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.
Some people develop allergic reactions to bedbug bites, which can include a fever, difficulty breathing, hives, or a swollen tongue. Others may develop an infection where the bite starts oozing pus. If you experience either of these reactions or you develop blisters where the bites occurred, it’s a good idea to make an appointment with a dermatologist.
Bedbug bites can lead to anxiety, sleeplessness and even secondary infections, but there have been no reported cases of bedbugs transmitting disease to humans. They do, however, harbor human pathogens: At least 27 viruses, bacteria, protozoa and more have been found in bedbugs, although these microbes do not reproduce or multiply within the insects. Canadian researchers announced (pdf) in the June issue of Emerging Infectious Diseases that bedbugs isolated from three individuals in a Vancouver hospital carried methicillin-resistant Staphylococcus aureus, aka MRSA. Still, there have been no reported cases that the bugs actually transmit human disease.
Prepare the room by separating treated from untreated furniture.  This will involve moving all your furniture to one side of the infested room (Remember, you’ve already assessed which rooms you think are infested.  You may not need to do this in every room).  The process is important because if you treat half of the items in a room and leave other areas untreated, bed bugs may return to the previously treated areas from untreated sites. Take all clothes from drawers, infested closets, etc. and double bag them in clear plastic bags (clear bags are easier to see where things are). Also double bag all personal items (toys, papers, books, electronics, CDs, or anything that could serve as a hiding place for bed bugs) and set them aside until they can be carefully treated, cleaned or inspected. 
To the untrained eye, rooting out a bed bug infestation can prove difficult, and even if discovered, home remedies and over-the-counter deterrents are often ineffective. Utilizing our A.I.M. protection process, a highly-trained Orkin specialist will assess your home, implement a solution, and monitor activity to ensure the effectiveness of our efforts and offer added peace of mind.
The exact causes of this resurgence remain unclear; it is variously ascribed to greater foreign travel, increased immigration from the developing world to the developed world, more frequent exchange of second-hand furnishings among homes, a greater focus on control of other pests, resulting in neglect of bed bug countermeasures, and increasing resistance to pesticides.[4][38] Declines in household cockroach populations that have resulted from the use of insecticides effective against this major bed bug predator have aided the bed bugs' resurgence, as have bans on DDT and other potent pesticides.[39][medical citation needed]

I can definitely understand. This is has been going on with us for almost a year. My hands and arms look like I have leprocy or something. Horrible blisters, rash, scabs, and bunches of “bumps” especially in my right hand. I wind up with painful blood blisters some times. I am living on benedryl and calamine lotion. I hate going out because of what I look like. I have taken to using cover up and foundation on my hands to make the mess less noticable. i have a long-sleeved summer weight sweater that I wear whenever I do have to go out.

Dust the wall voids. Bed bugs can often travel from room to room, especially in apartments, hotels and condo's. They travel along electrical wiring and plumbing lines. Specifically treat wall voids with a hand duster either by removing wall switch plate covers and/or drill access holes discreetly between studs. Cimexa Dust or Delta Dust are excellent choices for void applications. It kills populations in walls and voids and creates a repellent, hostile environment which reduces the likelihood of bed bugs traveling through voids to other areas. Use a small hand type duster to "puff" insecticidal dusts into these areas. A light coating is all that is needed. To much dust and the bed bugs will just crawl around it.


Often, bedbug bites are clustered along lines usually following arms and legs. Theories range from the idea that bedbugs are feeding along blood vessels to the idea that bedbugs remain with their bodies touching the bedding while they feed, and the bugs are left to feed only along lines where the skin is touching the bedding in just the right manner.
Bag and launder (122°F/50ºC minimum) affected items. Smaller items that cannot be laundered can sometimes be de-infested by heating. Individual items, for example, can be wrapped in plastic and placed in a hot, sunny location for at least a few days (the 122°F/50ºC minimum target temperature should be monitored in the center-most location with a thermometer). Bedbugs also succumb to cold temperatures below freezing, but the chilling period must be maintained for at least two weeks. Attempts to rid an entire home or apartment of bed bugs by raising or lowering the thermostat will be entirely unsuccessful.[12]
Bed bugs have five immature nymph life stages and a final sexually mature adult stage.[13] They shed their skins through ecdysis at each stage, discarding their outer exoskeleton.[14] Newly hatched nymphs are translucent, lighter in color, and become browner as they moult and reach maturity. Bed bugs may be mistaken for other insects, such as booklice, small cockroaches, or carpet beetles; however, when warm and active, their movements are more ant-like, and like most other true bugs, they emit a characteristic disagreeable odor when crushed.
Dogs have been sniffing out insects such as termites for many years, and are now being used as inspection tools for bed bug detection. But while companies using dogs may advertise them as being highly accurate in finding bed bugs, one should not get the impression that dogs are infallible or that they are in all ways superior to human inspectors. Research on the effectiveness of dogs as bed bug detectors suggests that for those who would employ dogs, the message is buyer beware. There appears to be great variance in the accuracy of bed bug dogs, and even well-trained dogs are subject to missing bed bugs and to giving “false positives” (signaling the presence of bed bugs where there are none).
Bed bugs were once a common public health pest worldwide, but declined in incidence through the mid 20th century. However, bed bugs have undergone a dramatic, worldwide resurgence since they have now evolved resistance to common insecticides.[1] Bed bugs are one of the great travelers of the world and are readily transported via luggage, clothing, bedding, and furniture. To get rid of bed bugs, act at the first signs of infestation and use an integrated pest management approach involving prevention, sanitation, and chemical treatment. Bed bugs can be persistent, so you'll need to demonstrate a greater level of persistence if you want to eliminate them.
Seal cracks and crevices between baseboards, on wood bed frames, floors and walls with caulking. Repair or remove peeling wallpaper, tighten loose light switch covers, and seal any openings where pipes, wires or other utilities come into your home. Pay special attention to apartments or rooms that share a wall - bed bugs can move through extremely small gaps to infest new areas.
The size of bed bug bites varies with a number of different factors. Bed bugs inject an anti-coagulant along with their saliva when they pierce the skin to take a blood meal. This anti-coagulant is mostly responsible for how a person reacts to the bite and determines the size of the bug’s bite. Since people will have various sensitivities to the bed bug’s bite, the size of the bite will vary, as well. Another factor that influences the size of a bed bug reaction is the number of times a person is bitten. Bite reactions of people bitten many times are also variable, and their response may be either more or less intense as the number of bites increases.
It’s not likely that you’ll kill all the bed bugs with a bed bug spray. That’s where a residual powder insecticide comes into play. It kills any bugs that wander through the powder. Some powders can kill bugs for many years if left undisturbed. Skip the open areas and spray the powder in those places where you think they’ll be traveling to and from, like near bed legs and under baseboard trim.
Bedlam Insecticide is a convenient water-based and non-irritating aerosol spray that is specially made to kill bed bugs on contact and provide lasting residual performance. It should be sprayed in cracks and crevices and around baseboards, floor/head boards, door jams, walls and other hard surfaces. Since it is water based, it is safe to use to use to treat mattresses and bedding. It will also not stain fabrics or materials.
Bed bug infestations usually occur around or near the areas where people sleep. These areas include apartments, shelters, rooming houses, hotels, cruise ships, buses, trains, and dorm rooms. They hide during the day in places such as seams of mattresses, box springs, bed frames, headboards, dresser tables, inside cracks or crevices, behind wallpaper, or any other clutter or objects around a bed. Bed bugs have been shown to be able to travel over 100 feet in a night but tend to live within 8 feet of where people sleep.
Encase Mattresses and use bed bug interceptor traps on bed frames. After everything is put back and all pesticides are dried, vacuum the area again to remove any dead or dying bedbugs and to pick up any spilled dust or pesticide. Be sure to throw the vacuum cleaner bag away outdoors. A thorough treatment is essential to achieve adequate control. It is usually desirable to apply insecticides for bed bugs early in the day, so that insecticide spray residues will have several hours to dry, or dusts will have time to settle, before the room will be used again for sleeping. As a safety consideration it is particularly important to dry and cover mattresses completely before they are reused. A mattress encasement such as The Elite Zippered Mattress and Boxspring Encasement should be used to cover and conceal the mattress and the boxsprings. It is important to use a quality zippered encasement (cover) with a special zipper closure to make sure that bedbugs do not crawl out of the zipper opening.

The type of reaction provoked depends on previous exposure; repeated bites may lead to an allergic reaction, which may lead to pronounced cutaneous manifestations. Some patients show a severe systemic hypersensitivity to arthropod allergens. The site of the bite can also become secondarily infected with bacteria infection and lead to ecthyma, cellulitis, and/or lymphangitis.

Treat or isolate your bagged items. For washable items research shows that dry cleaning, washing in hot water for 30 minutes, or tumble drying for 30 minutes on high will kill all stages of bed bugs. Non-washables items that aren’t needed for a while can just be stored. It takes 2-5 months to kill bed bugs by isolating them in bags or heating bags by placing in direct sunlight is one of the most effective methods during the warm summer months.  
Hiring a pro to wipe out bed bugs isn’t cheap. Expect to pay about $200 per room to kill bed bugs, and you’ll likely need a few chemical treatments in order to eradicate bed bugs. Professional heat treatments will cost even more. And even if you hire a pro, you’ll still have to do lots of work yourself (moving furniture, washing all clothes, etc.). So consider declaring a DIY war on bed bugs. If you’re willing to spend $100 to $200 and do things right, your chances of success are excellent.
Determine which rooms are infested. Bedrooms are the principal locations for bed bugs; however, any room where people sleep in the home may provide harborage for bed bugs. Living rooms with sofas and sofa beds are the next most common sites for bed bugs. Typically an infestation starts in one room and spreads slowly to other places where people sleep.  The sooner you find and treat bed bugs the easier it will be to get rid of them.  Wait too long and bed bugs may be found throughout your home.
Often, bedbug bites are clustered along lines usually following arms and legs. Theories range from the idea that bedbugs are feeding along blood vessels to the idea that bedbugs remain with their bodies touching the bedding while they feed, and the bugs are left to feed only along lines where the skin is touching the bedding in just the right manner.

Use of Organic-Based Bed Bug Spray – thanks to growing going green trend, there are now bed bug products made with natural ingredients. With them, you could now get rid of the crawlies safely, easily and inexpensively. However, you should take note that this method only works if you have the best-selling bed bug spray that kills on contact and is without harsh chemical ingredients.
Some bed bug species are parasites of bats or birds, and may bite people if the wild hosts are no longer available. Although similar in overall appearance, the species of bed bugs that normally feed on bats, swallows, chimney swifts, pigeons or other wild hosts can be differentiated from those that prefer humans. Entomologists and knowledgeable pest managers can make this determination. If bat bugs or bird bugs are present, roosting and nesting sites should be the primary focus, and the animals should be removed and excluded from the building. 
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