I have been a plumbing/gas/hvac tech for 19 years, before that I installed ductwork in commercial buildings and office towers. As the article states, unless you have undergone some type of extensive reno, or ducts have become contaminated, paying for cleaning is pointless. Its one thing if you have a 30 year old home that has never had a duct cleaning and you can actually see mounds of dust built up , especially in the return side, then go for it. Keep in mind that most duct cleaning companies will only get 80% of the dust , or less at best. Keep in mind that most of the dust in your home is lint from clothes and linens, and skin cells from you and your pets and is constantly being generated. Dust that builds up in ductwork , generally stays in the ductwork. The power of suggestion, scare tactics, up sell!!!
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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.
Though this installation is not always complicated, it's best to work with an air conditioning contractor to ensure it's done correctly. Permits are usually required for this type of work and can be obtained by a state-licensed contractor. You should not attempt to install central air conditioning on your own since you need a license to handle the refrigerant chemicals (Freon) involved.

The heat pump gained popularity in the 1950s in Japan and the United States.[13] Heat pumps can extract heat from various sources, such as environmental air, exhaust air from a building, or from the ground. Heat pumps transfer heat from outside the structure into the air inside. Initially, heat pump HVAC systems were only used in moderate climates, but with improvements in low temperature operation and reduced loads due to more efficient homes, they are increasing in popularity in cooler climates.
Your cleaning service should involve all aspects of your duct work to maximize energy efficiency and air quality. This includes attending to the heat exchanger, blower, drain pan, plenum and coils as well. In the process, your service provider may find that you're facing larger issues than debris and build-up. The professional may recommend having your furnace repaired if they notice, for example, damage to your heat exchanger or blower motor. Generally, a furnace repair costs between $130 and $500. They may also find that an A/C coil needs to be replaced rather than cleaned and would then recommend A/C repair.
The fact is if they are dirty why not clean them. As for the Dr’s comment about if it is not disrupted it is fine. As a pet owner sometimes un disrupted pet hair will sit in the corner of a room or under a counter un disrupted but I still clean it when I notice it. Just because you cant see it doesn’t mean you should leave it there to collect more and more. The people that don’t want there air ducts clean either simply cant afford it but would like it done. OR! the crowd that are to cheap.. You should Clean all portions of your house.
All modern air conditioning systems, even small window package units, are equipped with internal air filters. These are generally of a lightweight gauze-like material, and must be replaced or washed as conditions warrant. For example, a building in a high dust environment, or a home with furry pets, will need to have the filters changed more often than buildings without these dirt loads. Failure to replace these filters as needed will contribute to a lower heat exchange rate, resulting in wasted energy, shortened equipment life, and higher energy bills; low air flow can result in iced-over evaporator coils, which can completely stop air flow. Additionally, very dirty or plugged filters can cause overheating during a heating cycle, and can result in damage to the system or even fire.

Our heater went out last Saturday, which was a cold day.  Called a few different places and they were the only ones that called back.  The technician Tony came out and after a little testing said the main control board needed to be replaced.  He quoted us a total of $489 which seemed on the high side but it was cold and we were somewhat desperate, so we agreed and paid a parts deposit.
Most people are now aware that indoor air pollution is an issue of growing concern and increased visibility. Many companies are marketing products and services intended to improve the quality of your indoor air. You have probably seen an advertisement, received a coupon in the mail, or been approached directly by a company offering to clean your air ducts as a means of improving your home's indoor air quality. These services typically — but not always — range in cost from $450 to $1,000 per heating and cooling system, depending on:
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