Avoiding bed bugs is most challenging in hotels, apartment buildings, and other places where there are many people, high turnover and ongoing opportunities for introduction of the pests. Periodic, preventive inspection by tenants, housekeeping/maintenance staff, or pest control firms is the best way to detect infestations in their initial stages when they are easiest to control. Visual inspections can be supplemented by using various monitoring devices to capture and reveal bed bugs that may have been overlooked by occupants.   
Although bedbugs are generally nocturnal, they're like humans—if they're hungry, they'll get up and get something to eat. "If you go away to visit a friend for a week and you come back and sit down on the couch, even though it's daytime the bedbugs will come looking for you," Schal says. Keeping a light on, then, unfortunately does not keep these tiny vampires away.
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The decline of bed bug populations in the 20th century is often credited to potent pesticides that had not previously been widely available.[44] Other contributing factors that are less frequently mentioned in news reports are increased public awareness and slum clearance programs that combined pesticide use with steam disinfection, relocation of slum dwellers to new housing, and in some cases also follow-up inspections for several months after relocated tenants moved into their new housing.[66]
Bed bugs are challenging to eradicate. Since they can hide in so many places, inspections must be thorough and elimination is not always a certainty. Whenever resources allow, it’s prudent to enlist the services of a professional. Experienced pest controllers know where to look for bed bugs, and have an assortment of tools at their disposal. Nonetheless, owners and occupants can assist the professional in several important ways. Affording access to all living areas is crucial, and excess clutter will need to be removed. Belongings strewn about rooms offer many places for the bugs to hide, and impede inspection and treatment. Since bed bugs can disperse throughout a building, it often will be necessary to inspect adjoining rooms and apartments as well. 
Oil-based products have been so frequently touted as natural bed bug killers that they’ve even attracted government intervention. The Federal Trade Commission has charged multiple companies with deceptive advertising for overhyping their cedar oil-based products’ ability to treat an infestation. By claiming that their products can stop and prevent bed bug infestations, these marketers opened the door to government lawsuits for misleading their customers.
Español: tratar las picaduras de chinches, Deutsch: Bettwanzenbisse behandeln, Português: Tratar Picadas de Percevejos, Italiano: Trattare le Punture delle Cimici da Letto, Français: traiter des piqures de punaises de lit, Русский: лечить укусы клопов, 中文: 应对床虱叮咬, Nederlands: Bedwantsbeten behandelen, Čeština: Jak léčit štípance od štěnic, Bahasa Indonesia: Mengobati Gigitan Kutu Ranjang, Tiếng Việt: Trị Vết cắn Bọ rệp, 日本語: トコジラミの刺し跡を治療する, العربية: معالجة لدغات البقّ المنزلي, 한국어: 빈대에 물린 상처를 치료하는 법, ไทย: รักษารอยตัวเรือดกัด
Some less proven heat weapons have been suggested online, such as clothes irons. Clothes irons might reach the temperature needed to kill bed bugs, but the heat won’t penetrate deep into soft materials to where bed bugs might be hiding. You also can’t iron areas besides clothes and sheets, like cracks and crevices in walls, floors, and furniture. The metal surface and high surface heat would damage many of the materials it wasn’t designed to be used on.
Move your bed away from any other points of contact, like walls, nightstands, and other furniture. Tuck in or remove any hanging skirts or sheets, and remove any storage under the bed that is touching any part of the frame. The only thing your bed should be touching is the floor via its legs. If you don’t have a bed frame with legs, you should purchase one to sleep in, at least until you are bed bug free.
Heat is perfect for eradicating bed bugs in a structure because it radiates into the walls, furniture, and other items to kill bed bugs where they hide. It is also an eco-friendly solution that can be done with little or no use of pesticides. Sounds great, right? The problem is that heating a structure evenly to above 115 degrees Fahrenheit is no easy task. Professionals use temperature regulated heating units, temperature sensors, and industrial-strength fans to raise the temperature of a structure without harming it or the belongings inside.
Many news reports in recent years have focused on the discovery of bedbugs and their health effects (even in upscale five-star hotels), and a number of lawsuits have been filed by guests of fashionable hotels who awoke to find hundreds of bedbug bites covering their skin. Searching on travel-review web sites regularly reveals information and even photos confirming the presence of bedbugs in numerous hotels.
Avoiding repeated bites can be difficult, since it usually requires eradicating bed bugs from a home or workplace; eradication frequently requires a combination of pesticide and non-pesticide approaches.[3] Pesticides that have historically been found to be effective include pyrethroids, dichlorvos and malathion.[4] Resistance to pesticides has increased significantly over time and there are concerns of negative health effects from their usage.[3] Mechanical approaches such as vacuuming up the insects and heat-treating or wrapping mattresses have been recommended.[3]
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Amazingly, these sneaky little bloodsuckers dine on you without waking you. You don't feel their stealthy bite because they inject a numbing agent into your body, along with an anticoagulant to keep your blood flowing as they suck. The first sign of bedbugs may be itchy, red bites on the skin, usually on the arms or shoulders. Bedbugs tend to leave straight rows of bites.
Systematically examine and treat all furniture (beds, bed frames, dressers, chairs, couches, night stands, etc.) following the same procedures and recommendations above. As a piece is treated it can be returned to the parts of the room that have been treated.  Note that furniture should be taken apart, drawers and cushions removed in order to inspect and treat every nook and cranny. When treating upholstered furniture, pay attention to each welt, button and fold. You may wish to discard low-value, stuffed furniture that is infested and too difficult to treat.  After spraying, return each article of furniture to the part of the room that has been treated. Do not reintroduce any furniture or other items to the treated room until they have been thoroughly cleaned, inspected or treated.
First up are the contact sprays, like STERI-FAB and JT Eaton Kills Bed Bugs. These will kill quickly, but evaporate shortly after, leaving no long-lasting protection. Spray along baseboards, below drawers and on drawer slides, behind cabinets, and behind night stands. Follow up with a residual spray, such as Bedlam Plus and JT Eaton Kills Bed Bugs Plus. Residual sprays will offer long-lasting protection against bed bugs and hatchlings. Bedlam Plus is ideal for cracks and crevices throughout the room, while JT Eaton Plus can be used below the cushions and bases of sofas, chairs, edges of carpets and other fabric items.
* Typically used for control of wood-destroying organisms, true fumigation of structures is occasionally performed for bed bug control. Fumigating a structure involves “tenting” it, i.e., draping and sealing it with tarps so that the fumigant, a poisonous gas, can be applied into and contained within the structure where it penetrates the contents and kills all pests within. Like whole-room heat treatments, fumigation has no lasting effect (it leaves no pesticide residue), is labor-intensive, and can damage contents. It is also more expensive, especially in northern states where fumigations are done less frequently. The advantage of fumigation over heat treatment may be that fumigation is more likely to kill all the pests within a structure.
Pesticides should always be used with caution, and especially when used indoors.  Never use a pesticide for bed bugs that does not bear clear directions stating that it can be used indoors.  Never spray yourself, children or pets with a pesticide.  And follow the label safety directions carefully.  Pesticide labels contain directionsfor use that are not merely suggestions.  Failure to follow directions exactly is illegal and can result in poor control and possible harm to yourself and family.  For more information, see the EPA Consumer Alert on pesticides and bed bugs.
Doctors often misdiagnose those afflicted because it is nearly impossible to tell, if you are experiencing an allergic reaction, what bit you. Often healthcare providers and individuals that have been bitten by a member of the Hemiptera order mistake bites for those of a mosquito. The only way to discern, with complete surety, what your bites are from, is to get a sample of what has bitten you.
When professionals need to treat an infestation, they don’t reach for rubbing alcohol or cedar oil or a blow dryer. They use a proven treatment process that involves a combination of proven products to get the job done. It’s not about whether or not a certain item can kill bed bugs, it’s about whether that item is the ideal part of a treatment that will actually get rid of an infestation. After all, your shoe would have a 100% kill rate on any bed bugs you smack with it – that doesn’t mean you can expect to be bed bug free after a diligent afternoon of shoe-wielding.
Treat mattress box spring and furniture voids with Cimexa Dust or Delta Dust. Turn bed box springs over and remove the cloth cover seal. Thoroughly inspect and treat the box springs area with insecticidal dust. After treatment replace the cloth cover seal with staples or screws. Hollow bed-frames, platforms, headboards and any other voids discovered during inspection should also be treated where possible. The upper mattress can be sprayed and treated with Bedlam Plus, Zenprox or Sterifab.
First up are the contact sprays, like STERI-FAB and JT Eaton Kills Bed Bugs. These will kill quickly, but evaporate shortly after, leaving no long-lasting protection. Spray along baseboards, below drawers and on drawer slides, behind cabinets, and behind night stands. Follow up with a residual spray, such as Bedlam Plus and JT Eaton Kills Bed Bugs Plus. Residual sprays will offer long-lasting protection against bed bugs and hatchlings. Bedlam Plus is ideal for cracks and crevices throughout the room, while JT Eaton Plus can be used below the cushions and bases of sofas, chairs, edges of carpets and other fabric items.
They also have the ability to travel beyond the bedroom, so all adjoining rooms should be checked for infestation. Any area that offers a layer of protection, e.g. dark, isolated areas, should be checked. They do leave excrement droppings behind, so even if they are not seen, you can often see where they have been. The best method to find them is to check only at night, and with a red light.
Because bed bugs have become so prevalent in the past few years, many fear they’ll be their next victim. They became so anxious and paranoid of the possible bed bug presence. If you eliminate the pests though, you could have a certain sense of peace knowing that you would not be bothered or bitten them. However, you wouldn’t be able to sleep well for long if you would not kill bed bugs right and continuously do the bed bug preventive steps.
Dusts have been used to ward off insects from grain storage for centuries, including plant ash, lime, dolomite, certain types of soil, and diatomaceous earth or Kieselguhr.[60] Of these, diatomaceous earth in particular has seen a revival as a nontoxic (when in amorphous form) residual pesticide for bed bug abatement. While diatomaceous earth performed poorly, silica gel may be effective.[61][62]
Systematically examine and treat all furniture (beds, bed frames, dressers, chairs, couches, night stands, etc.) following the same procedures and recommendations above. As a piece is treated it can be returned to the parts of the room that have been treated.  Note that furniture should be taken apart, drawers and cushions removed in order to inspect and treat every nook and cranny. When treating upholstered furniture, pay attention to each welt, button and fold. You may wish to discard low-value, stuffed furniture that is infested and too difficult to treat.  After spraying, return each article of furniture to the part of the room that has been treated. Do not reintroduce any furniture or other items to the treated room until they have been thoroughly cleaned, inspected or treated.
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