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. 
A Full Installation is the most common type of HVAC installation for a reputable contractor. The ductwork adds two days of labor and about $2,000 to $3,000 to the price, but realize that this is a very important part of your HVAC system. Although it might sound like a good idea to reduce HVAC installation cost and get a quick change-out, realize that there is dirt and debris collecting in your ducts, and the ducts themselves develop holes and full breaks over the lifetime of your unit, all of which may be hidden from sight by insulation. Remember, many contractors will push a quick change-out on you because it is easy and good money for them – you need to be involved and ask questions.

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.
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.
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