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.

Heating, ventilation, and air conditioning (HVAC[1]) is the technology of indoor and vehicular environmental comfort. Its goal is to provide thermal comfort and acceptable indoor air quality. HVAC system design is a subdiscipline of mechanical engineering, based on the principles of thermodynamics, fluid mechanics and heat transfer. "Refrigeration" is sometimes added to the field's abbreviation, as HVAC&R or HVACR or "ventilation" is dropped, as in HACR (as in the designation of HACR-rated circuit breakers).
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,
Reinstall the access panel and disconnect block. Turn on the circuit breaker and furnace switch. Then set the thermostat to a lower temperature and wait for the AC to start (see “Be Patient at Startup,” below). The compressor should run and the condenser fan should spin. If the compressor starts but the fan doesn't, the fan motor is most likely shot. Shut off the power and remove the screws around the condenser cover. Lift the cover and remove the fan blade and motor (Photo 7). Reinstall the blade and secure the cover. Then repower the unit and see if the fan starts. If it doesn't, you've given it your best shot—it's time to call a pro.
PickHVAC Tips: Don’t be sold on systems with features you don’t want or need. Called “upselling,” it is rampant in the HVAC industry. Some features are nice – if you want them. If your single-stage furnace was loud and pushed out cold air at the start of the cycle, then a two-stage model will improve those issues. If you didn’t notice them, the upgrade will be a waste of money. That’s just one common example.

Furnace Circuit Board -- The furnace circuit board controls a variety of functions. It not only handles the regular operation of the furnace, it also monitors the furnace's various safety circuits. Over time, vibrations from the furnace can weaken solder point and cause them to separate. Dirt and debris can cause short-circuits that damage the board. Failure of the circuit board can cause a variety of effects ranging from the fan not turning on to the complete shutdown of the furnace.

I just bought a home, and the sellers clearly never had the air ducts cleaned. This is, unfortunately, typical of their neglect of the home, so I am not surprised. I was cleaning around the wooden floor registers, and I took the registers off. I found nests of some sort...all kinds of really gross stuff!! I am calling now to schedule duct cleaning for my new home. Anyway, it is very easy to check to see if you really need duct cleaning. Remove the floor registers and use a flashlight if necessary to see if there is dust or debris in the ducting. If these look bad, I'd definitely have the system cleaned. I would also do it after a construction project, after installing a new furnace, etc. I have found that once I had my previous system cleaned, it seemed to remain spotless for 3 years. So it seems that if you just change your filters on time (I have an iPhone alert set for every 3 months), the system will stay clean for years. Hope this helps!
Many homes have a forced-air HVAC system. Both the heating and the central air conditioning units share a ductwork system where they either push in or pull out warm or cooled air. There are also heating and cooling systems that don’t require ductwork — such as ductless mini-splits — but work on the same principles of heat exchange. The national average to hire an HVAC specialist is $2,920-$3,670, with costs varying depending on the work you need done and the equipment you are installing.

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!

It’s 11 years plus in the industry I have only had to sanitize two systems both were slab systems that were in concrete and could be cleaned with a different method than normal duct cleaning. We were able to use water to rinse out the disinfectant. Would you use a chemical on anything else you use to eat or drink with and not rinse it off? The ducts in your home should be thought of as your homes heart and lungs and breathe the same air that you do. And just like us we wouldn’t use bad chemicals in our lungs and heart.
The use of furnaces, space heaters, and boilers as a method of indoor heating could result in incomplete combustion and the emission of carbon monoxide, nitrogen oxides, formaldehyde, volatile organic compounds, and other combustion byproducts. Incomplete combustion occurs when there is insufficient oxygen; the inputs are fuels containing various contaminants and the outputs are harmful byproducts, most dangerously carbon monoxide, which is a tasteless and odorless gas with serious adverse health effects.[14]
The key to the continued and efficient operation of your heating and cooling system is periodic maintenance. Cleaning the air duct vent system, and servicing you heating and cooling equipment will keep the system operating at its peak performance. Air ducts are cleaned for two reasons. One: to prevent debris from entering furnace and air conditioning components. Two: to prevent debris from cycling through the home. The air duct cleaning contractor needs to employ cleaning methods which successfully removes debris, and ensures that debris does not enter the occupied space. Most contractors can verify the results of the cleaning through video or pictures.
Monday the following week, no phone calls, or follow up.  I call to get an update and am told that they cannot install my system because they don't have time.  I ask what does that mean, one year? One week? Until the end of summer they say.  What does that mean I ask?  They say at the end of September.  I say thank you for wasting 1 month of my time.
"OTHER THAN A SMALL SCHEDULING HICK-UP THEIR SERVICE WAS EXCELLENT. JOSH THE TECHNICIAN THAT PREFORMED THE DIAGNOSTICS AND REPAIR WAS EXTREMLEY PROFESIONAL AND FRIENDLY â ¦ HE WAS ABLE TO FIND THE PROBLEM WHICH WAS VERY DIFFICULT TO FIND AND FIX THE PROBLEM. I WISH THAT ALL HOME SERVICE PEOPLE WERE AS GOOD AS HE WAS. I WOULD HIRE AGAIN...JOB WELL DONE !!!"
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