Research Insights into the Bed Bug Pandemic Dr. Susan C. Jones Associate Professor Dept. of Entomology Bed Bugs Hemiptera: Cimicidae (Cimex lectularius) • • • • • Temporary external parasites Feed only on blood Typically feed at night Prefer to feed on humans Alternate hosts: rodents, bats, birds, pets (cats, dogs, etc.) Ancient Origins 30,000 yrs ago Cave dwellers: bugs may have switched from feeding on bats to feeding on humans. http://www.flickr.com/photos/capnsurly Photo by Arlene Ripley http://bugguide.net/ Pharaonic Egypt 3550 years ago • Well-preserved bed bug specimens recovered from the Workmen’s Village at Amarna • Bed bugs mentioned in 3rd century BC Egyptian papyrus Bed Bugs Make Their Way To the Americas • Bed bugs are not native to the Americas • Introduced by the early colonists • Sailing ships had severe bed bug infestations • Early 18th century--severe bed bug problems in the English colonies and Canada th ‐‐Early 20 Century— Bed Bugs Were Everywhere • Rated among the top 3 household pests • In some cities, 1/3 of all residences were infested • “Public enemy number one” in lower income areas • Commonly infested sites included: movie theatres, trains, buses, streetcars, moving vans, cloak rooms in schools and offices … th ‐‐Early 20 Century— Bed Bugs Were Everywhere • Bed bug control was mostly ineffective • Metal bed springs and bed frames were “candled” to burn the bugs • Bed legs were positioned inside cans of kerosene, axle grease • Kerosene, benzene were sprayed on bed frame, mattress, etc. • Pyrethrum powder dusted on items • Fumigation with hydrogen cyanide, sulfur dioxide, ethylene oxide (very hazardous, but effective) Fumigating with hydrogen cyanide in 1943. The PCO is opening a can of Zyklon discoids. M. Potter. 2008. The History of Bed Bug Management. Pest Control Technology. 1940s − 1950s “Live Better Through Chemistry” DDT and other synthetic insecticides with long-lasting residual were very effective in controlling bed bugs. Late 1940s – early 1950s Bed bugs developed resistance to DDT l o r t n o c g u b d e b e v but… Effecti e iv t a n r e lt a y b d e id v was pro g n ti s la g‐ n o l h it w s e id ic insect residual: lindane (an n (a n io h t la a m ), e in r lo h organoc organophosphate) 1954 Worldwide Resurgence of Bed Bugs Since Late 1990s SPAIN CANADA ENGLAND AUSTRALIA courtesy of: Dr. Stephen L. Doggett ICPMR, Westmead Hospital, Westmead NSW, AUSTRALIA Australian Bed Bug Treatments courtesy of: Dr. Stephen L. Doggett ICPMR, Westmead Hospital, Westmead NSW, AUSTRALIA Bed Bug Treatments by Australian Pest Managers—2006 Survey Homes Hospitality Backpackers Wider Community: Cinemas, Hospitals, Disadvantaged Bed Bug Interceptions by the Australian Quarantine & Inspection Service, 1986-2004 Country of Origin Method of Import Goods Papua New Guinea (4) Fiji (3) East Timor (2) India (2) Indonesia Tonga Turkey Italy Yugoslavia New Zealand Sea baggage Air baggage Straw items Woven cane baskets Mosquito net Dried grass Packing paper Suitcase lining Personal effects Kenya India Air cargo Carvings Fresh roses Musical instrument Doggett et al. (2004) Env. Health 4: 30-38. Bed bug encounters have sharply increased in the past 1 to 5 years compared to >10 years ago in all regions of the world, except for Africa/Middle East and South America. August 2010 CDC & EPA Joint Statement Bed bugs are a pest of significant public health importance! http://www.cdc.gov/nceh/ehs/Publications/Bed_Bugs_CDC‐EPA_Statement.htm http://www.epa.gov/pesticides/bedbugs/ Bed bugs are very good stowaways! Bed bugs can be moved from one place to another by hiding in: • luggage • furniture • bedding • backpacks, purses, briefcases • clothing • … Bed bugs can be found in: – Homes – Hotels – Assisted living facilities – Office buildings – Retail stores – Movie theaters – Libraries – Schools – Public transportation – Hospitals “…the five hot spots for bed bug activity, according to Orkin treatment data:” Cincinnati Columbus Chicago Denver Detroit “Nationally, Orkin saw bed bug treatments double from 2008 to 2009, a trend it expects will continue this year.” OH SW Ohio Bed Bug Complaints* Cincinnati Health Dept.3 Hamilton Co. Public Health Dept.1,2 1200 350 305 300 1000 250 800 200 167 150 84 100 50 0 2 37 2003 2004 2005 2006 2007 2008 & 2004 1,101 724 600 400 200 0 ~10 2006 2007 reporting system instituted 2008 bed bug inspection program suspended * Probably represents a small fraction of overall bed bug infestations in area. 1Verified to be bed bugs. 2 Data courtesy of Greg Kesterman. 3Data courtesy of Camille Jones. Bed Bug Complaints1,2 for Greater Columbus, OH 800 715 700 600 1Number of 455 500 complaints {data courtesy of Franklin Co. Public Health and Columbus Code Enforcement}. 2An underestimate of overall bed bug infestations in area. 400 300 178 200 100 0 4 2005 (4 zip codes) 11 33 2006 2007 2008 2009 (7 zip codes) (19 zip codes) (27 zip codes) (31 zip (32 zip codes) codes) 2010 ©Graphicmaps.com Some Reasons For the Resurgence of Bed Bugs • International travel and commerce • Housing with high tenant turnover • Pesticide use has changed – Pesticide bans – Failure to re-register insecticides – Baits to control ants & cockroaches • Insecticide resistance Pyrethroid Resistance • Extremely high levels of resistance to two pyrethroid insecticides (deltamethrin and λ-cyhalothrin) were detected in bed bug populations collected from human dwellings in Kentucky and Ohio. • Resistance to pyrethroid insecticides is widespread in U.S. bed bug populations. Romero, Alvaro; Potter, Michael F.; Potter, Daniel A.; Haynes, Kenneth F. (2007) Insecticide Resistance in the Bed Bug: A Factor in the Pest's Sudden Resurgence? Journal of Medical Entomology 44 (2): 175-178. Pyrethroid Resistance Mechanisms • Target site insensitivity of sodium channel (Yoon et al. 2008, Seong et al. 2010) – Target site mutations widespread (88%) in U.S. populations of bed bugs (Zhu et al. 2010) • Increased metabolic detoxification by cytochrome P450s, glutathione transferases, and esterases (Bai et al. 2011) • Reduced cuticular penetration (Virginia Tech., unpubl.) Genes involved in insecticide detoxification were at very high levels in field-collected bed bugs from Ohio. Pesticide-exposed bb bb Pesticide-exposed Pesticide-susceptible bb bb Pesticide-susceptible (Harlan strain) Cytochrome P450 (CYP9) Glutathione S-transferase (GST) Xiaodong Bai, Praveen Mamidala, Swapna P. Rajarapu, Susan C. Jones, & Omprakash Mittapalli. Transcriptomics of the bed bug (Cimex lectularius). January 2011. PLoS One 6(1): e16336. Non-pyrethroid Insecticides For Use Against Bed Bugs Active Ingredient (insecticide class) Product Name(s) Imidacloprid + ß-cyfluthrin (neonicotinoid + pyrethroid) Temprid® SC Chlorfenapyr (halogenated pyrrole) Phantom® SC Phantom® PI Propoxur (carbamate) Invader® Acetamiprid (neonicotinoid) Transport® Dinotefuran + diatomaceous earth (neonicotinoid + silica dioxide) Prescription Treatment Alpine Dust Alpine PI ® ® ® Life History Characteristics Show That Bed Bug Numbers Can Quickly Skyrocket … Eggs ¾ ¾ ¾ ¾ Glued in place 1 – 12 eggs / day / female A single female can produce ~150 eggs Hatch in 6 – 17 days Nymphs (immature bugs) ¾ Five nymphal stages ¾ Require a blood meal in order to grow Adults (males & females) ¾ Require repeated blood meals ¾ Can live 12 – 18 months ¾ Can survive months without food Egg ~0.04 inch (1 mm) long Glued in place Adult (male & female) ~0.26 inch (6.5 mm) long Takes repeated blood meals; life span ~1 to 1½ yrs 1st stage nymph ~0.06 inch (1.5 mm) long Takes a blood meal then molts LIFE CYCLE Total developmental time (eggTHE to adult) OF takes: BED 21 days @BUG 86°F 2nd stage nymph 120 days @ 65°F (Cimex lectularius) ~0.08 inch (2 mm) long Takes a blood meal then molts Note: These images depict bugs with a partly digested blood meal. © The Ohio State University Dr. Susan C. Jones & Benjamin R. Diehl 5th stage nymph 3rd stage nymph ~0.18 inch (4.5 mm) long Takes a blood meal then molts 4th stage nymph ~0.12 inch (3 mm) long Takes a blood meal then molts ~0.1 inch (2.5 mm) long Takes a blood meal then molts Bed Bug Habits • Cannot fly • Can walk very fast • Typically hide during the day in dark, protected sites (esp. cracks & crevices) • Prefer fabric, wood, and paper surfaces • Can cling tightly to surfaces Bed Bug Habits • Often closely associated with hosts’ sleeping or resting sites (hide in many places) • Locate their host using cues such as carbon dioxide and heat Not caused by bad housekeeping!! Not a sign of uncleanliness!! INJURY FROM BED BUGS • • • • • Initial bite is painless Itchy welts Anemia Exacerbated symptoms in asthmatics Scratching of bites increases inflammation, can lead to secondary bacterial infections • No conclusive evidence of disease transmission (reviewed by Goddard & deShazo. 2009. JAMA 301(13): 1358-1366) • Anxiety, sleeplessness, economic hardship, etc. Survey (spring/summer 2009): • 474 individuals with verified bed bug infestation in dwellings • Apts (66%), single-family homes (15%), condos/townhomes (9%), shelters (7%), dorms (2%), long-term care (<1%) • Chicago, N.Y., Cincinnati, Louisville, Atlanta, L.A., & Miami • ~70% of people had an allergic reaction to bed bug’s injected saliva; ~30% had no reaction - Swelling - Welts - Severe itching (hrs to days) • Difference in reactivity due to age - Elderly (>65 years old--42% with no reactions) - Children (1-10 years old--41% with no reactions [note: very small sample size]) • No significant difference in reactivity for: - Males vs. females - Ethnic groups If you wake up with itchy, red welts that weren’t there when you went to bed, perhaps it’s bed bugs. BED BUGS BITES: • Resemble bites from other insects & kin • Some clues that it may be bed bug bites: • Typically are on exposed skin • Often in groups or rows Confirmation based on finding bed bug evidence Recognize the telltale signs of bed bugs! • • • • • Black fecal spots Shed skins & eggshells Live bed bugs (nymphs & adults) Blood stains from crushed bugs Welts on exposed skin BED BUG HIDING PLACES D E ¾ Mattress, box springs R R E PREF : ¾ Bed frame S E C A F R U S ¾ Furniture c i r b a • F d o o • W r e p a • P ¾ Carpeting ¾ Cracks and crevices ¾ Carpet tack strips ¾ Baseboards ¾ Window frames, door frames ¾ Electric outlets, switch plates ¾ Wall hangings, pictures ¾ Drapery pleats, window blinds ¾ Smoke detectors ¾ Ceiling moldings ¾ etc. Bed Bugs on Mattresses and Box Springs Bed Bugs on Furniture bed frame Bed Bugs Hiding in Luggage Some Insecticides Registered For Use Against Bed Bugs Active Ingredient Dichlorvos (=DDVP) Product Name (s) Nuvan™ Prostrip Miscellaneous Label Notes - Pesticide strip hung in enclosed area - Within homes, use only in closets, wardrobes, cupboards; supplemental label allows for items to be confined in bag, container or room (48-72+ h) - Slow-release vapor kills bed bugs Did you check for signs of bed bugs in your hotel/motel room when you last traveled? BED BUG PREVENTION FOR TRAVELERS Make it STANDARD PRACTICE to check for bed bugs in hotel/motel rooms! • Pull back the bedding and look for black fecal spots on mattress & box springs (especially seams) • Carefully examine the underside of the bed skirt • Look for bb signs along bed frame (especially head board) • Open nightstand drawers and look for bb signs along inner and outer edges • Look for bb signs along baseboards BED BUG PREVENTION FOR TRAVELERS Reduce the chances of getting bed bugs from hotel/motel rooms! • Keep clothes in your zipped suitcase • Don’t keep clothes in hotel chest-of-drawers • OK to hang clothes in closet • Keep your suitcase on the luggage rack (after first inspecting it for bb signs) • Don’t store your suitcase on the bed, floor, or upholstered furniture In multi-family housing, bed bugs readily spread to units that are adjacent, below, and above the infested unit. Heat Treatment for Bed Bugs Some Insecticides Registered For Use Against Bed Bugs Active Ingredient Diatomaceous earth (=silicon dioxide) Product Name Natural Guard Crawling Insect Control Safer® Brand Ant & Crawling Insect Killer MotherEarth™ D Miscellaneous Label Notes - Crack & crevice applications - Slow-acting - Residual (long-lasting) activity - Dusts should be applied in thin layers - DO NOT allow product to get wet or it will lose its effectiveness - Caution: Avoid inhalation; wear a dust mask during application - Pool grade DE should NEVER be used for pest control. Pool grade DE contains crystalline silica and can be a respiratory hazard. - Mattresses mentioned on label Words of caution regarding “natural products” for bed bug control: • Exempt from EPA regulation • EPA requires no efficacy data • Claims often based on “satisfied customers”—ask for their research data and evaluate it carefully INTEGRATED PEST MANAGEMENT (IPM) FOR BED BUGS: Correctly identify the pest + Conduct a thorough inspection + Use sanitation measures + Use non-chemical measures + Apply insecticides to targeted sites Some Basics of Bed Bug Management Using Insecticides • Bed bug control is time-intensive and labor-intensive. • A thorough inspection to locate all bed bug harborages is critical. • Spot treat all harborage sites. Bed Bugs in Carpeting o t t n a t r It’s impo l treat al ! s e t i s e g harbora Bed Bugs in Electrical Outlets o t t n a t r It’s impo l treat al ! s e t i s e g harbora Bed Bugs Behind Baseboards o t t n a t r It’s impo l treat al ! s e t i s e g harbora Bed Bugs Behind A Hanging Picture o t t n a t r o It’s imp treat all ! s e t i s e harborag --Bed Bug Inspection-Bed Bug-Sniffing Dogs • Dog and handler should be specially trained and certified • Dog requires daily training, too • The dog’s handler is important • High accuracy (>90%) • Enable rapid inspections • Expensive Margie Pfiester, Philip G. Koehler & Roberto M. Pereira. 2008. Ability of bed bug-detecting canines to locate live bed bugs and viable bed bug eggs. J. Econ. Entomol. 101: 1389-1396 --Passive Monitoring Devices-- Climbup™ Insect Interceptor * • Positioned under bed legs • Bed must be kept in use—bugs are attracted to host’s CO2 • Pitfall trap—bed bugs climb in and cannot escape* • Eliminate alternative ways for bugs to access bed • Keep bed several inches away from walls *Keep inner walls of pitfall area dusted with thin layer of talcum powder to prevent bugs from escaping! • Don’t let bed linens, dust ruffle, & bedding contact the floor or walls Insecticides • Residual insecticides • Low impact products (diatomaceous earth, insect growth regulators, etc.) • Several different insecticides and formulations often are used to treat a unit • Follow-up treatments typically necessary • Don’t keep using the same insecticide (rotate insecticides) Some Basics of Bed Bug Management Using Insecticides • There is no single “magic bullet” • Customer cooperation is critical – Clutter management – Emptying drawers, removing bedding, etc. – Disclosure re: prior insecticides used DO NOT use “bug bombs” against bed bugs! - ”Bug Bombs” (“foggers”) don’t work - Few bugs will be killed! - “Bug Bombs” cause bed bugs to scatter!!! “Bug Bombs” will worsen the bed bug problem!! Reasons why residents should not dispose of furniture, mattresses, etc: – Bed bugs will fall off the furniture as it is being moved, hence spreading the problem. – Infested furniture usually can be treated. – Bed bugs can quickly infest replacement furniture. – Items placed on the curb often are picked up and reused, thereby spreading bed bugs to other households. What can help solve the bed bug problem in a home? • • • • • Remove clutter! Launder and dry items Vacuum thoroughly Clean and disinfect items Encase mattress and box springs Disinfect Items by Laundering & Drying (kills all bed bug life stages) Launder clothing • Wash in hot water (>120ºF) • Use drier on hot setting (>30 mins.) • Dry clean items Bag disinfected items What can help solve the bed bug problem in a home? Vacuum thoroughly! • Use a high efficiency particulate air (HEPA) filtered vacuum cleaner • vacuum up cornstarch or talc using the attachment as the final step Don’t share • dispose of vacuum bag afterwards your vacuum cleaner with • Heavy-duty vacuum cleaner useful for cracks & crevices others! • Vacuum prior to chemical treatment What can help solve the bed bug problem in a home? Encase mattresses & box springs! • Be sure to encase both the mattress & box springs • Specialized encasements trap bed bugs and eggs • May take 1 year to “starve bugs out” • Restricts any new bug activity to the exterior of the encasement, where bugs can be more easily treated • Be careful not to tear or damage encasements and make sure the zipper stays closed • Some exs: Clean Rest, Mattress Safe, National Allergy Supply, Protect-A-Bed … Some Insecticides Registered For Use Against Bed Bugs Active Ingredient Phenothrin w/isopropanol with synergist Product Name Steri-fab® Bedlam® Miscellaneous Label Notes - Steri-fab: General surface applic. - Bedlam: Mattresses mentioned on label—emphasis on seams, tufts and folds; spot applic. elsewhere - Contact insecticide, not a residual - Research note: Both products kill very few eggs (Virginia Tech, unpubl. data) --Summary-• • • • • • • Myths Historical perspective Identification Bed bug habits Prevention Self-protection Integrated pest management (IPM) For More Information http://ohioline.osu.edu OSU Extension Fact Sheets: • HYG-2105 (Bed bugs) • HYG-2105A (Bat bugs) http://centralohiobedbugs.org ions t a t n Prese le for b availa rainings t group BED BUG POCKET GUIDE • A pictorial guide for recognizing bed bugs and their signs; provides information on IPM • $5 each (includes shipping and handling) • Contact Susan Jones at [email protected] Thank You! Sleep tight, and don’t let the … … well, you know the rest
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