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Bed Bugs, and Lice, and Scabies Oh My! Rosmarie Kelly Public Health Entomologist GDPH
Bed Bugs, Lice, & Scabies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BIOLOGY REVIEW Phylum Arthropoda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is the most common symptom? ,[object Object]
Public Health and  “Bugs”  ,[object Object],[object Object]
Are Bed Bugs a Public Health Issue? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Are Lice a Public Health Issue? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Are Scabies a Public Health Issue? ,[object Object],[object Object],[object Object],[object Object],[object Object]
So, does disease have to be possible or present for an insect or arthropod to be considered a public health issue? ,[object Object],[object Object],[object Object]
A Closer Look
All About Bed Bugs
LIFE CYCLE I lay between 1 and 5 eggs every day! Starting as an egg, it takes me 30 days to become an adult! I ’ll molt 5 times before I become an adult! I ’ll live about 10 months and lay between 300 and 500 eggs! I may live up to a year without feeding
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
One Bed Bug
One Month - 61 Bed Bugs
 
Bed bugs were once a common public health pest worldwide. ,[object Object],[object Object],[object Object]
They ’re Back! ,[object Object],[object Object]
[object Object]
eggs Know What You Are Looking For
nymph
female male
Not Bed Bugs http://ipm.ncsu.edu/AG369/keys.html   Key to Common Pests of Man and Animals
Habits & Habitats ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bed Bug Facts ,[object Object],[object Object],[object Object],[object Object],[object Object]
More Bed Bug Facts ,[object Object],[object Object],[object Object],[object Object]
Really Weird Fact ,[object Object],[object Object],[object Object]
Bed Bug Bites  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Reactions to  Bites ,[object Object],[object Object],[object Object]
More on Bites ,[object Object],[object Object],[object Object],[object Object]
Movement ,[object Object],[object Object],[object Object],[object Object],Some of the most common ways new bed bug infestations may be introduced include:
In a Hospital Setting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Taking Precautions Don ’t bring bed bugs home with you. ,[object Object],[object Object],[object Object],[object Object]
More  Precautions ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cleaning Infested Rooms
BEDBUG CONTROL REQUIRES  METICULOUS  Treatment of All Probable Harborage Sites  By Licensed Pest Control
Key Control Facts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bed Bugs - Summary Good night, sleep tight,  don ’t  let the bed bugs  BITE! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adult bed bug by a penny
Prevention and Control of Bed Bugs RECOMMENDED GUIDELINES REMEMBER   ,[object Object],[object Object],[object Object],[object Object],Spotting on Mattress Bed Bug Size http://health.state.ga.us/epi/zvbd/infest/index.asp
All About Lice Head Lice
Lice Can ’t Fly or Jump……
Head Lice (Pediculosis) ,[object Object],[object Object],[object Object],[object Object],[object Object],www.headlice.org
Epidemiology of Head Lice ,[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology of Head Lice  ,[object Object],[object Object],[object Object],[object Object]
Head Lice Nits
Nits, empty and full
Body Lice – lice on clothing
Pubic Lice …
Epidemiology of Lice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms of Lice ,[object Object],[object Object],[object Object],[object Object]
Control Measures:  Head & Pubic Lice  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Control Measures:  Body Lice  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Head, Body, and Pubic Lice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
All About Scabies skin burrow
Scabies  ,[object Object],[object Object],[object Object],[object Object]
Background  ,[object Object],[object Object],[object Object]
Incidence ,[object Object],[object Object]
Biology ,[object Object],[object Object],[object Object]
Biology ,[object Object],[object Object],[object Object],[object Object]
INCUBATION  •  In people without previous exposure the incubation period is 2-6 weeks before the onset of itching.  •  People who have been previously infested develop symptoms 1-4 days after exposure.  People are infectious until the mites and eggs are destroyed by treatment (usually 1 treatment, occasionally 2 treatments).
Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Presents typically on the hands and  finger webs
Norwegian (crusted) Scabies ,[object Object],[object Object]
Norwegian (crusted) Scabies ,[object Object]
Norwegian (crusted) scabies ,[object Object],[object Object],[object Object],[object Object]
Diagnosis – Skin Scrapings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Differential Diagnoses
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Differential Diagnoses (cont)
Infection Control  ,[object Object],[object Object],[object Object],[object Object]
Infection control precautions for Crusted/ Norwegian Scabies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scabies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://health.state.ga.us/epi/zvbd/infest/index.asp
STANDARD PRECAUTIONS ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],CONTACT PRECAUTIONS
VISITORS /Patient Movement •  All visitors  must wear gloves and gowns at all time while in the room until 24 hours after commencement of treatment.  CONTACT PRECAUTIONS  •  Limit patient movement outside the room to medically necessary/essential procedures.  •  Before the patient is transferred, the ward/unit in which the patient is isolated  should notify the accepting area that the patient has lice or scabies and requires additional CONTACT PRECAUTIONS.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cleaning the Patient’s Room
~Protect Yourself~ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Any Questions? http://health.state.ga.us/epi/zvbd/infest/index.asp
Public Health Entomologist Contact Info Rosmarie Kelly, PhD MPH 2 Peachtree St NW Atlanta Office: 404-657-2912 Cell: 404-408-1207  [email_address]   http://health.state.ga.us/epi/zvbd/infest/index.asp

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BedBugsLiceScabiesOhMy

  • 1. Bed Bugs, and Lice, and Scabies Oh My! Rosmarie Kelly Public Health Entomologist GDPH
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  • 12. LIFE CYCLE I lay between 1 and 5 eggs every day! Starting as an egg, it takes me 30 days to become an adult! I ’ll molt 5 times before I become an adult! I ’ll live about 10 months and lay between 300 and 500 eggs! I may live up to a year without feeding
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  • 15. One Month - 61 Bed Bugs
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  • 20. eggs Know What You Are Looking For
  • 21. nymph
  • 23. Not Bed Bugs http://ipm.ncsu.edu/AG369/keys.html Key to Common Pests of Man and Animals
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  • 36. BEDBUG CONTROL REQUIRES METICULOUS Treatment of All Probable Harborage Sites By Licensed Pest Control
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  • 40. All About Lice Head Lice
  • 41. Lice Can ’t Fly or Jump……
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  • 48. Body Lice – lice on clothing
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  • 55. All About Scabies skin burrow
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  • 62. INCUBATION • In people without previous exposure the incubation period is 2-6 weeks before the onset of itching. • People who have been previously infested develop symptoms 1-4 days after exposure. People are infectious until the mites and eggs are destroyed by treatment (usually 1 treatment, occasionally 2 treatments).
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  • 64. Presents typically on the hands and finger webs
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  • 78. VISITORS /Patient Movement • All visitors must wear gloves and gowns at all time while in the room until 24 hours after commencement of treatment. CONTACT PRECAUTIONS • Limit patient movement outside the room to medically necessary/essential procedures. • Before the patient is transferred, the ward/unit in which the patient is isolated should notify the accepting area that the patient has lice or scabies and requires additional CONTACT PRECAUTIONS.
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  • 82. Public Health Entomologist Contact Info Rosmarie Kelly, PhD MPH 2 Peachtree St NW Atlanta Office: 404-657-2912 Cell: 404-408-1207 [email_address] http://health.state.ga.us/epi/zvbd/infest/index.asp

Editor's Notes

  1. Exponential! Just over 4 mo 10K bugs
  2. Critter and Varmint Infestions Among the Homeless-HCH 2010 A. Strehlow
  3. . Nits are lice eggs. They are found firmly attached to the hair shaft and are easily overlooked as dandruff or hairspray. They take about 1 week to hatch. Nymphs are baby lice. They mature into adult lice 7 days after hatching. To live, it must feed on blood. The adult louse is about the size of a sesame seed. Adult lice can live up to 30 days on a person ’ s head. They usually die within 2 days away from a human host. Important to note that lice are crawling insects, they cannot hop, jump or fly.
  4. Ep
  5. Critter and Varmint Infestions Among the Homeless-HCH 2010 A. Strehlow
  6. Critter and Varmint Infestions Among the Homeless-HCH 2010 A. Strehlow
  7. Critter and Varmint Infestions Among the Homeless-HCH 2010 A. Strehlow
  8. Critter and Varmint Infestions Among the Homeless-HCH 2010 A. Strehlow
  9. Symptoms of Head Lice
  10. In animals, a similar mite causes mange No direct systemic disease process as with other insect bites, mosquitoes and encephalitis, ticks and RMS or lyme They can be very prolific, yet can easily be washed off if not burrowed. Female will take up to one hour to successfully burrow Prevention = Hand Washing!
  11. Critter and Varmint Infestions Among the Homeless-HCH 2010 A. Strehlow scabies burrow - diagram
  12. In animals, a similar mite causes mange No direct systemic disease process as with other insect bites, mosquitoes and encephalitis, ticks and RMS or lyme They can be very prolific, yet can easily be washed off if not burrowed. Female will take up to one hour to successfully burrow Prevention = Hand Washing!
  13. Critter and Varmint Infestions Among the Homeless-HCH 2010 A. Strehlow
  14. In animals, a similar mite causes mange No direct systemic disease process as with other insect bites, mosquitoes and encephalitis, ticks and RMS or lyme They can be very prolific, yet can easily be washed off if not burrowed. Female will take up to one hour to successfully burrow Prevention = Hand Washing!