Bed bug infestations have resurged since the 1980s[43] for reasons that are not clear, but contributing factors may be complacency, increased resistance, bans on pesticides, and increased international travel.[44] The U.S. National Pest Management Association reported a 71% increase in bed bug calls between 2000 and 2005.[45] The number of reported incidents in New York City alone rose from 500 in 2004 to 10,000 in 2009.[46] In 2013, Chicago was listed as the number 1 city in the United States with the worst bed bug infestation.[47] As a result, the Chicago City Council passed a bed bug control ordinance to limit their spread. Additionally, bed bugs are reaching places in which they never established before, such as southern South America.[48][49]
Call your city or town health inpespector. In most major cities it is the landlords obligation to hire a an exterminator. In the case of bed bugs I believe there is more of an urgency and most city inspectors will come out within days, now that bb’s have reached epidemic levels not only in the U.S., but in many countries around the world. In some U.S.cities there are “lanlord/tenant agreements”, which are locally legal and binding contracts that state what the obligation of a landlord and tenant is, and most contain a clause which says that repairs, maintenance, etc.,which are landlords obligations, and what recourse a tenant has when the landlord refuses to repair or maintain his rental properties. In some cases, the tenant may pay for the repairs and deduct from the rent after following various steps first, such as, notifying the landlord via certified letter, prior to the tenant paying for said repairs. Please READ your lease and call your city or town’s health department or building inspectors first,as these ordinances may vary. You can always file a case in local claims court without an attorney,after paying for the repairs,if all else fails, and moving is not an option. I am not a lawyer, and this is not legal advice. I hope this helps. Bed bugs are a public health hazard. And not taken lightly by many local elected, or appointed officials. I hope this helps.
Thanks so much to the person who mentioned the hot/cold water method! I think when you do it when you first notice the bites, It will keep them from becoming huge, itchy welts! I run hot water over the bites and I feel a sense of relief, as if I’m scratching the bite, without actually scratching it. The area turns pink, and I keep going until the relief sensation has subsided, then I run cold water over the area. Works great and it does last for hours!
Data Sources: A PubMed search was completed in Clinical Queries using the key terms bedbug, rash, bites, and infestation. The search included meta-analyses, randomized controlled trials, clinical trials, case reports, and reviews. We also searched the online databases of the Environmental Protection Agency, Centers for Disease Control and Prevention, and Jefferson Clinical Images. Lastly, we used Essential Evidence Plus. Search dates: February through June 2011.
First, make sure that the suspected bugs are bedbugs, because other insects or arthropods such as a carpet beetle, scabies mite, a bat bug, louse, or other bugs may be mistaken for bedbugs. If there is confirmation of a bedbug infestation, several measures can be taken to help control or eradicate the infestation, using both nonchemical and chemical (insecticides) methods. It can take several weeks to months to achieve complete eradication of a bedbug infestation, and it may take several treatment cycles to completely eliminate them. In many cases, it will be necessary to hire a pest control service in order to implement a comprehensive extermination strategy.

While encountering bed bugs in hotels is possible, typically only a small number of rooms have problems. If bed bugs are discovered, guests can request another room, preferably in another area of the building, since problems often extend to nearby units. Should you experience itchy welts suggestive of bed bug bites during your stay, it would be prudent upon returning home to place all clothing directly into the washer and/or dryer. Inspecting or vacuuming luggage upon arrival home is less useful since it’s hard to spot bed bugs inside a suitcase. The suitcase itself can either be treated or discarded. 
Did you or someone else in your home recently come home from a trip? Bugs can stow away in clothing and in the recesses of your luggage. A good preventative measure is to check lodging you are staying in immediately after arrival. As mentioned before, signs are evident, even during the daytime, include the blood-colored excrement they leave behind.
Bed bug incidents in schools are best handled by knowledgeable pest control firms. Widespread insecticide treatment of classrooms, hallways, buses, etc. is unnecessary, ineffective and imprudent. Effort instead should be spent checking chairs, desks, lockers, coat rooms, etc. in the vicinity of where the bugs were found, and treatment should be focused on those specific areas. Canine inspections can also be useful in finding small numbers of bed bugs in schools and other establishments where there are no beds.      

Check the mattress throughly, paying close attention to seams and tufts along the edges. Flip the mattress over and inspect the bottom carefully as well. Pay particular attention to any rips in the fabric. View the fabric on the bottom of the box spring and shine a flash light to verify that bed bugs have not penetrated the interior of the box spring.
Before you run off and buy every cream the pharmacy stocks, you’ll want to confirm that the marks are actually from bed bugs. Even if they match the description – round, red marks that may bump, swell, itch, and/or burn – the marks could be allergic reactions to food or fabric, irritations from a rough material, or bites from another pest like mosquitoes or carpet beetles.
Mechanical approaches, such as vacuuming up the insects and heat-treating or wrapping mattresses, are effective.[3][6] An hour at a temperature of 45 °C (113 °F) or over, or two hours at less than −17 °C (1 °F) kills them.[6] This may include a domestic clothes drier for fabric or a commercial steamer. Bed bugs and their eggs will die on contact when exposed to surface temperatures above 180 degrees and a steamer can reach well above 230 degrees.[31][15] A study found 100% mortality rates for bed bugs exposed to temperatures greater than 50 °C (122 °F) for more than 2 minutes. The study recommended maintaining temperatures of above 48 °C for more than 20 min to effectively kill all life stages of bed bugs, and because in practice treatment times of 6 to 8 hours are used to account for cracks and indoor clutter.[32] This method is expensive and has caused fires.[6][15] Starving them is not effective as they can survive without eating for 100 to 300 days, depending on temperature.[6] One expert recommends not trying to get rid of bed bugs exclusively on one's own.[29]
This…this…ugh!!! I went to the doctor and the moron said my son and I had scabies. I wish, they are easier to get rid of than bed bugs! He gave us a CREAM to cover our bodies from head to toe. Said to bag everything that can’t be washed. Make sure sealed air tight for 3 days. Ok I believed him after all he is a doctor. Did everything just as he said I had to pay 70 $ cash for my medicine. I had purchased tea tree oil for the bites before the prescription. I lost 3 weeks of work because of how severely I scratch in my sleep.
Some firms want beds stripped and furniture moved before they arrive, while other firms prefer to inspect first and perform these tasks themselves. Clutter and belongings on floors (especially beneath beds) must be removed since they impede treatment and afford additional places for bugs to hide. Bedding and garments normally will need to be laundered and/or hot dried (120°F minimum) since they cannot be treated with insecticides. An effective and efficient alternative to laundering is to simply place bedding, clothing, toys, shoes, backpacks, etc., in a clothes dryer set at medium-to-high heat for 10 to 20 minutes. This can be done in lieu of washing and will kill all bed bug life stages. 
Unlike those of other insects, bed bug bites may sometimes appear in tight lines of multiple, small, red marks where multiple bed bugs have fed along an exposed area. Bed bug bites can cause itchiness. Initially, a victim may detect a slight burning sensation. The burning area then develops red bumps, known as papules or wheals (rash). In extreme cases, bites may swell dramatically or turn into blister-like skin inflammations.
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