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.
You must repeat the entirety of Step 2 (except for the mattress and box spring treatment if you are encasing) every 7-10 days until no one in the home has bed bug bites and there is no further evidence (live bugs, cast skins, or fresh blood spots) found. This is absolutely crucial! Depending on the severity of the infestation it can take a minimum of 7-8 weeks, including repeat treatments. Failure to be thorough can prolong the process of getting rid of bed bugs and can make it harder to eliminate them.
Units that produce “dry” steam are less likely to damage household goods. Steam must be at least 113 degrees Fahrenheit (F), the minimum temperature to kill bed bugs, and care must be taken to reduce pressure so that bed bugs are not literally “blown away” before they can be killed by the steam. Steaming should be avoided around hazards such as electrical outlets.
Whether you use traps or not, beds and bedclothes should not touch walls or furniture, and bed clothes should not contact the floor. In this way the bed is isolated, forcing bed bugs that attempt to access a sleeping person, to enter the traps, be captured and expire. Wrapping double-sided carpet tape or duct tape around bed legs also can trap bed bugs attempting to enter beds.
It’s cost us about 3 to 6 hundred dollars to get them exterminated. Alcohol does kill on contact but it takes a lot more than that. Some things need to be bagged up until you can wash all clothes! They can live without feeding on your blood for months and months! I had them feeding on me but my husband worked outside and had darker skin so they weren’t biting him at first until they found his white legs! He was sporting a farmers tan.LOL
It takes time and persistence to get rid of bed bugs, and in some cases, the cooperation of landlords, neighbors and others. It can be physically and emotionally exhausting. It can also be expensive when pest control companies are called in. Just remember - bed bugs are more of a nuisance than a health concern and, with vigilance, you can avoid or deal with infestations.
But the bites will look different from person to person, and some people won’t develop any reaction whatsoever. “The same bedbug could bite two different people and one could have no reaction at all and the other can have an extreme reaction with a swollen arm or itchy rash,” says Eric Braun, a board-certified entomologist and business manager for the national pest control company Rentokil Steritech, who is based in Redding, Pennsylvania. Some people end up developing a rash that looks like eczema. (5)
Today, bedbugs can be found in every State in the United States, and almost every city. Bedbugs are so common now that the federal government considers them almost "epidemic". The National Pest Management Association has declared war on bed bugs and has held bedbug meetings all across the Nation to help educate pest control companies in an effort to help control them.
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.
Select and use insecticides safely. There are no magic sprays that kill bed bugs very well.  Most commercial insecticides will kill bed bugs if applied carefully and directly to the insects and their hiding places. An exception is “Bug bombs”, or aerosol foggers. Foggers are mostly ineffective in controlling bed bugs. Because bed bugs hide in crevices and voids where aerosols do not penetrate, they are able to avoid contact with these insecticides. Their use is not recommended. Some of the products you may find helpful include:
One trick to make this disposal easier involves using the cut-off end of a nylon stocking (or a knee-high nylon stocking) and a rubber band. Insert the stocking (toe first) into the end of the vacuum suction wand/tube, leaving the opening of the stocking protruding out of the end of the suction wand. Then fold the stocking opening back over the end of the wand and use the rubber band to secure it there. When the vacuum is turned on and the bed bugs are sucked into the tube, they will be trapped in the stocking. Afterwards, carefully remove the rubber band and retrieve the bug-filled stocking. Then secure the end of the stocking with the rubber band and dispose of it. 
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
With the bed now fully isolated and elevated, bed bugs hiding elsewhere in the room won’t be able to feed on you or hide in your bed. You can also use the ClimbUps to monitor the changing population of bed bugs in your home. Hopefully, you will see less and less bugs appear in the traps as you go through the next steps. Now that you have created a safe haven in your bed, you can move on to treating the rest of the room.
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