The A/C System Cleaning and restoration industry has become a very lucrative bait and switch industry that many Carpet cleaning companies, Maid services, as well as plumbing or handyman service companies are adding on to there services. These add-ons are not fully certified, trained or even have any experience in the HVAC industry. These companies are the reason prices and quality of work are all over the place. If you are looking to make a smart decision for your home a professional Duct Cleaning service will protect you for 5-7 years. This info comes from NADCA (National Air Duct Cleaning Association) which is the closest thing to a license we have for duct cleaning. They have a great site that explains this process and pricing much more in depth and factual than what has been written here. This organization is working very hard to get these bad companies exposed and out of this industry. So in saying that do your research! Green Duct Decontamination is a certified company with certified technicians that take this work very seriously. We can not have these low rated unprofessional companies paste a bad name for an entire industry. Stay away from anything under 250$ for a full duct clean this is not feasible, go look at NADCA.com and you will understand why and what these companies are doing to rob you of your dollar.
On average, we (Indians in Ontario) receive 3-5 calls per day for duct cleaning services from India. I did get ducts cleaned twice in 25 years. For a newly built house, it should be done as material goes into the ducts. Every year, before turning the heat on, I clean the ducts, using the vacuum pipe or with wet towel. Most of the dust, pet hair, small items get to the ducts from the top floors, not where system is installed. Even in winter months, I open 2-3 windows for air circulation for 15 minutes, specially right after cooking, almost daily. We breath in the same stale air, develop health issues. Also, I have an added air cleaning and fileration system installed. At a low rate, this system constantly cleans the inside air and also that it pulls from the outside. Duct cleaning is a scam, there are other efficient and cost effective methods we can use to purify the inside air.
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.
When these aren't properly maintained and sanitized, they can build up dust, pollen, and even mold. This means when the air conditioner or heater turns on, the spores are released into the air for you to inhale. While some are less harmful, people who have allergies or sensitivity to certain spores will react negatively. Plus, mold is dangerous for anyone to ingest and should be avoided by regular maintenance.
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.
I have worked cleaning HVAC in my area for almost 5 years. I always do a thorough inspection and cleaning, providing before and after photos. I have completed some jobs where I felt that it was not entirely necessary, but ultimately what the customer wanted. With that being said, I have endless photos of unspeakable horrors. Hotels are usually nasty, post construction mess is certain, pets and kids create lots off debris, bugs congregate and die, then spiders set up and die, I have even had one supply that was nearly plugged with sand!

The bottom line is: no one knows. There are examples of ducts that have become badly contaminated with a variety of materials that may pose risks to your health. The duct system can serve as a means to distribute these contaminants throughout a home. In these cases, duct cleaning may make sense. However, a light amount of household dust in your air ducts is normal. Duct cleaning is not considered to be a necessary part of yearly maintenance of your heating and cooling system, which consists of regular cleaning of drain pans and heating and cooling coils, regular filter changes and yearly inspections of heating equipment. Research continues in an effort to evaluate the potential benefits of air duct cleaning.
As a homeowner and an owner of rental property I can tell you that the air ducts sometimes need to be cleaned. If you have had pets or anyone smoking in your home (even a visitor) for any length of time, having the ducts cleaned is really good idea. I had a tenant who did not smoke, but got married to a smoker more than year after moving in. When I realized someone was smoking I had them move out, but the smell was awful. I had the ducts cleaned and sanitized (it was a bit extra). The ducts were shiny like new afterwards. I left the windows open for a few days and we cleaned the place super clean and then replaced the carpets. The duct cleaning was worth every penny because the house looked, smelled, and felt new afterward. I plan to have my own house ducts cleaned again this year as we have two cats. We had them cleaned about 12 years ago and they found building materials in the ducts! If you move into a house that has never had them cleaned, it is good to do it. If you have allergies, clean the ducts to see if it helps. You never know what is in your ducts if you have never had them cleaned.
Air duct cleaning service providers may tell you that they need to apply a chemical biocide to the inside of your ducts to kill bacteria (germs) and fungi (mold), and prevent future biological growth. Some duct cleaning service providers may propose to introduce ozone to kill biological contaminants. Ozone is a highly reactive gas that is regulated in the outside air as a lung irritant. However, there remains considerable controversy over the necessity and wisdom of introducing chemical biocides or ozone into the duct work.
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.
All these pro duct cleaners answer with "it's common sense, everything operates better when cleaner" etc. But your explanation is correct. Especially so with flex tube ducting where dust gets "stuck" between the lowest valleys (between wire coil supports) where air flow is drastically reduced -- which is more than 50 pct of the entire interior surface area of the flex ducting. That sounds like a bad thing but also has a good effect of trapping dust from escaping.
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. 
Air duct cleaning service providers may tell you that they need to apply a chemical biocide to the inside of your ducts to kill bacteria (germs) and fungi (mold), and prevent future biological growth. Some duct cleaning service providers may propose to introduce ozone to kill biological contaminants. Ozone is a highly reactive gas that is regulated in the outside air as a lung irritant. However, there remains considerable controversy over the necessity and wisdom of introducing chemical biocides or ozone into the duct work.
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.

You may consider having your air ducts cleaned simply because it seems logical that air ducts will get dirty over time and should be occasionally cleaned. Provided that the cleaning is done properly, no evidence suggests that such cleaning would be detrimental. EPA does not recommend that the air ducts be cleaned routinely, but only as needed. 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.
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