According to National Fire Protection Association in 2010, an estimated 16,800 reported U.S. non-confined or confined home structure fires involving clothes dryers or washing machines resulted in 51 civilian deaths, 380 civilian injuries and $236 million in direct property damage.  (http://www.nfpa.org/safety-information/for-consumers/causes/dryers-and-washing-machines)
If there is stuff in the ducts, the fact that it’s laying there and not being blown into the rooms is proof positive that it is hurting no-one. The 5-6 exceptions you cite in this article I’ll buy, but only with the caveat that at least some of those could have been avoided by proper protection (during remodeling for example) – and if asbestos/lead/whatever winds up in your ducts- the remodeling contractor should be the one paying to remove it.

To find companies that provide duct cleaning services, check your Yellow Pages under "duct cleaning" or contact the National Air Duct Cleaners Association (NADCA) at the address and phone number in the information section located at the end of this guidance. Do not assume that all duct cleaning service providers are equally knowledgeable and responsible. Talk to at least three different service providers and get written estimates before deciding whether to have your ducts cleaned. When the service providers come to your home, ask them to show you the contamination that would justify having your ducts cleaned.
Air duct cleaning is done by heating, ventilation and air conditioning (HVAC) professionals. The pros use industrial-strength, truck-mounted vacuums and powerful brushes and hoses to clean inside the metal ducts that make up your forced air heating and cooling system. The Environmental Protection Agency recommends duct cleaning if there is “substantial visible mold growth inside hard surface ducts, ducts that are infested with vermin such as rodents or insects, or ducts that are clogged with excessive amounts of dust and debris and/or particles are actually released into the home from your supply registers.”
Maybe I took him to literally but I am pretty sure cops wont show up to ensure that my duct gets replaced. He said it would be over 1000 dollars to replace the ductwork if that is the case. Now, I spoke to a friend who did 2 ductwork lines on his own in his attic and he said it was like 15 dollars for the plastic wirewound tubing to create new ducts. Should I cancel that appointment and just do the work on my own? I feel like I’m a chump or lazy for considering paying someone to do this work.
Internal insulation provides better acoustical (noise) control. Flexible duct is very low cost. These products are engineered specifically for use in ducts or as ducts themselves, and are tested in accordance with standards established by Underwriters Laboratories (UL), the American Society for Testing and Materials (ASTM), and the National Fire Protection Association (NFPA). Many insulated duct systems have operated for years without supporting significant mold growth. Keeping them reasonably clean and dry is generally adequate. However, there is substantial debate about whether porous insulation materials (e.g., fiber glass) are more prone to microbial contamination than bare sheet metal ducts. If enough dirt and moisture are permitted to enter the duct system, there may be no significant difference in the rate or extent of microbial growth in internally lined or bare sheet metal ducts. However, treatment of mold contamination on bare sheet metal is much easier. Cleaning and treatment with an EPA-registered biocide are possible. Once fiberglass duct liner is contaminated with mold, cleaning is not sufficient to prevent re-growth and there are no EPA-registered biocides for the treatment of porous duct materials. EPA, NADCA and NAIMA all recommend the replacement of wet or moldy fiber glass duct material.
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.

I’m really not convinced that duct cleaning is of any value. My roommate wanted the ducts cleaned so he called some company. My scam senses is already tingling. They came in with a big negative pressure fan. Did some blowing and sucking in different vents. Then they tried to upsell a full system cleaning. They wanted to pull the blower and clean the heat transfer box at $700 per heater unit. I have a big house so we have two units. They also tried to sell us some “custom” $250.00 Air Lifetime air filters. At that point I pulled the BS get the hell out bell. After paying $520.00 for just the cleaning, I paid the bill and sent them on their way. I replaced the existing filter with the good old and cheap paper filters at $10.00 each. Duct cleaning… I’m not Impressed.
"I used Home Advisors to locate someone for me to remove my old water heater. Kevin and Chris reached out to me to find out what wasneeded. Within the hour they arrived at my house and old water heater was gone! They were both pleasant and took care of business in 15 minutes. I would definately use them again!!! Thanks Home Advisor an Everclear for your prompt response and calls!!"

A small number of products are currently registered by EPA specifically for use on the inside of bare sheet metal air ducts. A number of products are also registered for use as sanitizers on hard surfaces, which could include the interior of bare sheet metal ducts. While many such products may be used legally inside of unlined ducts if all label directions are followed, some of the directions on the label may be inappropriate for use in ducts. For example, if the directions indicate "rinse with water", the added moisture could stimulate mold growth.
i got angies list deal for 109 air duct clenaing, dryer vent cleaning, and furnace inspection, {healthy duct cleaning} i call the company, they arrive on time. did excellent service what ever i purches i got. they give me furnace inspection and the told me that my furnace is very dirty and they offer me to clean that for 250 extra. i paid and i am very happy from this service. i try before 2 diffrent company that i got deal from them as well the just give me estimate and don’t even do the job. so guys don’t spend time if you need deep cleaning just cal this guy the offer free estimate as well.
If you think duct cleaning might be a good idea for your home, but you are not sure, talk to a professional. The company that services your heating and cooling system may be a good source of advice. You may also want to contact professional duct cleaning service providers and ask them about the services they provide. Remember, they are trying to sell you a service, so ask questions and insist on complete and knowledgeable answers.

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.
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