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Taking a breather from allergies
An air purifier just may
be the perfect gift this holiday season for
someone suffering from allergies, says Dr. Ross
Myerson, medical director of occupational and
environmental health at Washington Hospital
Center in Northwest.
People who have significant allergies to common
indoor air contaminants, such as dust, mold
spores and animal dander, may benefit from any
number of devices that help clean the air, he
says.
The devices "definitely remove particulates
from the air," Dr. Myerson says. "They
have varying efficiencies."
With so many air purifiers on the market, sometimes
it's hard to tell what they do and whether they
actually work. Many doctors agree, however,
that most air purifiers can improve the quality
of a home environment.
Sneezing, itchy eyes, runny nose and postnasal
drip are symptoms suggesting someone might benefit
from an air purifier, says Dr. Sonya Malekzadeh,
associate professor of otolaryngology at Georgetown
University Hospital in Northwest.
"If you see your doctor and they determine
you have allergies, you should do environmental
control," Dr. Malekzadeh says. "Avoid
the things that you are allergic to. Get rid
of carpeting. Put plastic covering on the bed.
Change filters on the ducts every three months.
Avoid sleeping with pets. At the same time,
you can get filters that clear the air of the
little particles."
High-efficiency particulate air (HEPA) filters
are the most efficient air purifiers, she says.
The filters were developed to capture 99.97
percent of particles 0.3 micrometers in diameter,
such as pollen, dust mites, mold spores and
animal dander, she says.
Many HEPA filters use carbon filters that remove
larger particles, including odors and tobacco
smoke. The machines come in different sizes
to accommodate rooms of various sizes. The filter
in the air purifier must be changed routinely,
or the device won't work properly.
Electronic precipitators, another type of air
cleaner, move air over electronically charged
plates, she says. The plates change the charge
of the particles and capture them. These machines
do not use replaceable filters; instead, they
must be cleaned regularly.
Most people don't need to run their air purifiers
when they are away from their houses, she says.
It's usually enough to run the machines when
someone is home. It's best to put the devices
in the bedroom, where people spend most of their
time, she says. Because some air purifiers can
be noisy, users should make sure the fan they
are considering purchasing won't keep them awake
at night.
Allergy sufferers should be realistic about
how much an air purifier can help improve their
allergies, especially if it is the only environmental
control measure taken, says Dr. Claus Helbing,
an allergist and attending physician at Inova
Fairfax Hospital and Inova Alexandria Hospital.
He has offices in Annandale and Springfield.
"Air purifiers don't always do what the
patient hopes," Dr. Helbing says. "It
only takes particles suspended in the air. Often,
heavy dust particles aren't taken out of the
air."
For instance, animal dander, mold and pollen
are smaller than heavy dust particles, he says.
Also, air purifiers won't remove elements trapped
in carpets; the particles must be moving in
the air for the devices to eliminate them.
Further, patients who choose an electronic precipitator
should look for one that produces as little
ozone as possible, Dr. Helbing says. Ozone can
make the air smell good, but it also can hurt
the lungs in high concentrations.
"Companies don't always provide impartial
information about their air purifiers,"
Dr. Helbing says. "They seem to work better
for animal dander than dust particles."
People with severe dust-mite allergies should
cover their mattresses, box springs and pillows
with special casing, he says. Fine-woven sheets
can prevent dust mites from penetrating them.
Keeping windows closed and running central air
conditioning can limit the effects of pollen
in the spring.
If there are moisture problems in a house, it
often smells musty because of mold. Homes should
be kept dry, and a dehumidifier should be run
in the coolest place of the house. Apartments
on ground floors usually are damper than those
on the second or third floor.
Professional duct cleaning often helps heating,
ventilating and air-conditioning systems, Dr.
Helbing says. In a few instances, companies
spray chemicals when cleaning ducts, and people
might react adversely to them, he says.
In addition to portable air purifiers, most
HVAC systems can be equipped with the cleaners,
says Victor D'Amato, director of Atrium Environmental
Health and Safety Services in Reston. He is
a certified industrial hygienist and certified
safety professional.
Similar to the room devices, HEPA filters connected
to an HVAC system must have the filter changed
periodically, he says.
"The longer you leave it in place, the
more dust accumulates, and the harder it is
for the air to pass through it," Mr. D'Amato
says. "If it becomes clogged, you don't
get proper air distribution through the home.
You starve the fan. If it can't get enough air
to move, the motor burns out."
There is a chance that the cost to run an HVAC
system could increase when using a HEPA filter,
he says, as it takes more energy to pull the
air through the system with the filter.
When cleaning the plates in an electrostatic
precipitator, people should be careful not to
shock themselves with the charged plates, he
says. Before it is cleaned, the device should
be disconnected from its power source.
Also, even if the system has a filter, it only
works if the filter is installed properly.
"The filter is only as good as it fits
into the airstream," Mr. D'Amato says.
"If you put a HEPA filter in a duct, the
seal around the filter has to be airtight. Particulates
will follow the path of least resistance. If
it can go around the filter, it will."
Installing a filter on a home system may not
solve everyone's allergy problems, but it will
improve the environment, says Mark Schneider,
certified industrial hygienist at MasiMax Resources
in Reston, which offers environmental health
and safety services.
"I am one for filtration as being the real
way to rid the air of potential contaminants
that cause allergic reactions," Mr. Schneider
says.
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