2 a.m.!

That’s just the beginning.

“There was a fire in the building in November, on the fourth floor. One man was killed. Nobody knew him; we’re still suffering from the stress of that … the bugs were totally blown out of that unit.”

Blown out?

“People were coming to me in tears, in total frustration, from bugs on the fifth floor, and more on the third floor; they were falling from the ceiling.” Bedbugs fleeing fire.

As if the horror of a fire in the building and a neighbor losing his life were not enough. Imagine bed bugs raining down from your ceiling.

Fiorito’s assessment of the public housing situation in Toronto vis a vis bed bugs?

Funny, TCHC [Toronto Community Housing Corporation] staff told me last year there might be three or four of their buildings with bedbug problems. I now believe there might be three or four without bedbug problems.

Toronto now has a Bed Bug Action Committee, so change is hopefully on its way. As I said before, I have no doubt Fiorito’s excellent series of articles on bed bugs in Toronto has a lot to do with that. Rock on, Joe!

• bed bug news for 2007-11-11: Lexington, KY and Toronto, ON
• Reg Ayre of Toronto Public Health: bed bugs a “health concern,” not a “health hazard”
• Toronto Community Housing does good; Orlando, Florida tenants and Billings, Montana shelter guest demonstrate why more bed bug education is needed
• Bed bugs not so nice either

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It’s worth noting that Wikipedia claims Seaton House is the largest homeless shelter in Toronto, housing at times as many as 700 men.

I found more information on this initiative in this PDF at the City of Toronto website. (”Bug and Scrub” is item #2.) They even have a great name, though if they are only dealing with bed bugs–and this is not clear from the description–they might have gone with “Bed Bug and Scrub” to make this clearer.

It sounds like the program provides full-service assistance with bed bugs (from detection, to cleaning and prep for treatment, pesticide application, and follow-ups):

Bug and Scrub is an all in one service that incorporates responsible and reliable measures to deal with the bed bug issue. Following an Integrated Pest Management protocol, full treatment is provided including assessment, prep work, spraying of the bed bugs, removal of belongings and follow up. The business has already proven successful and has provided many low-income, vulnerable individuals with this unique service.

Staff at Seaton House support clients during their training and employment phase. Anyone residing in the City of Toronto can receive the Bug and Scrub service. Fees operate on a sliding scale and can range from $250 -$800 based on the type of work required.

For more information please contact Richard Grotsch at 416-392-5572.

Remember, contrary to some misconceptions, IPM doesn’t mean no pesticides are used. It means fighting bed bugs on multiple fronts, trying to remove them as much as you can, and then treating to kill what’s left.

I have to say, the Bug and Scrub concept excites me: these men are getting training in what is unfortunately a growth field, they’re getting support as they make an educational/career transition, and Toronto residents are hopefully getting good, reasonably-priced pest control service.

• Toronto Public Health now has a Bed Bug Action Committee. Action, people.
• Bed bugs: what’s really working?
• bed bugs in Toronto; Vancouver; Billings, MT,
• Abbey the Bed Bug Dog: news report

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Reg Ayre tapped his computer keyboard and up popped a photo of a polka dot pillow on a lonesome bed; not polka dots. “Those specks are blood,” said Reg. “The blood is from bedbug bites. You can see the pillow has not been washed.”

He tapped the keyboard again and up popped a photo of sawdust on the floor in one corner of a lonesome room; not sawdust. “Bedbugs,” said Reg. They were so thick you could have scooped them up with your hands.

Ayre is the Manager of Healthy Environments for Toronto Public Health. His department has just tabled a report about bedbugs with the board of health.

The report is written in committee language and is not as graphic as the photos. But, Ayre said, “The report establishes a bedbug action committee. We don’t want another policy group. We want action.”

And action is just what is needed!

While I don’t think New York City has an, ahem, “Manager for Healthy Environments,” we need just this sort of activity to be taken by Reg Ayre’s counterparts in San Francisco, Boston, and everywhere else bed bugs are biting.

Some New York Bedbuggers are organizing a campaign you will be hearing more about very soon — a campaign to press our local officials to take this kind of action.

Fiorito asks Ayre just the right questions:

So who’s on the committee? “There will be landlord and tenant reps from across the GTA [Greater Toronto Area], from both private and community housing. Public Health will be on the committee, and licensing and standards, shelter support and housing, social services, community groups and reps from the Community Care Action Centres.

“I’m trying to work with other resources. We’ve got pilot projects going in St. James Town and in smaller buildings downtown. Seaton House is doing an amazing job for us.” Seaton House, a men’s shelter, has trained some of its residents as exterminators; they have been helping people move furniture and prepare for spraying; this is so practical it’s radical.

Ayre said, “The committee is going to meet on the 17th of the month with a facilitator to develop some hard objectives, to plan a way forward, to create a template we can apply throughout the city.” Because the problem is city-wide.

Bed bugs are a serious problem for people of all social classes and in all physical conditions. But the most severely hit are those who are poor, elderly, or disabled–especially if they do not have anyone to call on for help. Fiorito’s conversation with Ayre covered one such tragic example:

[Ayre said:] “There was a tragic case of a woman with a variety of disabilities.” She was alone and being eaten alive by bugs.

“She had a social worker but that link was broken. My worker is helping her deal with (the Ontario support program) to get new furniture, to get funds, to work with her landlord. We’re trying to get her linked back with her family.

“But my staff aren’t social workers. They don’t have that training. And one of these cases might take months to resolve.” Yet his staff do not turn away.

And then he said something I find shocking.

“It’s my impression that bedbugs are just a symptom. People in this community are living without the supports they need to lead a healthy life.”

Fiorito also reminds those in Toronto

If you have bedbugs and don’t know how to cope, call Public Health: 416-338-7600.

In an article published January 16th, Fiorito quoted Ayre at greater length:

“If you need help, call Toronto Public Health. If we can’t answer your questions, we’ll send someone out. Then, if you need assistance, we’ll try to bring all the resources we can. We’ll be an intermediary. There are people who are afraid to clean up: contact us. But you have to be prepared to accept help … whether it’s a health hazard or not is on the periphery of the discussion. This is a social problem with health implications. It’s the most vulnerable who are suffering.”

So Reg Ayre means it, if you are in Toronto and have bed bugs and need help, seriously, call TPH.

Although other health departments do not appear to be offering help, I think that’s good advice for anyone, anywhere–to call your local health department, I mean. They may not know what to do with you, they may not think dealing with bed bugs is part of their jurisdiction. They certainly are not offering to come out and help you clean, yet. But we need to make it their concern.

I spoke with one public health official in California, who said that at a conference of public health officers, others were saying they never got calls about bed bugs. If they do not hear from people about the problem, then they do not know it is happening in their jurisdiction. If you have bed bugs and don’t know how to cope, and your city has said nothing as to who you should call, then call the public health department in your city or county. Demand help.

You can read today’s article by Joe Fiorito in its entirety here. If you like this kind of journalism, you can also click the link from the article to send Joe Fiorito a fan letter. I did.

You can also read Bedbugger’s coverage of the recent Toronto Board of Health discussions on bed bugs here.

• Reg Ayre of Toronto Public Health: bed bugs a “health concern,” not a “health hazard”
• 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 Board of Health gearing up to fight bed bugs

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

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