged with debris including dirt, seeds, ants, toys, etc. I had already removed what I could from those. We had our ducts cleaned last year, and the dust in the house is greatly reduced. Also have lost the runny nose I got after moving here. There are duct cleaning con artists out there, but ours did a good job.
Maybe I took him to literally but I am pretty sure cops wont show up to ensure that my duct gets replaced. He said it would be over 1000 dollars to replace the ductwork if that is the case. Now, I spoke to a friend who did 2 ductwork lines on his own in his attic and he said it was like 15 dollars for the plastic wirewound tubing to create new ducts. Should I cancel that appointment and just do the work on my own? I feel like I’m a chump or lazy for considering paying someone to do this work.
EPA does not recommend that air ducts be cleaned except on an as-needed basis because of the continuing uncertainty about the benefits of duct cleaning under most circumstances. EPA does, however, recommend that if you have a fuel burning furnace, stove, or fireplace, they be inspected for proper functioning and serviced before each heating season to protect against carbon monoxide poisoning. Some research also suggests that cleaning dirty cooling coils, fans and heat exchangers can improve the efficiency of heating and cooling systems. However, little evidence exists to indicate that simply cleaning the duct system will increase your system's efficiency.
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