The Victorian Order of Nurses has put home care on hold for a client living in a Halifax public housing complex because of bedbugs in his apartment, the Metropolitan Regional Housing Authority said Wednesday.

“We did confirm with VON that they have put (service to) one client in Ahern Manor on hold because of bedbugs,” said Pat Lawrence, director of the Metropolitan Regional Housing Authority, which oversees the Gottingen Street highrise.

“What I can tell you is when we got the report about the bedbugs, we did send our pest control company in right away. They fumigated there last Friday and they’re going in again today. They may have already been there just to re-inspect and to continue treatment if need be.”

When asked whether the bedbugs were confined to one or two apartments, Ms. Lawrence said the pests are a problem all over North America.

“What I guess I could say is . . . if we get a report, we immediately begin treatment,” she said. “We’ve tried to do education sessions, certainly, with our tenants and our staff about prevention and in treating bedbugs. It appears to me there are two apartments (with bedbugs) on the same floor, and we’re treating both of them.”

I am disturbed by this news item. Despite Victorian Order of Nurses official Dawn MacIsaac’s protests later in the article that VON is not “refusing to provide services or refusing to go into a home or that type of thing,” that appears to be what they are doing.

Service providers who visit people in their homes are unfortunately at risk of catching bed bugs.

What VON may not recognize is that they are also at risk of contracting bed bugs in homes where they cannot see obvious signs of bed bugs. Therefore, the organization needs to train its employees on how to take steps to reduce the chances of catching bed bugs — and to avoid taking them from one client to another.

And for cases like this one, humane treatment suggests finding a way to provide services to a person with an active bed bug infestation, whether that means getting him taken to another location for his normal treatment, or sending in nurses with Tyvek suits and training on avoiding bed bugs. The client with bed bugs is likely suffering physical and emotional repercussions of living with bed bugs, and in my opinion, now needs good health care from a friendly and supportive visitor more than ever.

I hope the VON gets assistance in creating a bed bug prevention plan from an entomologist who specializes in bed bugs.

I am glad that the client in question is getting pest control treatment, but I would hope the Metropolitan Regional Housing Authority was not just treating those two units, but carefully inspecting the entire building, keeping in mind that bed bug infestations can be difficult to detect.

• Toronto’s Bug and Scrub: shelter guests being trained as pest control techs
• Cincinnati fights bed bugs, declares some success
• Shameful landlord AIMCO: biggest landlord in USA refuses to deal with bed bugs
• Bed bugs: what’s really working?

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Toronto has had a serious bed bug problem for some time, just like New York, London, San Francisco, Vancouver–I could go on and on, but you get the idea.

The Toronto Star also has a journalist called Joe Fiorito who wrote extensively and repeatedly about how serious a problem bed bugs were, for everyone who gets them, but especially for the poor, the elderly, the disabled. You can see links to just some of Fiorito’s articles on my del.icio.us page. I mention Fiorito because I do not doubt for a moment the effects that good (or bad) journalism can have on public perceptions of the bed bug problem. In Fiorito’s case, the journalism was very good.

Then in November 12, 2007, Toronto City Councillor Paula Fletcher asked the Board of Health (of which she is a member) to take action on bed bugs. This is a PDF of her letter.

Fletcher wrote,

Traditionally Public Health officials consider and have categorized bed bugs as a nuisance because they do not carry and spread communicable diseases. However, ailments stemming from a bed bug infestation can range from secondary infections due to scratching to anxiety, embarrassment, and loss of sleep.

Moreover, residents who experience infestations are faced with considerable financial costs associated with fumigations as well as replacing furniture deemed to be unsalvageable.

Here is a politician who understands the bed bug problem. Clearly, she’s been listening to her constituents.

In the letter, Fletcher specifically asked the Board of Health to

• Review and report on the current procedures for bed bug inspection and control, including changing categorization of bed bugs as a public health ‘hazard’ and the harmonizing pest control under Municipal Licensing which currently deals with pest control relating to mice, cockroaches and termites
• Investigate and report back on a Bed-Bug Furniture Pick-up program
• Investigate and report back on North American best practices, including by-laws relating to sale and disposal of used furniture and mattresses
• [To provide an] Expansion of public education initiatives on measures, particularly to tenants, occupants of multi-residential units and users of shelters
• Report on the City’s regulatory authority to require action from property Owners, Operators of Hotels and Other Multi-unit dwellings including
  o Requirements for control and prevention, including pest control management plans included as part of landlord licensing requirements
  o Requirements for responding to complaints
  o Procedures for reporting to City officials
  o Treatment and control of bedbugs in hotel rooms
  o Guidelines for pest control companies
  o Responsibilities of tenants and homeowners

Fletcher noted that even though property owners are responsible for bed bug eradication, there is a need due to the “resilient and migratory nature” of bed bugs, for government agencies to re-examine their practices regarding the pest.

In response, Dr. David McKeown, the Toronto Medical Officer, unveiled a proposal for dealing with bed bugs last month. He asked the Board of Health to take action, outlined in this PDF.

McKeown’s report opened with a brief introductory paragraph, followed by this statement:

Bed bug infestations occur in all neighbourhoods and communities in the City and most households deal with the problem without assistance from the Municipality. This is not the case with the most vulnerable populations in our community. In recent months, Toronto Public Health has devoted significant resources to deal with severe infestations impacting on the health of the elderly, those living with physical and mental health issues and people living in poverty. This report is intended to focus primarily on strategies to ensure that vulnerable people get the assistance they need to lead independent, pest free lives.

The Medical Officer of Health’s made a series of proposals to the Board of Health (outlined in the same PDF) to deal with bed bugs.

The Board of Health then met on 2/26, and (as outlined in this PDF):

1. requested the Medical Officer of Health to establish an action committee comprised of city divisions, housing providers, health care organizations, social services, community groups, representatives of landlords and tenants, and other appropriate stakeholders to develop a comprehensive action plan to reduce bed bug infestations in the City of
Toronto with particular emphasis on vulnerable populations;

2. requested the Medical Officer of Health to report on the progress of the action committee within six months;

3. requested the government of Ontario to incorporate the issue of bed bug infestations in their poverty reduction strategy; and

4. referred all communications/submissions, and the following motions to the new Action Committee described in Recommendation 1:

Motion by Valerie Sterling:
“That Recommendation 1 be amended by adding the words “and in addition, consider broader public education and social marketing strategy to address the stigma associated with having bed bugs.”

Motion by Councillor Fletcher:
“That the Medical Officer of Health and TorontoPublic Health be requested to educate the medical community in identification of bed bug bites.”

This CBC article which was written in advance of the meeting notes that Toronto’s public health department surveyed PCOs about the increase in bed bug cases. This is the easiest way to get a realistic picture of the number of cases in a city, though of course those who self-treat will be left out.

Toronto Public Health surveyed 12 pest control companies in December 2007 and received six responses. All six reported an increase in numbers of inquires and calls related to bedbugs from 2006 to 2007. The majority of calls were in apartment buildings.

This was an informal check with just 12 companies. Remember the study done in Toronto in 2003? That year, every PCO reported every case of bed bugs in the city (well, theoretically, anyway). Most cases then were in single family homes. That might sound strange to some, since bed bugs are now a much bigger problem in apartment buildings, but it’s fully plausible.

Anyway, the Toronto officials know that if you want to know who has bed bugs in your city, you don’t simply rely on tracking official housing violations (as the New York government is trying to do) or official complaints to the Toronto Public Health Department. You ask the PCOs. Obviously, in this case this is just an informal inqury, not an official study (like the one in 2003). But the principle is the same.

A Toronto Sun article last December noted that the Toronto Public Health Department had gotten 160 calls about bed bugs in the first nine months of 2006. But Reg Ayre, the city’s Healthy Environments manager, said back then that anecdotal evidence from PCOs showed much higher incidence of bed bugs. One PCO claimed to be treating 1200 cases a year, another claimed to treat 400-600 a month (more on that below). You can read more about this here. (Sadly, I cannot link to the original article, since the Toronto Sun is holding out on us, so you’ll have to make do with the report I did on it in December.)

There were other documents associated with the Board of Health meeting, including several fact sheets and this: a PDF of a Toronto Community Housing proposal for dealing with bed bugs in public housing. (The key components, not surprisingly, are educating staff about bed bugs, educating tenants about bed bugs, getting both to cooperate, and using only qualified pest control contractors).

Bed bugs are clearly a problem that is far more serious than current Toronto Public Health data. The officials in Toronto are smart to recognize this. Here in New York, city officials seem happy to cite the number of bed bug cases in NYCHA public housing, or the NYCHPD housing violations for bed bugs, though it is obvious to us that these are just the tip of the iceberg.

The action we’re seeing in Toronto seems to stem in part from

• a vocal and forward-thinking city councillor taking up the cause of bed bugs,
• a persistent and talented journalist taking up the cause of bed bugs,
• a Board of Health willing to re-consider the definition of a “health hazard,”
• a Medical Officer of Health looking deeper into available bed bug statistics, and prioritizing the issue.

Doubtless, there are many more factors I can’t yet see. In any case, I am grateful for all those working to solve this problem in Toronto, and anywhere else.

I can’t overestimate how significant it is that Fletcher and the Board of Health were willing to consider bed bugs as having a significant effect on health. On February 26, other issues the Board of Health was dealing with included the provision of dental care to people on low incomes, and a plan for dealing with an inflenza pandemic. Deadly possibilities like an infleunza pandemic must be planned for, but we also need to deal with bed bugs, even if the health effects are not deadly.

I hope that cities which have not yet taken action will use the work being done elsewhere as a starting point. McKeown’s report, for example, cited what was being done to deal with bed bugs in Vancouver, and Hamilton (Ontario). Problems may vary from place to place, but the bed bug enemy is the same, and cities would do well to use the best practices beginning to be developed elsewhere as a starting point.

I look forward to hearing more from Toronto.

Many thanks to hopelessnomo for helping me think about this issue and for providing the location of the Board of Health’s document stash.

• bed bug news for 2007-11-16
• Toronto Councillor Paula Fletcher has some progressive ideas about bed bugs
• Toronto Public Health now has a Bed Bug Action Committee. Action, people.
• New York vs. Bed Bugs: NYC is the underdog!

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WCPO noted that the meeting was hosted by Ohio State Representative Dale Mallory and that “state representatives, the Cincinnati Health Department commissioner along with several city councilmembers and county commissioners will try to find solutions” to the bed bug problem. Another source, kypost.com, said the meeting attendees also included Hamilton County (Kentucky) Coroner O’dell Owens. (The Coroner! If the coroner is involved, surely bed bugs must be a health concern? I see from the Hamilton County Coroner’s Organizational Flowchart that Toxicology is the likely interest here. Or perhaps Forensics: bed bugs are criminals–guilty of stealing our blood.)

Owens said, “In 2005 there were five to seven complaints on bed bugs. They’ve already had 19 the month of January. And last year I think they had 180. So this is an issue that is growing to cross neighborhoods. This is not just for poor people. Other people need to understand that bed bugs is not from people being unclean. You can have a home in Indian Hill and have bed bugs.”

There is no mention of whether local bed bug experts were involved, but I truly hope they were.

• Urgent: if you’re in Cincinnati…
• Last week’s Town Hall Meeting in Cincinnati
• Bed bugs on increase in Ripley County, Indiana
• Cincinnati city/county combined bed bug task force drafts bed bug plan, not a moment too soon

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Joe Fiorito of Toronto’s The Star spoke with Reg Ayre of Toronto Public Health about why that body can’t legally class bed bugs as a health “hazard”:

Ayre’s office is downtown. He is a good guy in a hard job. He got right to the point. “Can we talk about what a health hazard is?” Sure, why not?

“We’re talking about a legal definition, in terms of the Health Protection and Promotion Act. It has to be a condition that would affect everyone in the community.”

Like SARS?

He said, “Bedbugs aren’t, under the act, a hazard. But Public Health considers that they are a concern.”

I suspect the concept of concern offers little comfort to the woman in social housing whose arm swelled from bites and who had an epileptic seizure after treatment.

Nor is concern any help to the man who was so bothered by bites that he washed his body with gasoline – and do not even think that is a good thing to do.

Nor does concern ease the pain of the father who had to bring his young son to the emergency room one day last November, because the boy’s bites were so bad.

Ayre said, “All the definition does is allow us to serve orders. But bedbugs is an issue where we don’t go the legal route.”

I cannot count the people I know who wish we could go the legal route. Because I think Toronto is Vancouver waiting to happen.

At least beautiful, bedbugged Vancouver has the motivation of the coming Olympics to spark a cleanup. Our motivation?

Itch, scratch.

I think I understand TPH’s distinction between health hazards and health concerns. But is the assessment that bed bugs would not “affect everyone in the community” because they would never infest everyone at once? Or because some people will be bitten and show no reaction to bites (as many as 50%, some experts say)? Or because, unlike SARS, the effects would not be as dire in the vast majority of cases? (Some do die due to bed bug bites, but it appears to be a very rare to have such a serious allergic reaction.)

From where I sit in New York City, I’d love to have my own city’s officials even admit bed bugs were a health concern.

But Fiorito is correct that the problem needs to be classified in such a way that agencies take care of it. If public health agencies can’t “go the legal route” in fighting bed bugs, can housing departments? Some agency needs to have some muscle when it comes to eliminating this problem.

You can read the rest of the article from The Star here.

• bed bug news for 2007-11-16
• After a fire, bed bugs “rain down from ceilings” into other apartments
• bed bug news for 2007-11-11: Lexington, KY and Toronto, ON
• Toronto Public Health now has a Bed Bug Action Committee. Action, people.

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The article conveys the scope of the problem and the speed at which it seems to be spreading:

To get a full sense of the bedbug boom, ask any pest control expert. [Carlo] Panacci, for one, used to have a 1-800 number for his company, Cain Pest Control, but cancelled it because he was getting overwhelmed by cries for help from people in B.C., Newfoundland and everywhere in between. He now averages about eight to 10 bedbug inquiries a day. “I got so busy with bedbugs I gave up on raccoons and squirrels,” he says. Doug Wadlow, who runs Orkin Pest Control in Edmonton, says bedbug calls are up 300 per cent from 2004. Meanwhile, John Mitten, branch manager of Poulin’s Pest Control in Vancouver, says bedbugs will total 25 per cent of his firm’s work this year. That’s up from 13 per cent in ‘06. Some U.S. companies are getting as many as 50 bedbug calls a day. “You don’t have to be a rocket scientist to see which way this is headed,” says Michael Potter, an entomology professor at the University of Kentucky and one of the world’s top bedbug researchers. Potter describes the spread of bedbugs as “a bit like a communicable disease.”

Although he acknowledges that bed bugs “don’t transmit disease,” the author nevertheless seems to get that bed bugs do have an adverse effect on mental health. Anecdotes convey the strain of a bed bug infestation, as well as the anxiety people feel even after the bed bugs are apparently gone–the fear they might still be there, the nervousness.

One study of pest control professionals found that 60 per cent of clients are more upset by the discovery of bedbugs than ro­­dents, termites or roaches. It’s no wonder bedbug support groups and message boards have popped up on­­line.

Indeed.

Intini also conveys the anxiety of professionals who fear bringing their work home:

Even pest control ex­­­­perts suffer the occasional anxiety attack. “A couple of times, I’ve woken up in the middle of the night, felt some­­thing crawl on me, and just freaked out,” says Goldman. “It turned out to be my wife’s hair.”

Intini notes that “If anyone should be frightened of bedbugs, it’s those in the hotel business,” and describes some of the steps hotels are taking to avoid bed bugs, and to get rid of them.

A new statistic from Dr. Potter on bed bug-reactive people (ie those with itchy bite marks):

“I’ve been in places where the wife is getting slaughtered and the husband, who is sleeping in the same bed, doesn’t react at all,” says Potter. As much as half the population, he says, won’t show any signs.

We’ve seen statistics as high as 70% bandied about, but I’m willing to go with Potter’s 50%. (Of course, it’s hard to know: some who are non-reactive may not be bitten.)

And finally, somber words from Dr. Potter:

And, says Potter, “it doesn’t look like there is a silver-bullet bedbug eliminator coming down the pipe any time soon.”

We have heard this before, but wait, there’s more:

Even if one did, he says, the liability of spraying beds and couches with it would restrict its use. “Bedbugs live in all the places that we’ve been training the pest control industry in the last 20 years not to spray,” says Potter. “Back in the days of DDT, it was recommended practice to spray the pillows, the entire mattress. Nothing wasn’t dripping when you walked out.” Before then, bedbugs were a whole lot more common. “I’ve read diaries from the ’30s where they wrote about springtime bedbug cleaning,” says Potter. “They’d throw boiling water on the walls, pour oil into the crevices of the wood floors, sleep for two weeks and then start the process again. It was part of life.”

I found this helpful in elucidating why it isn’t just about bringing back a banned pesticide or creating a new one; the whole culture on pesticides has changed since we last had to deal with bed bugs in North America (on a large scale, anyway).

All in all, nothing terribly new, but lots of good soundbites, and all in all, a good consciousness-raising piece.

Nice work John Intini and Maclean’s!

Read the article here.

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• New PCT podcast with Dr. Michael Potter
• Bed bug dog Joni: fighting bed bugs in New Zealand and Australia

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She wants the health department to investigate whether they’re a health hazard:

Toronto Councillor Paula Fletcher (Ward 30, Toronto-Danforth) has received so many calls from constituents she’s asked the health department to declare them a health hazard. Last month, Fletcher met with Toronto’s Medical Officer of Health. It was decided the Board of Health would issue a report in February on what should be done about bedbugs in the city and whether they should be declared a health hazard.

Here’s a hint, Toronto: stress, anxiety, loss of sleep, are all health issues. You need look no further. Something more sinister is clearly a possibility, but these other concerns are not to be taken lightly.

Next, Fletcher wants people to talk about how to get rid of bed bugs, and prevent their spread:

In the meantime, says Fletcher, “We will have a bedbug summit with all the people who are interested in and involved in this issue.” Fletcher is advocating the city address the problem with education, not enforcement.

“Some people said they were living beside a house and the bugs were travelling from the house or apartment next door,” she said. “I’d like to see a focus on what needs to change in terms of behaviours; what do you need to do to stop bringing them in and what do you need to do to get rid of the bedbugs.”

This is all familiar ground for us.

Fletcher seems a bit distracted by the idea that bed bugs primarily affect a certain region of Toronto:

The bedbug problem seems to be concentrated in areas south of Bloor Street, says Fletcher.

“They might be north of Bloor, but the infestations and pockets are definitely south of Bloor. Right now tracking them is not a requirement but that’s one thing we’re looking at is how are we going to track and where are we finding them?”

While they may be more common in certain neighborhoods (and certainly spread more easily to those next door than to those across town), they will spread anywhere, and are certainly moving in all directions. And not just from neighbor to neighbor, but to workplaces, co-workers, people who frequent the same gyms, doctors, schools, and shops. Public transportation is likely to be affected. (David Cain tells stories of encountering this situation in London.)
Fletcher mentions the concern of people bringing in used furniture, and getting them to not do so is a public education issue. But her ideas about eradication methods are quite progressive:

“Sometimes people are bringing bedbugs into a whole building inadvertently and they are travelling unit-to-unit. I’d like to see a model where there are teams of people who go into a building to assist and not simply spraying, but cleaning, washing, getting rid of them and then when the spraying happens, you have a better chance to eradicate them.”

The article also quotes PCO and bed bug dog handler Michael Goldman of Purity Pest Control, who claims that “most hotels” have bed bugs, at least in one room. This is a far cry from the claims made by other companies.

The article also concerns itself with the need for notification of other tenants when bed bugs are found in a building.

Unlike schools that send home letters when lice are found in a school, superintendents rarely post a notice saying bedbugs were a problem in a unit, says Fletcher.

Finally, there’s a nod to Vancouver, which has some of the more progressive bed bug-fighting protocols in place (though we rarely get details of them).

Vancouver has launched one of the best pilot projects in its downtown east side as the city prepares for the 2010 Winter Olympics. “They’re vigorously trying to figure out what to do with bedbugs and they have a program set up but it’s very labour-intensive.”

The Vancouver pilot included tenant and landlord education, public education workshops, pest control and development of a health and safety protocol.

I hope politicians in New York City and other US cities with bed bugs (from Boston to Cincinnati) will take note, and that they’ll trade notes with their counterparts in other cities, from San Francisco to Toronto and Vancouver.

The number one complaint I’ve heard now from professionals (entomologists and PCOs) in several cities is that their local politicians will not listen to those with bed bug experience. This is a grave mistake.

Though it is not explicitly mentioned here, it’s clear Paula Fletcher is listening.

However, there was one small problem. This:

“The chemical approach isn’t necessarily the only way or best way to go. It’s one piece of a bigger puzzle,” says Fletcher, who would like the city to help people control bedbugs. “What people have to learn is that to control bedbugs they must become good at cleaning their bedding. People have to be taught how to do that.”

People do not get bed bugs, nor do bed bugs persist, because people do not know how to clean their bedding.

Reminds me of  when the chief medical health officer in Vancouver, John Blatherwick, implied bed bugs were spreading in Vancouver due to hanky panky in downtown eastside hotels.  Doing or not doing “naughty things” had no bearing on the spread of bed bugs.  What is it with politicians and their weird ideas?

Read the rest of the article here.

• bed bug news for 2007-11-16
• Reg Ayre of Toronto Public Health: bed bugs a “health concern,” not a “health hazard”
• Toronto Board of Health gearing up to fight bed bugs
• Vancouver official blames hanky-panky for bed bugs in nice areas

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• Pest Management Professional - Continued technological and educational advancement in pest detection, identification, treatment and control methods. | Web Exclusive | 10 Questions with Jerome GoddardTen Questions with Jerome Goddard (Pest Management Professional Podcast)–includes interesting discussion of whether bed bugs are potential transmitters of disease, or not. From 9/06, but new to me and maybe you too.

  (tags: interview audio bedbugs Dr.JeromeGoddard entomologist sept2006)

• PCTOnline.com :: Article :: [Focus On Public Health] Do Bed Bugs Carry Disease?Article from PCTOnline by Jerome Goddard (11/2003) on whether bed bugs spread disease.

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• Pest Management Professional podcast | 10 Questions with Alvaro RomeroInterview with Univ. of Kentucky bed bug researcher / graduate student Alvaro Romero. From April 2007.

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• Pest Management Professional Podcast | 10 Questions with Rick CooperInterview with Rick Cooper of Cooper Pest, NJ–focusing on pesticide resistance. September 2007.

  (tags: rickcooper interview podcast sept2007)

• San Jose Mercury News - Bedbugs, electrical problems force evacuation of Ventura motel“A bedbug-infested low-rent Ventura motel was shut down by authorities, forcing poor families and disabled tenants to spend the Christmas season hunting for cheap lodging.” The 37-room Travelers Beach Inn hopes to reopen in a week.

  (tags: bedbugs hotelclosure ventura california travelersbeachinn motel code dec2007 2007 budgetmotel)

• Review of Judith McNeil’s The Girl with the Cardboard Port :: Sarah Chew, thestar.com.my“She recalled with humour the shock of discovering squat toilets, bed bugs, and corpse-eating rats…” From a review of an Australian woman’s memoir of life in 1950s/early 1960s Singapore.

  (tags: singapore bedbugs 1950s 1960s judithmcneil memoir dec2007 2007 bookreview)

• Rats: Hawaii’s first invasive species - The Molokai Times“In cities, rats are one of Hawaii’s biggest pest problems after ants and bed bugs, said Tim Lyons, director of the Hawaii Pest Control Association.” Bed bugs are #2? Not for long, I suspect.

  (tags: bedbugs hawai’i hawaii pests dec2007 2007 spread)

• bed bugs in Virginia Beach (again), Brown County, Ohio, and potential health risks
• New PCT podcast with Dr. Michael Potter
• Ventura County motel closure makes many families homeless at Christmas
• a bed bug story from Hawai’i; Fagerlund on aerosol bombs and pesticides

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Public Health Commissioner William Hacker, M.D., recommends that people who think they may have a problem with bed bugs seek advice from their local health department or health care provider.

Accurate identification of the insect followed by treatment by a licensed pest control company is the most effective means for addressing bed bugs. DPH has developed information to help citizens understand more about these insects.

Additional information can be obtained from the local health department, area pest control specialists or the DPH Web site.

You may also call DPH staff members, Erica Brakefield, technical consultant in the environmental management branch, at (502) 564-4856 Ext. 3732; or Vonia Grabeel, program administrator in the environmental management branch, at (502) 564-4856 Ext. 3724.

The Kentucky Public Health Department website’s bed bug page also has links to a PDF bed bug fact sheet (which we’ve linked to for some time) and a flyer of consumer information related to bed bugs.

It is new as of November 2, 2007, and includes such suggestions as:

Do’s and Don’ts (where have I heard this phrase before?)

• Do not pick up any used furniture or mattresses/box springs from the roadside or your garbage containers.
• If you have gotten furniture from a rental service, always check the seams and any creased areas for bed bugs.
• When traveling, check all motel rooms thoroughly before setting your luggage on the floor or bed.

Bed bugs prefer to hide close to where they feed. However, if necessary, they will crawl several feet to obtain a blood meal. Initial infestations tend to be around beds, but the bugs eventually may become scattered throughout a room, occupying any crevice or protected location. They also can spread to adjacent rooms or apartments.

Well, some good, and some not so good advice here. I’ve heard bed bugs can crawl 20 feet, or 100 feet (depending who you ask). I am not sure about 100, but “a few feet” seems like an understatement.

And while I am at it, can I just ask people not to rent furniture? Please don’t. Like curbside furniture or freecycle/Craigslist booty, it just is not worth it. If you think life without a TV or sofa bites, imagine not being able to sit in any of your chairs or lie in your bed or lounge around watching that TV without being bitten. It is not worth it. I speak as a woman who sat for many months in a metal folding chair after my sofa started biting me in the arse (almost literally). I did not pick up a secondhand sofa, but I know what it is like to not have one, and believe me: a sofa with bed bugs is a lot worse than no sofa at all.

Still, I applaud Kentucky’s attempts to notify the public, and I especially appreciate their invitation to Kentucky residents to call the Public Health Dept. with questions or complaints or concerns about bed bugs. You can call them, and they have given the names and phone numbers of appropriate contacts.

Bed bugs, a health issue? Who woulda thunk it?!?

• Kentucky: pro-active against the epidemic
• Urgent: if you’re in Cincinnati…
• Bed bugs in hotels: how to report (and check up on) bed bug infestations
• Educating the public about bed bugs: Toronto to host bed bug forum for residents April 2nd

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O’Farrell St., between Hyde and Leavonworth, San Francisco

Some exciting things are happening in California, and have been for some time. Since we’ve been giving a lot of love to Cincinnati lately, I wanted to fill you in on the California scene.

First, Bedbuggers should know have a friend in California: Dr. Laura Krueger. She’s the Associate Public Health Biologist in the Vector-Borne Disease Section of the California Dept. of Public Health. Laura has commented here a number of times, and has been reading the site for a while. She co-wrote the Guidelines for the Control and Prevention of Bed Bug Infestations in California (February 2007) (click here for a PDF). The California Bed Bug Guidelines were based, in turn, on other similar documents. A footnote tells us: “CDHS adapted these guidelines for bed bug control from the San Francisco Department of Public Health and the Australian Environmental Pest Managers Association.” (Click here for a PDF of the 2nd edition of the Australian Guidelines (June 2007; California based their guidelines on the first edition); the San Francisco Guidelines link is currently down.

The California Bed Bug Guidelines are just that: suggestions, a good plan, for how PCOs, and owners of hotels and multi-unit dwellings should work to prevent and control bed bugs. The Guidelines are not enforceable in and of themselves.

As an example, the Guidelines suggest that PCOs should come a minimum of three times, spaced two weeks apart; that hotel or apartment managers should respond to complaints of bed bugs within 48 hours with a plan of action (and that the plan of action should be executed within 72 hours of the complaint being made); and that tenants should should not remove anything from the infested room until the PCO comes and directs them.

I would argue that some aspects of the guidelines need to be revised. For example, one guideline states that tenants should report bed bugs to the owner or operator “within 24 hours of the pest sighting”. This seems like good advice, but many people are bitten by bed bugs for a long time without actually seeing a pest. PCOs and other professionals are still learning how very stealthy bed bugs can be.

Nevertheless, the Guidelines are impressive and I am grateful that the California Department of Health Services has compiled them.

There have also been some recent positive developments in California in terms of government funding to help those with bed bugs fight the problem. In San Francisco, as the second item down on this page of the Central City SRO Collaborative (CCSRO) website states,

The Central City SRO Collaborative organized with tenants and other community groups to demand funding for subsidies for low-income tenants. At the urging of this activist group, [City of San Francisco] Supervisor Chris Daly got $63,000 in this year’s budget for subsidized laundry and freezing services for low-income tenants with bedbug infestations, a huge public education campaign for tenants and landlords, and 2 annual forums–one for landlords/tenants and one for social service workers/tenants–that will teach public health code, bedbug cleanup, and tenant advocacy.

Let’s pause a moment and reflect on the historical context of this: the hearing happened three months before NYC held its city council hearing on the resale of mattresses (one which has not yet borne fruit), and a good 16 months before Cincinnati’s recent fabled town hall meeting on bed bugs.

This is a wonderful example of how a tenants activist group (CCSRO) helped pressure the city to take action and provide funding for bed bug remediation and public education campaigns. Of special note is that this funding covers assistance to tenants who cannot afford laundry and “freezing services” (love to hear more about where that’s done!) as part of treating their posessions.

And we have also learned that in San Francisco, the Department of Aging and Adult Services (part of Adult Protective Services) can assist, in some cases, with preparation for bed bug treatment for elderly people who have trouble doing this for themselves.

This is something that is much needed, and I hope the provision of such assistance–for elderly people and those with mobility issues–will increase here and everywhere else.

• Toronto Public Health now has a Bed Bug Action Committee. Action, people.
• New York vs. Bed Bugs: NYC is the underdog!
• Brown student wants to provide free bed bug treatment to those who can’t pay
• Toronto Board of Health gearing up to fight bed bugs

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• bed bug news for 2007-11-11: Lexington, KY and Toronto, ON
• Toronto Councillor Paula Fletcher has some progressive ideas about bed bugs
• bed bugs in Toronto; Vancouver; Billings, MT,
• Bed bugs in homeless shelters, casinos, hotels, apartments: Waynesboro, Atlantic City, Greenpoint, Toronto

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