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Asthma and Air Filters

By Carol Sorgen, PhD
KB120 Medical Reference
Reviewed by Paul Enright, MD

If you have asthma symptoms, an air filter or room air cleaner may or may not help you to breathe better.  The same is true for those with hay fever (allergic rhinosinusitis) or COPD (emphysema or chronic bronchitis).

If you live with a smoker, an air filter or room air cleaner is likely to be helpful. Secondhand smoke always makes asthma symptoms worsen. Secondhand smoke also causes nasal congestion for small children. Almost all room air cleaners efficiently remove smoke from the room (as long as the air  filter is large enough, the fan turned on, and the air filter is  maintained). 

Asthma and Room Air Cleaners

Can air filters help prevent asthma symptoms? Maybe. Room air cleaners remove small particles that are in the air near the air cleaner.  However, room air cleaners do not remove small allergen particles that are caused by local disturbances, such as the microscopic house dust mite feces that surround a pillow when your head hits it (or you turn over in bed).  You inhale these allergens before they ever get near the room air cleaner.  Room air cleaners take 5-15 minutes to remove such temporary local sources of dust and allergens.

Wall-to-wall carpets also provide a massive source of allergens, which simply cannot be removed by vacuuming or the use of a room air cleaner.  However, these accumulated allergens remain in the carpet until disturbed.  Vacuuming carpets, which uses a beater brush, causes very large amounts of allergens to be thrown into the room, even if a HEPA vacuum cleaner is used.  Room air cleaners are also unlikely to be adequately effective if the source of the allergens remains in the home, such as a cat, dog, bird, or hamster.

Room air cleaners only work for the room in which they are placed.  Since you spend eight hours in your bedroom every night, that's logically the first room in which to locate a room air cleaner.  However, you may also spend several hours each day in your kitchen (or great room) and TV room or office, so you may need a separate room air cleaner for each of these rooms. 

Types of Air Filters

There are many types of air filters available, including the following:  

Mechanical air filters use a fan to force air through a special screen that traps particles such as smoke, pollens, and other airborne allergens.

The high-efficiency particulate air (HEPA) filter is the best-known air filter. HEPA (which is a type of filter, not a brand name) was developed during World War II to prevent radioactive particles from escaping from laboratories. To qualify as a true HEPA filter, the air filter must be able to capture at least 90% of all particles 0.3 microns or larger in diameter that enter it.  A disadvantage of these units is the noise of their fan and the cost of electricity to operate the fan motor.  The noise can be reduced by using a large unit designed for a larger room, and running the fan motor at a lower speed.  The fan should not be directed at a carpet or drapes, since this is likely to raise dust from the carpet or drapes.

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