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Should You Run a Humidifier in Winter?

Seven tips for using them correctly to avoid releasing harmful particles into your home


A humidifier emitting a steady stream of mist into a living room near a window and an indoor plant.
AARP (Alamy)

Your nose is stuffy, your skin is dry and your lips are cracking. Along with dark days and frigid temps, winter brings us the dry air that causes these irritating symptoms. Many find that using a humidifier helps, and it may also ease some cold and allergy symptoms.

But you have to keep it clean and use the right kind of water or it could spew harmful bacteria, fungi and other chemicals into your home.

In areas of the country that require heating in the winter, the indoor air can be very dry, which is why some people turn to humidifiers, explains Linsey Marr, a professor at Virginia Tech who studies indoor air. Some areas of the country get very dry in the summer, too, while others don’t experience low humidity at all — like in Florida. That's where Dr. Richard Lockey, a professor of allergy and immunology at University of South Florida Morsani College of Medicine, says he doesn’t recommend them due to the excessive humidity already in the air.

Humidifiers can help moisturize nasal passages and ease congestion, and they also can improve dry skin, which can be problematic as we get older due to itching and potential infections, Lockey notes.

Do humidifiers work?

The effectiveness of using a humidifier for health is “hit or miss,” says Dr. Panagis Galiatsatos, a pulmonary and critical care medicine doctor at Johns Hopkins Medicine and assistant professor at the Johns Hopkins School of Medicine.

Some quality research finds the machines didn’t improve nasal congestion or dry skin. A 2021 report in Cochrane Database Systematic Reviews on 12 existing studies found that indoor air humidification in workplaces had little to no effect on eye, nose and skin dryness. But Galiatsatos, who’s also a spokesperson for the American Lung Association, sees a lot of people who swear by them.

An older study published in Indoor Air: International Journal of Indoor Environment and Health showed humidity was helpful to ease skin, back of throat and nasal dryness as well as congestion issues.

Although the evidence is mixed, Galiatsatos says humidifiers likely work for some people.

Some studies have found they may also help reduce viruses. Higher humidity levels in the home can help eliminate viruses, according to an older study in PLOS One showing flu particles were less infectious when humidity levels hit 40 percent. 

“Dry air seems to be associated with a weaker immune response and greater survival of some respiratory viruses, so increasing the humidity may help reduce the risk of getting a respiratory illness,” Marr says.

Humidifier harms

If you don’t clean your humidifier properly, it can quickly become a breeding ground for germs and then spew them into the air.

In her 2022 study in Indoor Air: International Journal of Indoor Environment and Health, Andrea Dietrich, a civil and environmental engineering professor at Virginia Tech, wrote that people should be more aware of potential harms of humidifiers. Lung injury is possible, though the incidence of hospitalization is low, she wrote.

Specifically, the devices can increase risk of humidifier lung, a type of allergic reaction that causes lung inflammation (hypersensitivity pneumonitis) that’s brought on by contaminated humidifiers.

Pretty much anything in the water you put into a humidifier — chemicals, metals, particles, fibers and microorganisms — can be released into your indoor air as those droplets evaporate, according to the report on ultrasonic humidifiers. That’s why it’s imperative to use the type of water recommended by the manufacturer (typically, distilled water is the norm).

Using a humidifier also can increase the risk of dust mites, according to the American Academy of Allergy, Asthma & Immunology.

Mold can also grow in your humidifier, whether you’re using a cold- or warm-mist unit, Galiatsatos notes. We all breathe in some mold, though most mold doesn’t cause infections. Instead, the machines can cause mold to grow, which may lead to an allergic reaction to the mold, with symptoms like coughing or breathlessness, he explains.

If you have an immunodeficiency, such as human immunodeficiency virus (HIV), or malnutrition, you may be more prone to mold that causes an infection. If you suspect there’s an issue, talk to your doctor, who can test for potential ties to mold, he adds.

7 tips for using a humidifier correctly

If you use a humidifier, these tips can help you keep the unit in good shape so you can reap potential health benefits.

1. Use a cool-mist humidifier

Galiatsatos recommends using a cold-mist humidifier, as a warm-mist machine could come with burn risks.

2. Use it at the right time

You can use a humidifier any time of year that it may help, but use it only when needed, Galiatsatos advises. Some people who often get nosebleeds may be good candidates for more frequent use, he adds. As for how long per day to run the unit, Galiatsatos says he probably wouldn’t use it more than once a day and not all day.

3. Pick the right water

The type of water you use matters, Galiatsatos says. More expensive machines may use filters, so you may not have to use distilled or demineralized water, though many portable units require it. When the instructions specify which type of water to use, follow the directions. If you wouldn’t drink the water you put into the machine, you probably shouldn’t use it, he adds. Some machines say they can use tap water.

Don’t use water treated with a water softener or a carbon/ion exchange filter to purify tap water, as they can replace minerals like calcium and magnesium with sodium and potassium, which will produce potentially harmful particles that can make respiratory issues worse and introduce metals into your body, Dietrich said in an article last year on the university’s website.

4. Clean the unit correctly

Dietrich said to avoid cleaning your unit with chemical disinfectants; they can be harmful if they become airborne. The EPA recommends cleaning portable units every third day; Galiatsatos says to follow the manufacturer’s instructions. Depending on the machine, typical cleaning methods include regularly removing water from the unit, scrubbing inner parts with a brush or running vinegar through it. Solutions of bleach or hydrogen peroxide are also commonly used in some units.

When buying a machine, check how often it’s supposed to be cleaned and what type of maintenance is needed. If it seems like too much, don’t purchase that unit, Galiatsatos advises.

“Once you use it, you have to disinfect it,” he says. If you don’t clean it properly, it becomes a “harbinger of microbes.” Don’t assume the machine will disinfect itself.

5. Crack a window

This may not be ideal if it’s too cold, but getting some fresh air into the room for a bit where you use the humidifier may disperse concentrated particles that may be harmful, Dietrich advises.

6. Check the humidity level in the air

Ideally, you want between 30 and 50 percent humidity, Galiatsatos says. Don’t go above 50 percent humidity, the EPA warns. A hygrometer can help you measure the humidity levels your space, and they’re typically under $10.

7. Keep the area around your machine dry

Make sure the mist isn’t directly hitting furniture or making nearby bedding damp, the Mayo Clinic recommends.

Other Ways to Get Relief

Stop using a humidifier if you feel like it’s doing more harm than good, Galiatsatos says.

If you’d like some relief from congestion or dry nasal passages, he suggests:

  • Saline, which is his favorite method of decongesting and moisturizing nasal passages. You can opt for a neti pot or saline sprays. These may not be right for frequent nosebleeds; if you have those, talk to your doctor about your best options.
  • Steam showers can provide some temporary relief.
  • Decongestants may ease congestion
  • For dry skin, Lockey recommends a shower followed by a moisturizer.

Types of Humidifiers

The U.S. Environmental Protection Agency reports there are four main types of humidifiers:

  • Ultrasonic humidifiers create a cool mist.
  • Impeller humidifiers use a high-speed rotating disc to create cool mist.
  • Evaporative humidifiers blow air through an absorbent material like a filter or belt to release a mist. They generally produce fewer pollutants but can enable microorganisms to grow if the tank holds standing water.
  • Steam vaporizers heat water before it is pushed out of the machine.

You can choose portable units for a single room or have a whole-house, or central, unit integrated with your HVAC system, Lockey notes.

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