This article was very good. It should be noted that the EPA building in Washington, DC, was cited years ago as one of the worst "sick building syndrome" buildings. Wish you had mentioned about having people's dryer vents cleaned since they can cause so many fires in homes. Most homeowners forget to check the air flow on the dryer vent. Our company, which cleans by NADCA standards, does both air ducts and dryer vents. Thanks again for keeping the public informed, especially regarding the cost of air duct cleaning...you get what you pay for...don't be fooled by the lowest cost out there. Frequently these are bait and switch companies or will keep adding on features they say a customer needs until the price is so high it's ridiculous.
I am NADCA Certified Air Systems Cleaning Specialist. Over the year 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.
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.