Stripping and vacuuming the mattresses and box springs, and encasing them.  Double bag your bedding and wash in hot water and dry for at least 30 minutes (discard the inner bag after putting bedding into the washer, as it could have bed bugs).  After vacuuming suspected bed bugs from the bed, take your vacuum cleaner outdoors and remove and discard the bag.  Purchase a good quality set of bed-bug-proof encasements for your mattresses and box springs. Bed bug-proof encasements are fabric sacks into which you slide your mattress or your box spring. The zippers on bed bug encasements are designed to be tight enough to prevent even the smallest life stages of the bed bugs from escaping. Also, good bed bug-proof encasements are woven to prevent bed bugs from biting you through the encasement. A good encasement will trap all bed bugs in the mattress and box spring inside, and will be smooth on the outside, providing few places for bed bugs to hide. Sears, Target, Walmart and other stores may sell bed bug-proof encasements, but these can also be purchased online. A good place to look for different brands and reviews of mattress encasements is Amazon.com (whether you buy there or at a local store). Go to http://www.amazon.com and search for “bed bug mattress protectors”.
Bring in only what is needed, and avoid sitting or placing coats and other items on beds, floors and sofas where the bugs commonly reside. Essential items can be placed on a tabletop or other hard surface, preferably away from bedrooms and sleeping areas. Better to sit on a hard (non-upholstered) chair than on sofas and recliners. Also try to avoid leaning or brushing against beds and upholstered furniture. If such items are carried out of infested dwellings (e.g., by sanitation workers or firefighters), it’s best to wrap them in plastic or at least not hold them against your body during transport. Emergency Medical (EMS) personnel may need to take additional precautions, such as removing a patient’s bed bug-infested shoes or clothing, or installing plastic sheeting before transporting them in the emergency vehicle.    
Systematically treat the room–all cracks and crevices around windows, outlets, blinds, pictures, posters and clocks on walls, baseboards, under edges of carpets and any other crevices or void areas in the room. Remember that immature bed bugs are very tiny. Dozens of bed bugs can hide in a recessed screw hole in a bed frame or dresser. Therefore it’s important that no hiding place be overlooked. Treatment can include vacuuming, but should not be limited to vacuuming only. Vacuums do not remove eggs, and will likely not remove all bed bugs from deeply infested cracks and crevices. Vacuums can remove many bed bugs from mattresses and the exterior of box springs (remember to immediately double-bag the vacuum bag after cleaning and dispose of outside in a trash can or dumpster). Sticky tape is another method of picking up bed bugs from furniture, walls, etc.
While most of the bed bugs were wiped out by the chemicals, three groups continued to thrive after being treated with chlorfenapyr, and five groups were still kicking after being treated with bifenthrin. That means that while some bed bugs will respond to these chemicals, others won't—and it's likely that more and more bugs will become resistant over time.
A bedbug will pierce the skin of its host with its mouth part. It first injects saliva that is a mixture of an anesthetic, so that the host feels nothing, and an anticoagulant so that the blood flows out freely. It then sucks out blood until it is full. The bites are not noticeable until after the skin reaction has occurred. According to the Centers for Disease Control and Prevention (CDC), it can take up to 14 days for bites to appear.

While your laundry cycle is running, use a vacuum cleaner to remove any bed bugs, shells, fecal droppings, or eggs that might be along the seams of your mattress, pillows, box spring, and along the cracks and crevices in the bed frame, headboard, and footboard. Follow up the vacuuming with a high pressure steamer to penetrate deep inside mattresses, box springs, bed frames, headboards, and footboards to kill bed bugs and eggs on contact.

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. 

Apply residual Bed Bug Insecticide Spray. After every crack, crevice, switch plate, electrical switch, baseboard, box springs, mattress, etc, has been treated and everything is put back, it is time for the residual treatment. Using a hand held sprayer such as the Chapin Sure Spray apply Optimate, Cy-Kick, Suspend SC or Demand along the baseboards in the bedroom and closet, under and around the bed, behind the headboard, inside bed stands etc.
Insecticides might also have their work cut out for them: Entomologists have known that the common bedbug has built up resistance to some typical insecticides such as those containing certain pyrethroid chemicals like deltamethrin, according to Entomology Today. Deltamethrin apparently paralyzes an insect's nervous system, according to Cornell University.
You should look for traces of the insects in the folds of your mattresses, box springs and other places where they are likely to hide. You might be able to find their papery skins, which get cast off after molting and look like popcorn kernels but are smaller and thinner, Harlan said. They also leave small, dark-colored spots from the blood-filled droppings they deposit on mattresses and furniture. If you can touch the spot with a water-soaked towel and it runs a rusty, reddish color, you're probably looking at a fresh drop of bedbug feces, Harlan said.
Bed bugs are an increasing cause for litigation.[69] Courts have, in some cases, exacted large punitive damage judgments on some hotels.[70][71][72] Many of New York City's Upper East Side home owners have been afflicted, but they tend to be silent publicly in order not to ruin their property values and be seen as suffering a blight typically associated with the lower classes.[73]
Our place is pretty cluttered so I was freaking out. Luckily we have hardwood floors and not carpet. We tried different things. It gets really hot here, so I loaded up any nearby sheets, pillows, comforters, clothes, etc into trash bags and tied them off so nothing could get out. I put those in the car so the sun could beat heat into them all day. Never thought I’d be so thankful for Texas summers… Still got bites. We bought a mattress cover. Still got bites. We thought, okay, maybe they’re coming from the wall socket from a neighbors or something. We couldn’t close it so we kept the bed away from furniture and walls and put sticky traps on the legs. Caught NO bed bugs but STILL GOT BITES. I was losing my mind.
My husband works for a garbage company (this is how we think the invasion started) and at the moment they are localized to our bedroom and our bathroom. However, the first place we found them was in our headboard & footboard. It is wood with an intricate carving. We checked the mattress and box spring and didn’t find a thing. But they LOVE that wood.
Bed bugs like to travel and are good hitchhikers. They will hide in suitcases, boxes and shoes to be near a food supply. They are elusive, nocturnal creatures. They can hide behind baseboards and in cracks, crevices, and folded areas of beds, bedding and adjacent furniture, especially mattresses and box springs. Bed bugs can also hide in electrical switchplates, picture frames, wallpaper and nearly anywhere inside a home, car, bus, or other shelter. Bed bugs usually come out at night for a blood meal. However, they are opportunistic insects and can take a blood meal during the day, especially in heavily-infested areas. Bed bugs usually require 5-10 minutes to engorge with blood. After feeding, they move to secluded places and hide for 5-10 days. During this time in the bed bug life cycle, they do not feed but instead digest their meal, mate, and lay eggs.
Dismantling bed frames in infested areas typically exposes bed bug hiding sites. Having access to these areas during cleaning is important. Stand up the box spring and shine a flashlight through the gauze fabric and look for bed bugs. If the fabric is torn (possible hiding place), remove fabric to prepare for spraying. If the mattress and or box springs are infested, you may want to consider Encasements by Mattress Safe. Once covered with these encasements, bed bugs can not enter or exit. There is no need to treat the mattress or box spring when using these encasements. Keep them on for a year.
Bedbug bites may go unnoticed or be mistaken for flea or mosquito bites or other types of rash or skin conditions, since the signs of bedbug bites are difficult to distinguish from other bites or skin conditions. Bedbugs also have glands whose secretions may leave musty odors, and they also may leave dark fecal spots on bed sheets and around places where they hide (in crevices or protected areas around the bed or anywhere in the room).
You are now ready to inspect other items and put these into the clean zone. As you continue to move things into the clean zone, more of the room will open and you can expand this clean zone. Using this method means you will not have to move furniture and items more than twice. This will allow you to concentrate on searching for bed bugs, rather than moving furniture.

Skin reactions from bed bug bites vary from person to person. Bites may go unnoticed or may be mistaken for flea or mosquito bites or other skin conditions. The most common skin reaction to bed bug bites are itchy red bite marks that appear clustered or in a straight line, often along the edge of clothing or where sheets were pulled up to a person's skin. Small swollen red bumps are also common. In rare cases, people may develop large, often itchy, red welts. A single bed bug bite is similar to a flea bite, except that a red area does not occur in the center. Flea bites tend to be found around the ankles while bed bugs tend to bite any exposed area of the body while a person is sleeping, such as the face, neck, arms, hands, or legs.
Some oils like tea tree and neem oil can't kill bedbugs, but they work well to repel them. Tea tree oil is an extract from the Melaleuca alternifolia plant—it can cause various health problems with pet birds, cats, and small dogs. If there are pets in the house, look for other safer choices. If you use the oil, apply it in small quantities to the skin to repel bed bugs. Since bed bugs are active at night, apply it before bedtime.
Bed bugs could be hiding in all sorts of tight spaces in your room, like wood cracks, inside books and furniture, and along the baseboards and the edges of the carpet. In this step, we’re going to clean, vacuum, and steam those areas that bed bugs are likely to be. This will cut down on the bed bug population while making it harder for survivors to hide.

Bedbug bites themselves are typically painless. However, the subsequent allergic reaction that may develop can cause intense pruritus. While feeding, bedbugs may inject one of several pharmacologically active substances, including hyaluronidase, proteases, and kinins. These compounds may induce different skin reactions, such as erythema, wheals, vesicles, or hemorrhagic nodules. Repeated bites may sensitize individuals, leading to more pronounced cutaneous manifestations or systemic hypersensitivity reactions. The local trauma from bedbug bites can lead to secondary bacterial infection, causing ecthyma, cellulitis, or lymphangitis. There is some evidence that bedbugs may also be a vector for hepatitis B and Chagas disease. Histologic findings from bite-site biopsy specimens typically show eosinophilic infiltrates, which are indicative of the allergic nature of the reaction. The image shown is papular urticaria, which may develop from bedbug bites.

Waking up with bites might be the first indicator that you have a bed bug problem. Their bites are often arranged in lines or clusters on the face, neck, arms or hands. Where there are bed bugs in large numbers, you might smell a sweet, musty odor (from the bugs’ scent glands) or see rust-colored spots on your bedding or mattress caused by bed bug blood or excrement. If you look closely, you might see adult bed bugs themselves, usually in mattress folds or seams or on the wall behind the headboard. Bed bugs prefer to stay close to their food source and are typically found hiding out within 1 to 5 ft of infested beds or furniture.
Should I worry about a tick bite? Ticks are parasites that feed on blood, and although their bites are harmless they can still transmit diseases, such as Lyme disease or Rocky Mountain spotted fever. Learn what ticks are and how to recognize the signs and symptoms of a bite. This MNT Knowledge Center article also explains how to prevent tick bites. Read now 

In the chemical-based category, there are two methods included. Though we consider the two as different means, they both rely on the use chemical pesticides. The first method is by hiring bed bug exterminators who use strong solutions to eliminate the pests. It offers an easy yet expensive and risky bed bug treatment even if the exterminator use the best chemical to kill bed bugs.
Pest management professionals are increasingly looking to heat to control bed bugs. Whole houses and, in some cases, multi-unit structures are heated to temperatures well above those lethal to bed bugs, to help assure uniform heating of household contents. Rooms must be heated for several hours during which bulky contents are turned to help ensure heat penetration deep enough to kill bed bugs hiding inside. 

Check to see if you can identify the rust-colored fecal stains, egg cases, and shed skins (exuviae) in crevices and cracks on or near beds. A sweet, musty odor is sometimes present. You should also look at other areas such as under wallpaper, behind picture frames, in couches and other furniture, in bedsprings and under mattresses, and even in articles of clothing. While fecal stains and skin casts suggest that bedbugs have been present, these do not confirm that the infestation is still active. Observing the bedbugs themselves is definitive confirmation that an area is infested. You may require professional assistance from a pest-control company in determining whether your home has a bed bug problem.
Bed bugs are highly vulnerable to heat; exposing them to a certain amount of direct heat will kill them instantly, while lower temperatures can kill them in a matter of minutes. This is why many forms of heat treatments are recommended. Some methods, such as steamers and portable heaters, have been proven effective through professional use and are quickly becoming standard issue in holistic treatment arsenals.
Other types of bed bug traps include those that do not rely on humans as bait, but instead use CO2and/or other attractants. CO2 is thus far the most powerful lure for bed bugs, as it is the primary cue they follow to locate hosts. Traps that issue CO2 for a period of time are more expensive than Climbup™ traps, but can effectively trap bed bugs when no host is present, such as in common areas, vacant homes or units, offices, schools, and theaters. Thus they can help confirm infestation and eradication.

Waking up with bites might be the first indicator that you have a bed bug problem. Their bites are often arranged in lines or clusters on the face, neck, arms or hands. Where there are bed bugs in large numbers, you might smell a sweet, musty odor (from the bugs’ scent glands) or see rust-colored spots on your bedding or mattress caused by bed bug blood or excrement. If you look closely, you might see adult bed bugs themselves, usually in mattress folds or seams or on the wall behind the headboard. Bed bugs prefer to stay close to their food source and are typically found hiding out within 1 to 5 ft of infested beds or furniture.
Symptoms may not appear until some days after the bites have occurred.[5] Reactions often become more brisk after multiple bites due to possible sensitization to the salivary proteins of the bed bug.[3] The skin reaction usually occurs in the area of the bite which is most commonly the arms, shoulders and legs as they are more frequently exposed at night.[5] Numerous bites may lead to an erythematous rash or urticaria.[5]
Bedbugs are parasitic arthropods from the family Cimicidae. They are typically less than 1 cm in length and reddish brown in color. Bedbugs can be found in furniture, floorboards, peeling paint, or other small spaces, most commonly in areas of clutter. These insects come out at night in search of prey upon which to feed, with peak feeding times just before dawn. Bedbugs are typically attracted to body heat, carbon dioxide, vibration, sweat, and odor. The image of a Cimex lectularius is shown courtesy of the US Centers for Disease Control and Prevention (CDC).
In a bed bug treatment, alcohol is basically an attempt to fill the role of a contact spray, which is an insecticide spray that kills bed bugs on contact. These sprays are proven to kill at a higher rate than rubbing alcohol could manage, and are extremely versatile in where they can be applied. Pair contact sprays with a couple of residual sprays, and you have a combination of chemicals that will kill bed bugs quickly now, and keep killing over the next few weeks.
It is also recommended to put infested items, such as a mattress, in a sauna that reaches temperatures of upwards of 170° Fahrenheit. Similarly, they also perish in extremely cold temperatures so mattresses and other items can be cleansed of these bugs with the use of plastic wrap and dry ice. Cover the items with large plastic tarps and carefully insert dry ice, and then secure. The extreme temperature will naturally fumigate the pests.

With practice and a flashlight, nonprofessionals can become proficient in finding and destroying bed bugs. The process is made easier by reducing clutter, especially in bedrooms and sleeping areas. Bugs that are spotted can be removed with a vacuum (see previous discussion), or killed with over-the-counter insecticides labeled for such use. Most bed bug sprays intended for householders have little remaining effect after the spray has dried. Therefore it’s important to initially contact as many of the insects as possible with the spray droplets. Insecticide labels should be read carefully as some bed bug products should not be used on mattresses and seating areas. Some insecticides applied as powders or dusts (e.g., diatomaceous earth) will kill bed bugs although boric acid powder will not. However powders can be messy and difficult to apply, especially by nonprofessionals. Total release foggers (otherwise known as ‘bug bombs’) are ineffective against bed bugs and potentially dangerous when used incorrectly (see University of Kentucky entomology fact sheet Limitations of Home Insect Foggers).
After treating a mattress or box spring for bed bugs, we recommend encasing each in a bed bug proof cover. This will prevent re-infestation and will make future inspections and treatments easier. Be sure any product that has been sprayed or applied to your mattress is dry before you cover the mattress with a bed bug proof cover. You can make the bed with your freshly laundered linens over a bed bug proof mattress cover. 

Mattress Encasements:  Mattress encasements are large “fabric bags” that you place a mattress inside. Once zippered closed, any surviving bed bugs will eventually starve. You will need an encasement for each mattress and box-spring in your home. If there are bed bugs in your mattress or box-spring they will start to die within two weeks, inside an encasement, but encasements should be left on for at least a year.There are many types of encasements so it is important to make sure you use an encasement designed for bed bug control. 

To know it's bedbugs, it's important to find the bugs themselves. Look at bedsheets and mattresses for little spots of blood, rusty-looking stains (crushed bugs), or black dots (bugs' poop). You might see live bugs around the seams or tags of mattresses and box springs, or in cracks of bed frames and other furniture. They can even hide in books, carpet edges, and electrical outlets.
Bed bugs are very hardy insects. Both adults and nymphs can survive prolonged periods without food or under adverse temperature conditions. Adults can live for a year or longer without feeding and can survive over winter in an unheated building. Nymphs are not as hardy as adults, but they can survive for considerable periods under adverse conditions.
While most of the bed bugs were wiped out by the chemicals, three groups continued to thrive after being treated with chlorfenapyr, and five groups were still kicking after being treated with bifenthrin. That means that while some bed bugs will respond to these chemicals, others won't—and it's likely that more and more bugs will become resistant over time.
Alternatively, place a bed bug proof mattress cover over an infested mattress to trap the bed bugs inside and starve them to death. This will eliminate the need to purchase a new mattress/boxspring and make treatment and future inspections easier. (Starving the bugs CAN take up to 400 days, so make sure your cover stays sealed for at least that long.)[6]
The Diatomaceous Earth seems to kill them and centipedes. Didn’t even know I had those til I put powder down to prevent bed bugs and found one curled up dead. It dries them out and kills them. Works great! I’ve heard boric acid doesn’t work on bed bugs but I do know it works wonders on killing roaches. My sister had them in an apartment & boric acid wiped them out! 

Some pest control firms also employ commercial steamers or spot-freezing equipment to treat areas where bed bugs are found or suspected. Used correctly, they kill bugs and eggs on contact. Neither method, however, affords residual protection against bed bugs which may have been missed. Steaming and spot-freezing equipment also have limited ability to penetrate fabric, wood, and other materials where bed bugs often reside. 
Bed bugs are very hardy insects. Both adults and nymphs can survive prolonged periods without food or under adverse temperature conditions. Adults can live for a year or longer without feeding and can survive over winter in an unheated building. Nymphs are not as hardy as adults, but they can survive for considerable periods under adverse conditions.

When the controversial pesticide DDT was banned in 1972, most bed bugs were already resistant to it, Schal says, and today's populations are even more widely resistant thanks to the use of a new class of pesticides. Pyrethroids, the main class of pesticides used against bedbugs today, targets sodium channels in bedbug cells, just like DDT. Consequently, as bedbugs develop resistance to pyrethroids, they also become cross-resistant to DDT.

Look for bedbug bites. You most likely know a bedbug infestation by a rash that resembles a mosquito bite. Most often these come at night but in an serious infestation they can occur during the day. A bedbug bite unlike a mosquito bite swells and spreads out. Also, the bites can come in lines and also burn unlike a mosquito bite. A mosquito bite stays round and neat looking.[2]


If all other options have been exhausted, you may need to seek a professional PMP (Pest Management Professional). There are pesticides that are approved for professionals to use during a infestation. These pesticides, however, are not always effective, and typically not as effective as steam cleaning, excessive heat, or excessive cold. The exterminator may opt to treat the area with carbon dioxide.
Should I worry about a tick bite? Ticks are parasites that feed on blood, and although their bites are harmless they can still transmit diseases, such as Lyme disease or Rocky Mountain spotted fever. Learn what ticks are and how to recognize the signs and symptoms of a bite. This MNT Knowledge Center article also explains how to prevent tick bites. Read now
Bed bug sprays usually act as an insecticide and repellent. The best kind of bed bug sprays should kill bed bugs on contact and need to be used repeatedly to help eliminate your bug problem. According to the Texas A&M University, bed bug sprays are best used in combination with other bug control methods like natural bed bug powders. This is because bed bugs don’t build up resistance to natural bug powders and products like diatomaceous earth which kills bed bugs as long as the powder is dry.5
Bed bugs occur in all regions of the globe.[7] Rates of infestations are relatively common, following an increase since the 1990s.[3][4][6] The exact causes of this increase is unclear; with proposals including greater travel, more frequent exchange of second-hand furnishings, a greater focus on control of other pests, and increasing resistance to pesticides.[4] Bed bugs have been known human parasites for thousands of years.[2]
Inspection requires knowledge, dedication and time. At minimum an inspection should involve a detailed examination of mattresses, box springs and bed frames, as well as likely hiding places for bed bugs within 20 feet of beds and other places where residents may sleep or rest, e.g., on couches). Clutter-free space will be needed to allow furnishings to be moved and manipulated for inspection. In general, rooms with more furnishings will take more time to inspect.
Bring in only what is needed, and avoid sitting or placing coats and other items on beds, floors and sofas where the bugs commonly reside. Essential items can be placed on a tabletop or other hard surface, preferably away from bedrooms and sleeping areas. Better to sit on a hard (non-upholstered) chair than on sofas and recliners. Also try to avoid leaning or brushing against beds and upholstered furniture. If such items are carried out of infested dwellings (e.g., by sanitation workers or firefighters), it’s best to wrap them in plastic or at least not hold them against your body during transport. Emergency Medical (EMS) personnel may need to take additional precautions, such as removing a patient’s bed bug-infested shoes or clothing, or installing plastic sheeting before transporting them in the emergency vehicle.    
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