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3/20/2014 1 Bed Bug Management in Senior Housing LeadingAge NY Housing Professionals Conference March 28, 2014 Claire Guerette Assistant Executive Director St. Margaret’s House Timothy Wong Director M&M Environmental Agenda Develop effective strategy & action plan Review inspection, prevention & treatment options Share SMH protocol and results Q&A 2 St. Margaret’s House, NYC 3

in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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Page 1: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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1

Bed Bug Management in Senior HousingLeadingAge NY Housing Professionals ConferenceMarch 28, 2014

Claire Guerette

Assistant Executive Director

St. Margaret’s House

Timothy Wong

Director

M&M Environmental

Agenda

Develop effective strategy & action plan

Review inspection, prevention & treatment options

Share SMH protocol and results

Q & A

2

St. Margaret’s House, NYC

3

Page 2: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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Key Points to Remember

4

Developing a Bedbug Strategy

5

8 steps

Step # 1 – Acknowledge the Problem

6

Page 3: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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Step # 2 – Create a Response Team

7

Point Person

Certified & Licensed Pest Control Firm

ContractorsStaff

Community

PCO Qualifications

8

Step # 3 – Define the Infestation

Where ARE they?

9

Page 4: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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St. Margaret’s House Activity Map

10

September 2009: 25 Apts /10% March 2014: 0 Apts/ 0%

A B C D E F G H J K L M N O A B C D E F G H J K L M N O

2 2 2 2

3 3 3 3

4 4 4 4

5 5 5 5

6 6 6 6

7 7 7 7

8 8 8 8

9 9 9 9

10 S 10 10 S 10

11 11 11 11

12 12 12 12

13 13 13 13

14 S 14 14 S 14

15 15 15 15

16 16 16 16

17 17 17 17

18 18 18 18

19 19 19 19

20 20 20 20

A B C D E F G H J K L M N O A B C D E F G H J K L M N O

Step # 4 – Assess Available Budget

Research

Decide

Develop

Discuss

11

Step # 5 – Know the Options for…

12

Inspection

Prevention

Treatment

Page 5: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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What Your Exterminator Might Not…

SHARE WITH YOU

13

Scope of the Areas to Treat

14

Bedbug Biology & Behavior

15

Bedbug Nymph Bedbug After Feeding

Bedbug on a Thumb

Adult Bedbug

Page 6: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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Inspection Options

16

Visual Inspection

NightWatch Monitor Climb‐up Interceptor

Bedbug Detecting Canine

New Monitoring Tools

17

NightWatch MonitorVerifi Monitor

ActiveGuard Mattress Liners

Inspection Options: Pros & Cons

18

Treatment Types Pros Cons

Visual Inspection Readily Available Time‐ConsumingLimited Accessibility

Requires Physical Evidence

Bedbug Detecting Canines

Immediate Results98% Accuracy

Detect Even At Low LevelsCan Pinpoint Source

Requires PreparationFalse Positives

Various Certifications

NightWatch Monitors Requires No Preparation Completely Objective

Requires 1‐2 weeksDifficult to Find CO2 refills

Climb Up Interceptors Most Economical  Requires MaintenancesMay Not Fit All Beds

Page 7: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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NightWatch Monitor Results

19

Bed Bugs at various stages  of maturity

Evidence of Bedbugs

20

Fecal matter

Treatment Options

21

Chemical

• Residual Liquid Insecticide• Contact Liquid Insecticide• Dust Insecticide• Vikane Fumigation

Non‐Chemical

• Steam• Instant Freeze(‐ 108° F)• Ambient Heat (113°F +) • Proofing (Exclusion)

Page 8: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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Treatment Options: Pros & Cons

22

Treatment Types Pros Cons

Residual Liquid Spraying Requires Less Preparation Slow Results and Very PassiveResistance build‐up

Contact Liquid SprayingUltra Low Volume (ULV)

Immediate Results Requires Intense Preparation and Cleaning

Steam Treatment No Pesticide Limited Penetration, Cannot Treat Electronics, Books or Sensitive items

Cryonite (Instant Freeze) No Pesticide, Can Treat Electronics, Books & Sensitive Items

Must Be Precise, Patented Process (More Costly)

Heat Remediation No Pesticide, Less Preparation Requires Extensive Experience,Expensive

Wall Void Treatment Little to No Pesticide Exposure,Permanent Barrier

Some Drilling Required

Exclusion (Proofing) No Pesticide, Permanent,Prevents other pests,

Time Consuming

Fumigation 100% Effective Must be Free‐Standing Not Readily Available

Fumigation (Vikane)

23

100% effective

Structural Chamber

Two Types:

Proper Preparation

24

Conventional Preparation

Vikane Fumigation

Page 9: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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Proper Preparation

• Utilize good quality mattress and box spring encasements

• Remove clutter & untreated wood

• Discard heavily infested items

• Launder and dry clothing in hot temperatures

• Isolate cleaned items in plastic containers or bags

• Remove people & pets during treatment

• Consider hiring professional preparation firms for Vikane fumigation

25

Important Considerations

Physical & mental health

Capability to understand and properly prepare

Financial resources

Genuine intention to cooperate

Support network

26

Putting the Pieces together…

27

Acknowledge

Team

Budget Options

Page 10: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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Step #6 ‐ Prepare the “Plan of Attack”

Who? 

What?

When? 

How?

28

Sample Response Protocol

29

SMH Treatment Protocol

Wall Void

Proof/exclusion

NightWatch Monitors

Cryonite and residual treatments

Contact treatments (ULV) 

Fumigation

30

Page 11: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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SMH Treatment Protocol (Cont’d)

Packing & moving companies 

Cleaners

Steam

Encasements & interceptors

*Vacant Units*

31

SMH Response Protocol

32

Taking Control

33

Tips for Maintaining Law & Order

Page 12: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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Step #7 ‐ Educate and Communicate

34

Transparency = Accountability

Educate and Communicate (Cont’d)

35

Step # 8 ‐ Document and Measure

36

Paper Up!

Page 13: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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SMH Treatment History, current 

37

As of 3/1/14 ‐ Apts treated (occupied) As of 3/1/14 ‐ Apts treated (occupied & vacant)

A B C D E F G H J K L M N O A B C D E F G H J K L M N O

2 U U 2 2 U U 2

3 C 3 3 C 3

4 4 4 4

5 5 5 5

6 F/U 6 6 F/U / 6

7 U 7 7 U/ 7

8 8 8 8

9 U 9 9 U 9

10 U S 10 10 U/ / S 10

11 U 11 11 U 11

12 12 12 2x 12

13 U U/H 13 13 U U/H 13

14 S 14 14 S 14

15 15 15 / 15

16 16 16 / 16

17 F/V 17 17 F/V 17

18 18 18 18

19 U 19 19 U 19

20 U 20 20 U 20

A B C D E F G H J K L M N O A B C D E F G H J K L M N O

82/251 = 33%

Success by the Numbers

38

Recap of the 8 Steps:

39

8

Page 14: in Senior Housing - Home - LeadingAge New York Bug... · 2014. 3. 20. · 3/20/2014 1 Bed Bug Management in Senior Housing LeadingAgeNY Housing Professionals Conference March 28,

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Summary

40

41

Q & A

Contact Information

Claire Guerette

St. Margaret’s House

[email protected]

212‐766‐1507

Timothy Wong

M&M Environmental

[email protected]

212‐219‐8218

www.m&mpestcontrol.com

42