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.    
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.
Bedbug infestations affect both sexes and people of all ages and races in the United States and globally, particularly in poor regions of the world. [12] The reported rate of bedbugs (Cimex hemipterus) was 37.5% in children's beds from a rural region of Gambia. Recently, bedbugs were allegedly reintroduced from abroad into Seoul, Korea, because there had been no reports on bedbugs in Seoul for more than 20 years. [13]
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]
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.
Wash bedding and clothing (hot water and hot drying cycle for 30–60 minutes), vacuum cracks and crevices, and freeze articles that may have been used as hiding places for bedbugs may reduce infestation until extermination can be performed. Vacuum with special attention to cracks and crevices in furniture, equipment, walls, and floors. Vacuuming some talcum powder will reduce the chance that the bugs will crawl out of the vacuum cleaner. Dispose of the vacuum cleaner filter and bags in a tightly sealed plastic bag.
Pyrethroid sprays are among the stronger and longer-lasting pesticides, but most bed bugs are resistant to these sprays to some degree. Special care should be taken when using pyrethroid sprays, especially when children are present. Only use pyrethroids in places indicated on the label. Do not spray electrical outlets with any type of liquid spray. Spraying should be done when children are not present, and all label directions followed carefully.
The creatures don't have wings and they can't fly or jump. But their narrow body shape and ability to live for months without food make them ready stowaways and squatters. Bedbugs can easily hide in the seams and folds of luggage, bags and clothes. They also take shelter behind wallpaper and inside bedding, box springs and furniture. The ones that feed on people can crawl more than 100 feet (30 meters) in a night, but typically creep to within 8 feet (2.4 m) of the spot its human hosts sleep, according to the CDC.
Bed bugs multiply quickly, and in just six months, a few can turn into a full-on infestation of 13,000 or more. Detection is critical to break the bed bug life cycle before they become a bigger problem. Orkin Bed Bug Detection Service gets to the root of the problem with targeted inspections of common bed bug hiding places in your home and ongoing monitoring to ensure the pests never return.
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.

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.
Next, vacuum and steam along baseboards, window sills, and the edge of the carpet. When you’re done vacuuming, the bag or canister should be cleaned or discarded to limit exposure of bed bugs to other parts of the home. The steamer can also be used to treat sofas, chairs, furniture, and cabinets. When applying steam, remember to move the nozzle slowly (about one inch per second) to ensure that all bed bugs and eggs are killed.

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.   
Unfortunately standard insect monitors (“sticky traps”) are not very good at trapping bed bugs. To date, the best bed bug trap as measured by cost, ease of use, and effectiveness, is the “Climbup™ Insect Interceptor.” This trap resembles a plastic dish and is placed beneath the legs of beds and other furniture on which persons might relax and serve as “bait” for bed bugs. Bed bugs that climb into the dish are unable to climb its slippery inner surface (which is coated with talcum powder). Studies have shown that even inspections performed by trained and experienced pest management professionals often miss some bed bugs, especially in heavier infestations, and that bed leg traps can catch many of those missed bed bugs.
Bed bugs are attracted to their hosts primarily by carbon dioxide, secondarily by warmth, and also by certain chemicals.[4][16][17][18] Cimex lectularius only feeds every five to seven days, which suggests that it does not spend the majority of its life searching for a host. When a bed bug is starved, it leaves its shelter and searches for a host. It returns to its shelter after successful feeding or if it encounters exposure to light.[19] Cimex lectularius aggregate under all life stages and mating conditions. Bed bugs may choose to aggregate because of predation, resistance to desiccation, and more opportunities to find a mate. Airborne pheromones are responsible for aggregations.[20]
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.
The bites themselves don't usually pose any major health risk since bedbugs are not known to spread diseases, but an allergic reaction to the bites may require medical attention, CDC officials say. There have also been some strange cases linked to bedbug infestations. Researchers reported in the Canadian Medical Association Journal in 2009 that they treated a 60-year-old man for anemia caused by blood loss from bedbug bites. Another study published in 1991 in the Journal of the Egyptian Society of Parasitology found that people with asthma might be more susceptible to allergic reactions from bedbug bites.
Heat chambers like this one (bottom) can be used to heat personal belongings and kill any hidden bed bugs without chemicals. They come in various sizes, and prices start at less than $200. In the summer, you could let Mother Nature do the dirty work. Bag up your belongings and set them on the driveway. On a day when the temp tops 95 degrees, a bag placed in the sun should easily reach 120 degrees F inside.
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Itchy swollen bites may be the first sign of a bed bug problem. However, these itchy bites can take as long as 14 days to develop in some people, so it's important to look for other clues if you are concerned about an infestation. Bed bugs typically infest mattresses, box springs, bed frames, and couches. You may be able to find them hiding within the cracks and crevices of beds, furniture, floors, and walls. Bed bugs often leave evidence of small dark stains (fecal droppings) and rusty red spots (bloodstains) on bedding sheets, mattresses, and other areas they hide in or travel along. Heavy bed bug infestations can cause a sweet, musty smell.
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