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Bed Bugs. Overview. Characteristics Myths and facts What is being done about bed bugs Where they hide Protecting your work and home Equipment and personnel clean up Controlling and eradicating infestations. Characteristics. There are 7 stages from egg to nymph to adult - PowerPoint PPT Presentation
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Bed Bugs
Overview
Characteristics Myths and facts What is being done about bed bugs Where they hide Protecting your work and home Equipment and personnel clean up Controlling and eradicating infestations
Characteristics
There are 7 stages from egg to nymph to adult Each stage requires a blood host to molt to the next Humans are preferred host Hosts can also include dogs, cats, birds and bats Female lays approximately 5 eggs per day Eggs are held in place on surfaces with a glue like
substance Eggs hatch in 4 – 12 days
Life cycle
Characteristics
Approximately ¼” in size Do not fly but are adept, fast crawlers Scatter when disturbed Transparent apperance until they feed
Characteristics
Can live for up to 18 months without feeding They do not transmit disease Bites can create an allergic reaction from their saliva Bites may itch but not always Scratching welts may lead to secondary skin
infection Anesthetic and anticoagulant is injected as feeding
begins Nymphs feed for 3 minutes, adults 10 – 15 minutes
Welts from bites
Characteristics
Bed bugs leave tell-tale signs such as blood stains near the bite site
Dark deposits (fecal spots) occur on sheets, mattresses and walls
In severe infestations, a sweet, musty odor from their scent glands may be present
Microscope enhanced
Myths
Only “dirty people” get bed bugs Bed bugs are only found in places like
homeless shelters and army barracks Bed bugs are only a problem for low income
people Bottom line: regardless of hygiene, financial
or social status or place of residence, bed bugs can infest your home or work place
Facts
Bed bugs were controlled, but never completely eradicated in the USA after WWII
Many of the insecticides that were effective, like DDT are either ineffective or simply not available any more
Increased international travel, immigration and import of goods has contributed to the spread of bed bugs
What is Being Done
United States Environmental Protection Agency is considering allowing more pesticides to be used to kill the bugs
Increased awareness Increased education
Some places where they hide
Seams of mattresses Cracks and creases in furniture
Some places where they hide
Behind baseboards Under carpeting
Bedbugs have also been found in
Senior housing Nursing homes Apartment buildings Hotels & motels Schools Churches Movie theatres Dorm rooms Firehouses including vehicles
Protecting your home and workplace
Protecting your home and workplace
Keep a vigilant eye for tell tale signs of infestation such as sweet odor, feces, exoskeletons
Avoid wearing duty uniforms home at the end of your shift
Avoid setting jump bags and other equipment on floors and furniture. Use hard, flat surfaces when available
Launder uniforms at work Water temperature of 120○ F is known to kill bed
bugs
Protecting your home and workplace
Launder work bedding frequently At work and home perform daily, routine
inspections of all mattresses, box springs, couches, chairs etc.
After the call and clean up procedure
Remember that bed bugs do not transmit disease
Bed bugs prefer nooks, crannies, folds in material, creases and seams
Bed bugs will rarely if ever stay on hard, flat surfaces such as cabinet doors and walls of the ambulance
After the call and clean up procedure
“Clean up” should focus on routine disinfection per department procedure and visual inspection for signs of bed bugs
With the increasing prevalence of bed bugs, crews should perform a routine tertiary inspection for the bugs after each call
Procedure for known or obvious patient infestation
Notify your company officer that clean up may be slightly extended due to the need for a diligent visual inspection
Company officer should notify the shift commander / battalion chief
Police officers who were on the scene should be given a courtesy call
Procedure for known or obvious patient infestation
Cab, cabin and compartments Shine a bright flash light in creases of seats,
behind seats, behind radios, computers, etc. while inspecting. Bedbugs are easily startled and this may “flush” them out if they are present
Disinfect seats, radio, turn signals, door handles, cables, BP cuffs, stethoscope, grab rails, stretcher, etc. as usual
Do not use harsh chemicals, bleach, pesticides, or other chemicals
Use of RID
The active ingredient in RID, which is used to treat head lice, is also effective in killing bed bug eggs
RID is available at most pharmacies/drug stores and should be used after treating and/or transporting obviously infested patients
Controlling and eradicating infestations
Bed bugs are very difficult to kill “Bug bombs” designed to kill flying insects only
scatter bed bugs Treatment of homes and workplaces requires
licensed pest control experts Multiple treatments may be required Reduce clutter Encase mattresses and box springs in plastic covers
Controlling and eradicating infestations
Store belongings, especially bedding and clothing, in tightly closes plastic containers
Vacuum and empty collection receptacle daily After travel, immediately wash all clothing Be cautious when bringing used furniture into your
home Never give away or accept used mattresses or box
springs Dispose of infected furniture
Sources
Centers for Disease Control Illinois Department of Public Health DuPage County Health Department Central Ohio Bed Bug Task Force Bedbuginfestation.info
Thank you for this information!!
Shelly Carbone, EMT-P/FF– EMS Coordinator– Tri-State Fire Protection District