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The pillow can be a significant source of dust mite allergen and since your head is resting on it all night it needs to be dust mite proof or encased in a dust mite proof pillow case. Our dust mite proof pillows are encased in densely woven material which will not allow dust mites to penetrate through it into the pillow. Dust mite proof pillows do not need an extra dust mite proof case but they should be aired regularly and washed 3 or 4 times a year. Just cover with your usual cotton pillow case. These can make a big difference if you suffer from asthma and rhinitis.