The article suggests hospitals as a source of some recent bed bug infestations in Swansea, South Wales:

Marc Everitt, the owner of Swansea-based pest control firm Pest-Ex, said: “No-one is safe – bedbugs don’t go by postcode and they can affect anyone. We have seen a massive increase recently.”

Mr Everitt said he had also dealt with a number of infestations that had broken out after people had stayed in hospitals.

“We’ve had cases where elderly people have returned from hospital and have suddenly found that they’ve got an infestation,” he revealed.

“It’s difficult to prove a direct link. But the evidence suggests that that’s the place the bugs are being brought back from.”

He added: “The problem is that even if you don’t have them, you can catch them off your neighbours and so they spread very quickly and very easily.”

Watch the horror as bed bugs cross the UK and Ireland via our Clustrmap of readers’ locations.

Anyone planning a return from the hospital might do well to follow some of the recommendations in our travel FAQs for not bringing bed bugs home: here, and if you are pretty sure you were in a place that had bed bugs, then also read this.

Yes, people staying in hospitals often have much more serious things to worry about than bringing bed bugs home, and it’ a shame they have to think about this as well as staph infections, and whatever they went to the hospital for in the first place. I can only imagine having to deal with bed bugs after a serious illness, injury, or surgery: prepping for treatment, exposure to pesticides, the cost — what a nightmare.

We have sometimes heard people on the Bedbugger Forums consider whether they got their bed bugs during a hospital visit. In related news, this article details a bed bug infestation in a Canadian pediatric unit, and this article mentions how Cincinnati’s Pamela Mackey came home from a hospital, opened an envelope they’d given her, and found a bed bug inside.

• What do you wish people knew about bed bugs?
• Bed bugs at Maryland’s Hashawha Environmental Center
• The Times (UK) on bed bug epidemic in the USA
• bed bugs clear Port Jervis, NY Hospital’s mental health unit

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First, the journalist Judith Woods says of some bed bug victims:

The lawyer got rid of her bed, both mattress and frame, which ideally anyone with an infestation should do.

Wrong! Tossing such items out is unnecessary, since a Pest Control Operator (PCO) can treat them. Moreover, throwing them away (even labeled and sealed) makes it very likely someone else will pick them up and use them. You’d be surprised how eager others are to bring them home, or sell them secondhand (beware the Car Boot Sales, my British friends). In so many cases, you cannot tell from looking at the items that they are infested. If you’re in a multi-unit building or an attached house, your neighbors may even take them, meaning they can later come back to you.

Similarly, Woods suggests,

Bed linen can be washed at the highest possible temperature – but [PCO Ben Knorton of Rentokil] advises throwing it out.
“I’ve seen sheets literally moving with the sheer number of bedbugs under them,” he says. “In that situation you really need to take drastic action.”

Well, if the bed is moving under the weight of bed bugs, perhaps that’s right. But washing on hot and drying on hot are a better idea in most cases. The above statement implies otherwise. I would only throw out sheets, or a bed and frame, if the PCO advised it. And then I would get them to help (with the mattress and frame) to ensure it was carefully done.

We’re also told of the same afflicted lawyer’s case,

Her room was then sealed and sprayed with insecticide three times over as many weeks.

Does this mean the room was sealed and left for three weeks, meaning no one was sleeping there? If so, the insecticide is not likely to work. Bed bugs need to be lured out to cross the poison and die.

Thanks to reader Fedupandparanoid, in the UK, who wrote me an email to alert me to this article and the issues mentioned above.

She also had this to say:

The article was nearly a full page on the Health on Monday page, and headlined ‘Don’t let the bedbugs bite,’ but I was very dissapointed at the tone of the article and take issue with some of the information contained in it. For some reason the journalist writing had called in Rentokil to check her house because she was so worried about the general rise in bedbugs. She didn’t appear to have any reason for suspecting bedbugs other than that there is a 500-fold increase in cases in London. Rentokil, who she called in, are at the very expensive end of the pest control market and they will be rubbing their hands in glee if they can charge good money to go in and inspect middle class people’s homes for no reason other than there is a general increase.

In fairness, the article did mention signs you can look for, like blood spots and fecal stains, bites in a row and did mention what a bedbug looks like, also the problems with hotels, but they seemed to miss an opportunity of really educating people. The journalist to her ‘great relief received a clean bill of health’ for her beds and although I wouldn’t wish bedbugs on anyone it would have carried more weight if she had actually had them or knew someone who had. There was nothing really about the terrible trauma and life disruption that people go through just a few jokey comments about what the neighbours would think.

Fedupandparanoid also said,

I just feel so annoyed that a paper like the Daily Telegraph - respected for it’s journalism - can make such a hash of a good opportunity. I realise journalists have to write articles that people want to read but there seemed no research and no substance to the article at all.

Yes. I agree with Fedup that we have come to expect more. At least the British press are covering the issue–getting people to talk about bed bugs is the first step.

In other news, in one of the few places that has gone beyond talking about bed bugs, Cincinnati emergency personnel are concerned about catching bed bugs when they go to help the city’s residents, ABC9 (WCPO.com) reports.

Firefighters, police, and health workers are encountering bed bugs in their work. And in the circumstances, where people are in danger, personnel don’t generally have time to worry about whether a place is infested before they go in.

Cincinnati Fire District Chief Ronald J. Texter says they’re working on a plan so crews won’t bring them back to the firehouse.

“The difficulty for us is that we can’t go into a house, survey it first, find out whether or not there’s bedbugs and then take precautions by putting on a Tyvex suit or something like that, like an exterminator would do.”

Texter said the department is concerned about the growing bedbug problem. The bugs are so small, sometimes you can’t see them.

“We’ve also had hospitals call and tell us that the patient, when they started treating them, they found bedbugs and they call us and let us know as a precaution that the patient had bedbugs,” Texter said.

This is good news: hospital staff are tuned in to the problem and the dangers of personnel exposed to it. The bad news is if patients are carrying bed bugs on their person, they must be suffering from very bad infestations.

If a firefighter walks into a home with bedbugs, they’re being encouraged to clean their equipment as soon as they return to the station.

Chief Texter admits that’s easier said than done.

“When you make 15 to 20 runs a day and you can’t stop everytime and take everything out, clean it, and put it all back and make sure there’s no bedbugs.”

The Cincinnati Fraternal Order of Police says officers have similar concerns.

Both departments are working on a plan to deal with the problem.

The fire department is educating personnel in addition to hiring an exterminator.

“If we do have a problem with bedbugs, we already have a pest control operator under contract to treat the infestation.”

Cincinnati emergency personnel, like the Cincinnati health department, are being very proactive about bed bugs. That the police and fire departments are talking to pest control operators in advance of detecting an infestation, is a very good thing. Lots can be done–not only in terms of educating personnel about signs of bed bugs and what to do if one is exposed, but also in terms of developing a protocol for searching the firehouse, for example, or where to store clothing that may be exposed.

And make no mistake: bed bugs are spreading via the same routes everywhere else. The difference is, people in Cincinnati are not afraid to talk about it. It’s the first step to making things better.

Click to read or watch the ABC9 video from Cincinnati.

Click here to read the Daily Telegraph article.

• Cincinnati: awareness spreading, funds needed to fight bed bugs
• Urgent: if you’re in Cincinnati…
• Cincinnati Establishes Bed Bug Furniture Pick-Up Procedures and Hotline
• Cincinnati: “best weapon against bed bugs is … education”

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Calvin Merritt’s problems at Hillrise Apartments are pretty simple.

“Mostly bugs, roaches and all that…”

The “all that” is bed bugs. Dead ones were easy to find under Calvin’s mattress, and piles of them behind the bed. When exterminators come in to spray here, their work’s easy to see, pesticide stains run down Calvin’s walls. Calvin pays 313 dollars a month for this one bedroom…what little furniture he had was mostly pitched, because it was infested.

Calvin Merritt, Resident: “I done lost everything got here, my couch, my other chairs, all the stuff I had was new, I had to get rid of all of that.”

At the other end of the hall, Jeanette Jessie doesn’t have any bedbugs, but she worries about them just the same.

Jeanette Jessie, Resident: “They just spread them from one end of the building to the other, this is crazy, get this place cleaned up, spray it at one time and get rid of this mess.”

It sounds a bit like the Phyllis Wheatley YWCA in Washington DC, Halcyon House in Denver, and Warren Towers in East Moline, Illinois. Elderly people, disabled people, and anyone in low-income housing is being dealt a raw deal when it comes to getting rid of bed bugs. Let’s face it, bed bugs are expensive to treat. They’re also a rather sudden problem no one was expecting and no one has budgeted for.

Bed bugs are difficult to treat, too. Traditional treatments require multiple pest control visits at short intervals. Residents must prepare for treatment, which can be a lengthy process and costly too (especially for those on a fixed income).

However, make no mistake: non-aggressive treatment (treating only some of the infested units, treating at too-long intervals, or not coming as many times as needed), waiting for tenants who might be unaware they have bed bugs to report them, and not providing assistance with preparation costs and physical labor–all of these reactions from landlords and housing managers mean that bed bugs will be around longer, spread into more units, and cost much more to get rid of.

It just does not make sense on any practical level to not be aggressive, thorough, and quick to treat bed bugs in a building you are responsible for. It is simply a display of ignorance about the nature of this beast.

We can’t entirely blame landlords for this ignorance; none of us were expecting bed bugs. But we need to educate the public about the signs of bed bugs, and we need to educate professionals in all walks of life (from those who provide housing, to hospitality services, to health care, education, and on and on) about the need for a bed bug protocol which includes both proactive searching for signs of bed bugs, and swift reactions to any bed bug signs or sightings.

Too many people seem to be hoping they’ll just go away. Good luck with that. In the meantime:

Channel 12 reports,

Officials from the Cincinnati Health Department tell us they’ll soon be taking a closer look at conditions in the apartments.

I love the Cincinnati Health Department. But you knew that.

• Cincinnati Establishes Bed Bug Furniture Pick-Up Procedures and Hotline
• Cincinnati fights bed bugs, declares some success
• Cincinnati: “best weapon against bed bugs is … education”
• Cincinnati government discovers bed bugs are not easily treated, news at 11

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They’ve started a bed bug hotline for “tips and information,” and people are asked to completely encase infested items in plastic before disposing of them. Residents can call to have infested items picked up curbside by a dedicated sanitation crew that knows what they’re picking up.

Dale Grigsby, Cincinnati Health Department: “Get the stuff as clean as you can, cracks and crevices of the mattresses and box springs, the best thing you can do is wrap them, completely encase them in some sort of a plastic, zippered liner, bed bugs can’t feed if they can’t get out, and that’s where they harbor.”

I note that even though Cincinnati officials remind us that bed bugs do not spread disease, the Cincinnati Health Department is a key player in this campaign.

Residents are also being warned about the dangers of used and rented furniture.

And one woman’s story reminds us how easily bed bugs may travel home with us. Pamela Mackey believes she got them from a hospital where she spent two days at her husband’s bedside; apparently, it came home in a sealed envelope:

After staying by her husbands bedside for a few days at University Hospital recently, Pamela Mackey says she returned home, and opened the admissions packet to find something she didn’t want to see.

Pamela Mackey, Bond Hill: “Took out a letter and unbeknownst to me there was a little critter…and my dismay I crushed this little critter and blood everywhere.”

Mackey says the critter was a bedbug, and while she contacted the hospital to tell them she’s still…

“Angry because I had brought something into my home that previously had not occupied my space.”

Click to view the video. For anyone in Cincinnati who’s reading this, you probably know more than we do! But just in case, the bed bug hotline for Cincinnati residents only is (513) 591-6000. (If you’re not in Cincinnati, please don’t use that number. Seek the services of a qualified PCO, read our FAQs, and come to the forum if you have questions!)

I am very impressed with the way the government in Cincinnati is trying to work on this. I seriously hope that the news reports will focus on treatment options, as well as furniture disposal, which seems to be a major focus. It is essential to get a hold on bed bug refuse in order to halt the spread. However, good bed bug treatment, from experienced PCOs who know bed bugs, is also essential. It’s important that people know how to find a good PCO, and also know about the dangers of self-treating this difficult pest situation. Other tips might also help Cincinnati residents solve their bed bug issues more swiftly.

Cincinnati is still the only city in the US that is taking action on such a large scale. And there is still so much more that can be done. Mayor Bloomberg, are you listening? I’ll bet you a bucket of diatomaceous earth that New York City’s got more bed bugs per capita than Cincinnati. It’s a bet I hate to win, but I think my odds are good. Why are we waiting, New Yorkers?

• Bed bugs taking over Wales too; hospitals and bed bugs
• Cincinnati Establishes Bed Bug Furniture Pick-Up Procedures and Hotline
• Cincinnati: awareness spreading, funds needed to fight bed bugs
• More from Cincinnati: senior housing complex

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“It’s unknown how [the bed bugs] got into the pediatric area, but typically they are carried on clothing and bedding,” said [Vancouver Island Health Authority spokeswoman Michelle] Stewart.

The pediatric unit will continue to function and see patients while fumigation in the sealed rooms is underway, she said.

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• Toronto tenants camping outside to avoid bed bugs: update
• News round-up: UK’s Daily Telegraph on bed bugs; Cincinnati’s finest are working to avoid bed bugs

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On August 17th, 2006 the BBC reported that a residence for doctors and nurses in a hospital in Fermanagh, Northern Ireland, was infested with bed bugs. The unit was not attached to the hospital, so patients and visitors, the article said, were not at risk. (However, you do have to consider where doctors and nurses might have picked up bed bugs. A hospital, perhaps? They had to catch them somewhere. But we shouldn’t jump to conclusions–perhaps someone moved in and brought them.) Anyway, I’d bet there are currently a number of doctors in Fermanagh who just discovered the hard way that bed bug bites don’t all look the same.

This article from the BBC from February 28th, 2007 is about bed bug infestations in student residence halls at the University of Exeter. Eight students reported bites (so it’s likely there were more, who did not feel bites, right?):

Bedbugs hit university students

A university is fumigating student accommodation after an infestation of bedbugs in halls of residence in Devon.

Pest control experts were called in to the University of Exeter accommodation after about eight students reported they had been bitten.

A treatment programme is under way in the affected rooms and nearby areas.

A university spokesman said the outbreak was not the result of poor hygiene and the bugs had probably been brought in on someone’s clothes.

Bedbugs feed on blood, but can survive for many months without food. Bites are usually no more than a nuisance, although some people can develop an allergic reaction.

This additional BBC report, also from last February, is about a school infested with what are thought to be fleas sounds suspicious to me. (Apparently it did to the person who wrote the headline, too. See below.) Fleas are fairly easy to detect. Bed bugs are not.

School closed in ‘flea’ outbreak
A Devon school has been closed while an outbreak of what is thought to be fleas is dealt with.

St Luke’s Science and Sports College, which was opened in Exeter last year, will be closed until Monday while the building is fumigated.

The college website said there was a limited minor infestation in some parts of the college by “some type of small biting insect”.

The college will be “completely cleansed” and open as normal on Monday.

“The numbers of students affected are very small,” said the site.

“Having taken advice from the NHS, we have been assured there is no risk to anyone’s health.”

College deputy head teacher Julie Phelan said the school was being closed because chemicals used in the fumigation needed time to settle, not because the insects were dangerous.

It could be some other cause, of course, for example, bird mites. But it could also have been bed bugs. Whatever it was, I hope it is gone.

On the other hand, some people have no clue about bed bugs. This CBBC article for kids about “bedbugs” was published only two years ago, but features information about dust mites and a photo of a dust mite, while referring to bedbugs repeatedly:

Kill bedbugs - live like a slob!

Not making your bed could keep you healthy, as scientists say it could stop bedbugs infesting your sheets.

The bugs live on skin cells and sweat that come off you while you sleep. They also release chemicals which cause asthma and other allergies.

But scientists reckon leaving your sheets unmade allows air to circulate, getting rid of the stuff the bugs eat.

The average bed could be home to up to 1.5 million house dust mites, which are less than a millimetre long.

The researchers are looking into ways to reduce the £700m spent treating illnesses caused by mites in the UK each year.

They will soon be putting ‘mite pockets’ in 36 people’s beds around Britain to count their numbers and see what else affects the tiny bugs.

New readers, substitute “dust mites” for bed bugs in that article, and it will be factual.

Dust mites are no picnic, but they seem easier to deal with than bed bugs. Encasements and steam seem to be the way to go.
I’ve sent the Beeb a complaint outlining the errors, and hopefully they will remove it or fix it soon.

Finally, also from the BBC archives, a general story about bed bugs, dated February 22, 2007.

But can someone tell me what’s going on in this photo from Richard Naylor of the University of Sheffield? No, please, do not tell me.

• Eastern Nazarene College: students cannot bring in ANY used furniture
• Are the bed bugs bigger in Texas? University of Texas at Dallas students infested with bed bugs
• Bed bugs. Are. Not. Dust Mites.
• Bed bugs under discussion at university housing officers’ conference

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