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Copyright 2008 1 Bed Bug Infestation Re-Emergence: Tracking Epidemiological Events Through News Media Reports Dr. Alice L. Anderson Department of Health Education and Promotion/Environmental Health Program East Carolina University Greenville, NC Bed Bugs • aka, “Chinches”, “Chinch Bugs”, “Red Coats” Suborder Hemiptera (Order Heteroptera) Small ( 3 /16” long) broadly oval, flat, reddish-brown color Wingless (vestigial)

Anderson bedbugs NEHA - NEHA CERT · Microsoft PowerPoint - Anderson_bedbugs NEHA.ppt Author: Denise Created Date: 11/12/2008 4:44:22 PM

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Page 1: Anderson bedbugs NEHA - NEHA CERT · Microsoft PowerPoint - Anderson_bedbugs NEHA.ppt Author: Denise Created Date: 11/12/2008 4:44:22 PM

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Bed Bug Infestation Re-Emergence:

Tracking Epidemiological

Events Through News Media Reports Dr. Alice L. Anderson

Department of Health Education and Promotion/Environmental

Health ProgramEast Carolina University

Greenville, NC

Bed Bugs• aka, “Chinches”, “Chinch

Bugs”, “Red Coats”• Suborder Hemiptera

(Order Heteroptera)• Small (3/16” long) broadly

oval, flat, reddish-brown color

• Wingless (vestigial)

Page 2: Anderson bedbugs NEHA - NEHA CERT · Microsoft PowerPoint - Anderson_bedbugs NEHA.ppt Author: Denise Created Date: 11/12/2008 4:44:22 PM

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Bed Bugs• Piercing-sucking 3-

segmented mouthparts that originate from the front of the head

Bed Bug Relatives• Bed bug - Cimex lectularius• Bat bug - Cimex adjunctus• Swallow bug - Oeciacus vicarius

• 16 species in the U.S.– Bats – 9 species– Birds – 10 species– Humans – 3 species

• Interbreeding possible but probably not common

Bed Bug Bat Bug

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Bed Bugs and People

• Likely encountered each other in caves inhabited by both

• Spread by explorersto Africa, Australia and the New World

A Bug’s Life• Mate by “traumatic insemination” – male

pierces female’s abdomen and inserts sperm into fatty layer.

• Female lays 200-500 eggs in cracks and crevices. Eggs hatch in about 10 days

• Nymphal stage has five molts and lasts about 35-48 days (longer depending on temperature).

A Bug’s Life• Hide by day in cracks and crevices• Feed primarily at night, crawling in search of a

blood meal• Host cues: likely body heat and carbon dioxide• Inject anticoagulant and suck blood • Saliva causes allergic reaction

Page 4: Anderson bedbugs NEHA - NEHA CERT · Microsoft PowerPoint - Anderson_bedbugs NEHA.ppt Author: Denise Created Date: 11/12/2008 4:44:22 PM

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A Bug’s Life• Require a blood meal (lasting 5-10 minutes) to molt

and lay eggs• Can survive 80-140 days without a blood meal• Adults live 6-7 months (up to 1.5 years).• Critical temperatures:

Low: 13oC (55oF) High: 45oC (112oF)

Why Bed Bugs Now?

• Increased international travel/tourism• Increased immigration and population mobility • Pest misidentification

? ?

Why Bed Bugs Now?

• Cockroach control relies more on baits and less on insecticidal sprays that would have treated areas where bed bugs might also hide.

• Elimination of OP insecticides and the broader use of repellent pyrethroids indoors.

Page 5: Anderson bedbugs NEHA - NEHA CERT · Microsoft PowerPoint - Anderson_bedbugs NEHA.ppt Author: Denise Created Date: 11/12/2008 4:44:22 PM

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Baghdad City 1989• Previously unreported in Baghdad• Collected from hotels, private homes, apartment

buildings and governmental offices. • Suspected source: influx of immigrant Egyptian and

Sudanese laborers.

Jour. of Biol. Sci. Res. 20, no. 3, 455-462 (1989)

Great Britain - 1999• Two healthcare workers who occupied a

hospital consecutively. Other occupants had brought residence luggage from overseas

• Individual who slept on bedding imported from U.S. • Several people who had brought luggage from

Australia• One person with no recent travel or neighbors with

problems. Parents had them three months later.British Medical Journal 320:1141 (22 April 2000)

Bed Bugs & Diseases• Including bubonic plague, relapsing fever, tularemia

(Ebeling (1978) • Hepatitis B found in nymphs, adults, feces.

Possible mechanical transmission (feces or crushed insects) – Olson et al. (2001)

• No evidence to support transmission of HIV

Page 6: Anderson bedbugs NEHA - NEHA CERT · Microsoft PowerPoint - Anderson_bedbugs NEHA.ppt Author: Denise Created Date: 11/12/2008 4:44:22 PM

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Bed Bugs North of the Border

• Miles et al (2003*) surveyed eight boarding house rooms

• Used sticky traps and carpet tape (other tapes were not as effective)

• 3 of 8 rooms were negative• 5 of 8 rooms had anywhere from 3-14 trapped

*Center for Urban and Community Studies Research Bulletin #19

A Bug’s Life in North Carolina

• Major problem areas in NC– Beach rental properties– Hotels– Residences– Dormitories– EMS Stations

US News Media Began Reporting in noticeable numbers in 2001

• North Carolina Reports started in 2001-2002• There were news stories in Wash DC,Virginia,

Maryland, Illinois, New York, and Florida in 2001 and 2002.

• I wanted to see how the development of news stories illustrated the spread of bedbug infestations in the US.

Page 7: Anderson bedbugs NEHA - NEHA CERT · Microsoft PowerPoint - Anderson_bedbugs NEHA.ppt Author: Denise Created Date: 11/12/2008 4:44:22 PM

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News Media and Bedbugs• In the June NEHA Journal article, you can see the numbers of articles through the years as

they appeared in regions of the US.

• It's Being Called a National Epidemic: Bedbugs! • Video: It's Being Called a National Epidemic: Bedbugs!

• Some bug experts say beware when you go to sleep. Bedbugs are on the comeback in the United States. These bloodsucking bugs feed on human hosts at night, leaving behind an itchy welt.

• Bedbugs have been turning up in hotels, hospitals, schools and anywhere else that has heavy traffic. Bedbugs also infest mattresses.

• Doctor Alice Anderson, Assistant Professor of Environmental Health Program and East Carolina University, says bedbug bites are something you should be concerned about because they can lead to infections. Doctor Anderson says North Carolina is one of the states where bedbugs are re-emerging.

• Click on the following link for more information on bedbugs and prevention.• http://www.mayoclinic.com/health/bedbugs/AN01186

News media animated map• For this presentation, I took all the stories we found

directly about local infestations and created an animated map. Each state lights up and changes to a darker red as the years from 2003-2007 pass by.

• 2006 was the most active year for bedbug stories.

(Map)• http://core.ecu.edu/hhp/and

ersonal/bedbugs/index.html

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The following slides are from NC State Extension Service on Inspection

and Control

Bed Bug Control

Location…. Location…. LocationIdentification

Bed Bug Control

• Start with accurate identification– Eliminate bat bugs or swallow

bugs as the culprits

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Inspecting for Bed Bugs

Stalking the Wild Bed Bug

Stalking the Wild Bed Bug

• Fecal droppings & blood• Egg cases & shed skins• Sweet odor (heavy pop.)

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Stalking the Wild Bed Bug

Bed Components

Headboard Inspection

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Hotel Hotspots

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Furniture

Stalking the Wild Bed Bug

Carpets, Padding, Baseboards

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Stalking the Wild Bed Bug

Homeless Shelters• Frames may harbor

pests• Occupancy rate may

vary seasonally• Transient nature of

occupants makes prevention difficult.

Other Bed Bug Critical Areas

• Laundry carts• Sorting tables• Storage areas

Page 14: Anderson bedbugs NEHA - NEHA CERT · Microsoft PowerPoint - Anderson_bedbugs NEHA.ppt Author: Denise Created Date: 11/12/2008 4:44:22 PM

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Sanitation• Discard/Vacuum: carpets, closets, furniture,

mattresses and boxsprings• Mattress and boxspring sanitizing (sterilization)*• Wash and dry clothing, bed linens, other such items.• Carpet cleaning

(vacuuming vs. steam cleaning)• Inspect and clean/treat luggage• Put furniture out in cold

(waste of time)

Exclusion

Keep bed bugs from reaching “food”

Bed Bug “Exclusion”

• Screening and other repairs* • Caulking/sealing• Double-sided tape on

furniture legs• Furniture selection

Page 15: Anderson bedbugs NEHA - NEHA CERT · Microsoft PowerPoint - Anderson_bedbugs NEHA.ppt Author: Denise Created Date: 11/12/2008 4:44:22 PM

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Chemical Control• Bedframe, headboard• Mattress and box spring• Other furniture• Baseboards surface and

cracks/crevices• Carpeting* and padding• Temperature is important

Chemical Control• Liquid formulations for baseboards and other

surfaces (use less-repellent chemicals, IGRs)• Dust formulations in voids (few on surfaces)

– Tri-Die (silica gel)– PermaDust (boric acid)– DeltaDust– DE (homeowners)– Sevin (DA)

Website

http://insects.ncsu.edu/Urban

Avast, Matey!

Page 16: Anderson bedbugs NEHA - NEHA CERT · Microsoft PowerPoint - Anderson_bedbugs NEHA.ppt Author: Denise Created Date: 11/12/2008 4:44:22 PM

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Michael WaldvogelNCSU-EntomologyCampus Box 7613Raleigh, NC 27695

[email protected]

Many Thanks to the following individuals for slides and information:

Dr. Harold Harlan, Pest Management Board