Professional cleaning involves getting the dust and debris outside, so they use outdoor ventilation equipment. It is so important that homeowners make sure the professional contractor is using good equipment then, as they could otherwise spread the spores into the home and further agitate sensitive family members. In the case of mold, a cleaner will only be able to tell you it is there, followed by needing an additional mold professional to come out and test or remove the mold. Air duct cleaning industries do not require state licensing, so make sure to check for a company with references.

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,
Had our ducts cleaned late April, 2016. Sodium Chlorite was sprayed into ducts after cleaning. Ever since, we have been bothered with eye and nasal passage irritation because of a “chemical” and “musty” odor. This odor is present whether or not a/c is on.) We are told the sodium chlorite (“EnviroCon, manufactured by Bio-Cide International) is used in hospital and nursing home settings and is not hazardous to health. The air duct company’s suggestion is that they come out and spray even more sodium chlorite…we absolutely don’t want this done! Have had various other recommendations about what we need to have done to remedy our problem. We will be unable to stay in our home if a resolution cannot be found. We’d be willing to replace the ductwork if necessary. (One professional suggested that the cleaning may have “knocked something loose” inside the ductwork and that is the source of the irritant.) This home was built in 1920…no idea when the present ductwork was installed. Any suggestions would be appreciated.
All of you have dentists, you have doctors, you have preachers, you have mechanics. You don’t have to know everything about everything but you have to have people in your life that you can trust. Don’t just open up the phone book and pick a mechanical (HVAC) contractor. Call your friends and family and ask for referrals. There are no black and white (scam or not a scam) answers here.

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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