How to Deal with Bed bugs

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How to identify and control bed bugs in our environments.

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How to Deal with Bed bugs

  1. 1. Bed Bugs How to identify and control bed bugs in our environments Jeremy Hessel, R.S. Director of Environmental Health Hamilton County Public Health
  2. 2. Hamilton County Public Health <ul><li>Hamilton County, Ohio (Cincinnati area) </li></ul><ul><li>49 jurisdictions in Hamilton County </li></ul><ul><li>450,000 residents </li></ul>
  3. 3. The Bedbug Arrival <ul><li>2003 = 2 complaints </li></ul><ul><li>2007 = 166 complaints </li></ul><ul><li>2008 = 305 complaints </li></ul><ul><li>2009 = 258 complaints </li></ul><ul><li>2010 = 220 complaints </li></ul><ul><li>Increased complaints </li></ul><ul><ul><li>Increase in resource needs </li></ul></ul><ul><ul><li>Need for community awareness and education </li></ul></ul>
  4. 4. Hamilton County Bedbug Data
  5. 5. Bed Bugs at a Glance <ul><li>Cimex lectularius </li></ul><ul><li>Life Cycle </li></ul><ul><ul><li>Egg </li></ul></ul><ul><ul><li>5 Nymphal Stages </li></ul></ul><ul><ul><li>Adult </li></ul></ul><ul><li>Adults are ¼ inch in length </li></ul><ul><li>Insect that feeds on blood </li></ul>
  6. 7. Bed Bugs at a Glance <ul><li>Body is flat with bristles </li></ul><ul><li>Orange/rust color (adult) </li></ul><ul><li>Opaque color with red spot (Nymphs) </li></ul>
  7. 8. A Bed Bug’s Environment <ul><li>Harbor on/ in furniture, bedding, wall voids, carpet, etc. </li></ul><ul><li>Will feed on animals (i.e. pets, raccoons, etc...) </li></ul><ul><li>Can living in nesting material of pets/animals </li></ul>
  8. 9. How Do They Spread? <ul><li>Second hand furniture </li></ul><ul><li>Transportation of new furniture </li></ul><ul><li>Under doors, through electric outlets, under walls </li></ul><ul><li>Transient residents </li></ul><ul><li>Visiting infested places (clothes, affects) </li></ul>
  9. 10. Bed Bug Life Cycle <ul><li>Can live up to 2 years without feeding </li></ul><ul><li>Females can lay 3 to 12 eggs/day </li></ul><ul><li>Eggs develop in 21 to 120 days </li></ul><ul><li>Depends of temperature </li></ul>
  10. 11. Density Perspective <ul><li>If 40 bed bugs are in a room that is maintained at 70º F on May 2 nd , there will be 5905 bed bugs by November 2 nd . </li></ul>
  11. 12. Apartment Treatment <ul><li>Multiple units </li></ul><ul><li>Treatment plan </li></ul><ul><li>Coordination of residents and exterminator </li></ul><ul><li>Exterminator fees </li></ul><ul><ul><li>Who pays? </li></ul></ul><ul><ul><li>Legal Aid Society of Cincinnati </li></ul></ul><ul><li>Dumpster control </li></ul>
  12. 13. Apartment Layout
  13. 14. Bed Bug Signs <ul><li>Fecal deposits/stains on walls and furniture </li></ul><ul><li>Exoskeletons of bugs on furniture or floor </li></ul><ul><li>Bites on body </li></ul>
  14. 15. Medical Importance <ul><li>Detect us through CO2 emission. </li></ul><ul><li>Never proven to transmit any pathogens to humans </li></ul><ul><li>Bites can cause the following conditions: Erythema, Pruritus, Insomnia, Nervousness, Anxiety, Anemia </li></ul><ul><li>Bites will be on the exposed skin on the body </li></ul>
  15. 16. Bed Bug Control Measures - <ul><li>Do you have bedbugs? </li></ul><ul><li>Treatment </li></ul><ul><ul><li>90 % alcohol </li></ul></ul><ul><ul><ul><li>Precautions </li></ul></ul></ul><ul><ul><li>Vacuuming </li></ul></ul><ul><ul><ul><li>Emptying vacuum </li></ul></ul></ul><ul><ul><li>Steam heat (120º F to 140º F) </li></ul></ul><ul><ul><li>Mattress and box spring covers </li></ul></ul><ul><ul><li>Laundering clothes and linens </li></ul></ul>
  16. 17. News and Precautions <ul><li>1 Hurt, 14 Displaced By Colerain Twp. Apartment Fire </li></ul><ul><li>Most Damage Contained To One Unit </li></ul><ul><li>POSTED: 8:15 am EDT October 13, 2009 UPDATED: 8:40 am EDT October 13, 2009 </li></ul><ul><li> </li></ul><ul><li>COLERAIN TOWNSHIP -- One person was injured and more than a dozen others forced from their homes after an apartment fire in Colerain Township early Tuesday. </li></ul><ul><li> </li></ul><ul><li>The fire broke out at 311 Wexler Court just after 3 a.m. in an upstairs apartment. </li></ul><ul><li>Firefighters said the residents had been spraying for bugs with an alcohol-based solution when one of the residents lit a cigarette. The resulting flash fire ignited the room's contents. </li></ul><ul><li>The residents were able to escape along with their 4-month-old baby. Firefighters and sheriff's deputies helped evacuate several people from upper floor apartments. </li></ul><ul><li>One person was treated for smoke inhalation. Another 14 had to stay out of the their apartments until the fire and smoke were cleared. </li></ul><ul><li>Damage is listed at $20,000. </li></ul>
  17. 18. Bed Bug Control Measures - Infestation <ul><li>Treatment (Continued) </li></ul><ul><ul><li>Extermination </li></ul></ul><ul><ul><li>Discard furniture (only if extermination cannot control infestation) </li></ul></ul><ul><ul><li>All involved must work together to solve issue </li></ul></ul><ul><li>Things To Remember: </li></ul><ul><ul><li>Avoid picking up disposed furniture </li></ul></ul><ul><ul><li>Carefully inspect second hand furniture before brining in your home </li></ul></ul><ul><ul><li>Perform luggage and room inspections while traveling </li></ul></ul><ul><ul><li>Perform routine inspections </li></ul></ul><ul><ul><li>Be aware of signs of bed bugs and act quickly to resolve </li></ul></ul><ul><ul><li>Be aware of surroundings and who is visiting your home </li></ul></ul><ul><ul><li>Be aware where you have visited and what you take with you </li></ul></ul>
  18. 19. Guidance for In Home Visits <ul><li>Public Health scientific evidence does not show that bed bugs directly spread disease. This information is strictly meant for guidelines when entering a home or dwelling that has or is suspected of having bedbugs. </li></ul><ul><ul><li>Prepare for the visit by acquiring the following items: </li></ul></ul><ul><ul><ul><li>Folding chair </li></ul></ul></ul><ul><ul><ul><li>Rubber boots or shoe covers </li></ul></ul></ul><ul><ul><ul><li>Latex gloves </li></ul></ul></ul><ul><ul><ul><li>Fanny pack </li></ul></ul></ul><ul><ul><ul><li>Large garbage/ lawn bags </li></ul></ul></ul><ul><ul><ul><li>White garbage bags </li></ul></ul></ul><ul><ul><ul><li>Extra set of clothes </li></ul></ul></ul><ul><ul><li>Before entering the facility, put on rubber boots or shoe covers. </li></ul></ul><ul><ul><li>Wear light color clothing so you can observe any bedbugs on your person. </li></ul></ul><ul><ul><li>Do not bring in large bags or a large number of affects (purses, medical bags, back packs). </li></ul></ul>
  19. 20. Guidance for In Home Visits (Cont.) <ul><li>Use fanny pack, limit items. </li></ul><ul><li>Keep items in garbage bags and sealed if needed in the dwelling. </li></ul><ul><li>When entering the facility do not sit on any furniture in the dwelling, use a folding chair to sit. </li></ul><ul><li>Wear latex gloves if you need to handle items in the dwelling. </li></ul><ul><li>If assisting resident on a bed or couch, put down a white plastic garbage bag between yourself and the furniture. </li></ul><ul><li>Limit your time in the dwelling or room. </li></ul><ul><li>Examine your person and clothing when leaving the dwelling and before entering your vehicle. </li></ul>
  20. 21. Guidance for In Home Visits (Cont.) <ul><li>Remove any affected clothes and seal them in a garbage/ lawn bag for laundering. </li></ul><ul><li>Put on extra set of clothing before entering your vehicle. </li></ul><ul><li>Purchase box spring and mattress covers for your own bed. </li></ul><ul><li>Be observant in your own home for a presence of bedbugs. </li></ul><ul><li>Call the Hamilton County Public Health with any questions or assistance that you might need. </li></ul>
  21. 23. Questions? <ul><li>Contact Information: </li></ul><ul><li>Jeremy Hessel </li></ul><ul><li>(513) 946-7834 </li></ul><ul><li>[email_address] </li></ul><ul><li>http://www.hamiltoncountyhealth.org/en/ </li></ul>

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