Air-conditioning systems in a hospital are a crucial element in maintaining a safe and healthy environment. A clean, adequate supply of air is generally provided in the initial construction of the facility or during space remodeling.The presence of dirt or lint on the elements of the air-conditioning system reduces the available air volume and reduces the effectiveness of the heat exchanger surfaces. The ability of the air system to absorb moisture is also impaired and results in fogging and other moisture problems.This paper will review (1) methods of identifying the condition and cleanliness of hospital air-conditioning systems;(2) methods of cleaning the elements of the hospital air-conditioning system;and (3) the effects on performance of dirt and lint in hospital air-conditioning systems.Units: I-P