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February 17, 2004

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Home humidifiers: Soothe your nose, throat and skin

By Mayo Clinic staff

Does your home heating and cooling system have a built-in humidifier?

Do you use a tabletop humidifier to soothe nasal and respiratory

passages when you or your children are ill? If you do, be sure to use

your humidifier safely. And most important, keep it clean.

The highs and lows of humidity

A hot-mist vaporizer contains a heating element that converts water

to steam, which adds moisture to the air.

When the air inside your home is too dry, you'll probably notice a

build-up of static electricity. You may also notice that your nasal

passages, throat, lips and skin feel dry.

It's not unusual for the humidity level to drop inside your home

during the winter months. Heating your home can reduce the amount of

moisture in the air, especially if you use a forced-air heating

system that doesn't include a humidifier.

Ideally, humidity levels inside your home should range from about 30

percent to 50 percent. Air that is too dry can irritate the lining of

your nose, throat and sinuses and may even cause the lining of your

nose to bleed.

But don't let the humidity get higher than 50 percent. Excess

moisture can promote the growth of dust mites, a microscopic

organism. The waste products of dust mites end up in household dust

and when inhaled can cause allergic reactions. Excess humidity inside

your home also promotes the growth of mold, fungi and bacteria.

Types of humidifiers: Built-ins and portables

You may already have a humidifier built into your heating and air

conditioning system. If you do, be sure you follow the manufacturer's

instructions for maintenance and cleaning. If you don't, you can have

one installed that connects to your forced-air heating system. Newer

models of heating and cooling systems feature ultraviolet lamps that

destroy harmful mold, fungi and bacteria.

Another option is to purchase a portable humidifier. These come in

floor and tabletop varieties. A floor model is often called a

console. They're generally the size of the refrigerator used in

college dormitory rooms or hotel rooms. You can purchase one wherever

household appliances are sold.

If you're a parent, you may be most familiar with tabletop

humidifiers. Perhaps your pediatrician or family doctor has

recommended that you use one when your child is sick with a cold,

croup or influenza. Most tabletop humidifiers are referred to as

vaporizers. You can purchase one at a pharmacy or retail store.

What types of tabletop humidifiers are available?

Tabletop humidifiers are classified by the way in which they add

humidity to the air.

Hot-mist vaporizer. Because the water temperature in a hot-mist

vaporizer rises to the boiling point, keep an eye on small children.

Small children can burn themselves if they touch the opening where

the steam comes out or if they accidentally pull the vaporizer off a

table.

You can purchase over-the-counter medications to pour into a special

compartment in a hot-mist vaporizer or to pour directly into the

water. The medication will be dispersed into the air with the steam.

These preparations may reduce coughing and usually contain menthol,

camphor and eucalyptus oil. But it's probably the steam that helps

the most.

If it's OK with your pediatrician or family doctor, use a cool-mist

vaporizer with small children to avoid accidental burns. And keep the

electrical cord attached to all types of humidifiers out of the reach

of small children.

Cool-mist vaporizer. This type of humidifier has a rapidly rotating

fan called an impeller, which turns water droplets into a fine mist.

It's less expensive than other types of humidifiers, so many people

use them to humidify a portion of their homes. Most cool-mist

humidifiers come with a filter to clean the air before it's

humidified. Be sure you change the filter at least as often as the

manufacturer recommends, and more often if it's dirty.

Ultrasonic vaporizer. A fine mist is created as water passes over a

high-frequency ultrasonic nebulizer — a device that creates an

aerosol spray. This kind of humidifier is more expensive than other

types. But the fine water droplets it creates may reach smaller

airways in the lower chest.

Evaporative humidifier. A fan blows air through a moistened filter or

wick, increasing the humidity in the air.

If you use a tabletop humidifier because you or a family member is

sick, ask your pediatrician or family doctor about which type he or

she recommends.

Who can benefit from a humidifier?

A humidifier provides comfort and relief for adults and children with:

Influenza

A sore throat

Upper respiratory infections, such as the common cold and bronchitis

Lower respiratory infections (pneumonia)

Sinusitis

Asthma

Croup

Dry skin, dry eyes or dried out nasal linings

Acute sinusitis

Asthma

Bronchitis

Cold

Croup

Dry eyes

Influenza

What are the health risks of humidifiers?

Without regular cleaning and maintenance, bacteria and fungi can grow

in your humidifier's tank and may become part of the moist air you're

breathing. When that happens, respiratory problems — such as

humidifier fever — can result.

Humidifier fever (hypersensitivity pneumonitis) is a hypersensitivity

reaction in which your lungs become inflamed from breathing in large

amounts of fungal spores that have grown in humidifier water.

Humidifier fever is also called humidifier lung.

Signs of humidifier fever include cough, shortness of breath and

fever. If you see a doctor for these symptoms and you use a home

humidifier, make sure you tell him or her that you use one. Your

doctor may ask you to bring in a sample of the water and send it to a

laboratory for a culture. Antibiotics aren't effective against

humidifier lung. Cleaning the humidifier and a little time may be all

you need to get over humidifier fever.

Bacteria that cause Legionnaires' disease also can grow in humidifier

tanks, although this is much more common in large industrial

humidifiers.

Legionnaires' disease

Who's at risk?

Humidifiers, if not properly maintained, can increase the risk of

illness for:

People receiving treatment for chronic health conditions, such as

lung disease and asthma

People with suppressed immune systems, such as someone receiving

chemotherapy or living with an organ transplant

People with mold allergies

Talk with your doctor if you're uncertain about whether a humidifier

will help or harm your condition.

How to care for your humidifier

Don't let the remedy to one problem create another. Follow these

suggestions for using a humidifier safely.

Consult a heating and cooling specialist. If you have a humidifier

built into your heating and cooling system, ask your heating and

cooling specialist about proper maintenance. Keep extra supplies on

hand if your system requires disposable filters and special

sanitizing solutions. Keep a copy of the manufacturer's instructions.

Get a built-in system inspected at least once a year. Follow the

manufacturer's recommendations for maintenance and safety if you have

a console.

Compare features before you buy. A tabletop humidifier is less

expensive than a built-in or console unit. But it may humidify the

air in only one room and usually requires frequent filling with

water — sometimes a couple of times a day. You'll also want to

compare safety features. Some tabletop humidifiers have an automatic

shut-off valve that turns the machine off if the water tank runs dry.

Others feature high-grade plastic parts that you can easily remove

and sanitize in your dishwasher. Some hot-mist vaporizers have safety

latches to prevent accidental scalding.

To minimize the growth of microscopic organisms, the U.S. Consumer

Product Safety Commission suggests the following for cleaning

tabletop humidifiers:

Change the water every day. Don't allow film or deposits to develop.

Empty the tank, dry the inside surfaces and refill with clean water.

Follow the manufacturer's instructions.

Use distilled or demineralized water. Tap water contains minerals

that can create bacteria-friendly deposits. When released into the

air, these minerals often appear as white dust on your furniture.

Clean your humidifier often. Unplug the device before cleaning it. If

chlorine bleach or another disinfectant is used, rinse the tank well

afterward to avoid breathing in harmful chemicals. Clean or replace

sponge filters or belts when needed.

Keep the humidity between 30 percent and 50 percent. Levels higher

than 50 percent may create a buildup of moisture. When moisture

condenses on surfaces, mold, fungi and bacteria can grow.

Periodically check the humidity with a hygrometer, available at your

local hardware store.

Clean your tabletop humidifier before you store it. Clean it again

when you take it out of storage, and remove any dust from the

exterior.

A humidifier can provide relief from the effects of dry winter air

and soothe irritated nasal and respiratory passages. But be sure you

follow the manufacturer's directions for keeping your humidifier free

of harmful mold, fungi and bacteria. Don't let your humidifier become

a hazard to your health.

Related Information

Children's Health Center

Asthma Center

Allergy Center

Infectious Disease Center

December 23, 2003

http://www.mayoclinic.com/invoke.cfm?objectid=DF9C6CB0-CEE5-40D6-

AFF0B81BF0BC3673

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