Bed bugs occur around the world.[36] Before the 1950s about 30% of houses in the United States had bedbugs.[2] Rates of infestations in developed countries, while decreasing from the 1930s to the 1980s, have increased dramatically since the 1980s.[3][4][36] Before the 1980s they were common in the developing world but rare in the developed world.[4] The increase in the developed world may have been caused by increased international travel, resistance to insecticides, and the use of new pest-control methods that do not affect bed bugs.[37]

Prior to World War II, infestations of bedbugs were common; however, after the widespread introduction of the use of the insecticide DDT in the mid-20th century, bedbug infestations became much less common. The recent resurgence in infestations of bedbugs worldwide is thought to be related to several different factors, including the increase in international travel, dense urban living conditions, insecticide resistance, and new, ineffective pest control measures.

Bed bugs are very resilient. Nymphs and adults can persist months without feeding which is unusual for most insects. The ability to survive without a blood meal is longer at cooler temperatures ― potentially up to a year or longer at 55°F or less. In temperature-controlled buildings, a more typical duration is about 2 to 6 months. Consequently, it is usually impractical to leave buildings unoccupied in hopes of ‘starving out’ an infestation. When infested dwellings such as apartments are vacated, bed bugs often disperse to nearby units, or reduce their activity until the unit is reoccupied. 
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.

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. 
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
thank you natasha! i’ve reached out to both locations i’ve traveled to and they confirmed their pest control vendors have found nothing. and i had a visual/dog inspection from a reputable pest control company to check my entire house and they’ve found nothing as well. so hopefully this is just a one off and / or mosquito bites that just like biting in a line…can’t help but still be paranoid and sleep bundled up with socks
Our apartment is clean, but apparently this has little to do with it. We were told to put our dry clothes in the clothes dryer for 30 minutes at a high heat and bag them tightly, spray rubbing alchoha l92% to repel them from the bed , couch covers and seat cushions, as well as to dry our bedding, curtains, towels etc., and to remove the light covers from the plugs. They were reasonable (about$400 divided into monthly payments.)They will come twice, a month apart beginning two days from now, We’ve been vacuuming daily, and tightly securing debris. We were told that rubbing alcohol, sprayed in cushions and the bottom of shoes will repel them (92%). I was told that the most common place to pick them up is hospital and doctor’s waiting rooms. I write, and have a lot of boxed papers. I’ve emptied my drawers. I’m also not sure of what to do about my hanging paintings. I have enough problems right now, and just want this to end.

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]

A variety of low-odor sprays, dusts, and aerosol insecticides help with bed bug control. People must apply these pesticides to all areas where the bugs are observed as well as hiding places or spaces where they may crawl. The pest control company can help you determine if an infested mattress can be disinfected or must be discarded. Since beds cannot readily be treated with insecticides, it's often necessary to discard infested mattresses and beds.

It’s also possible that you won’t see a reaction the first time a bedbug bites since it sometimes can take the body a while to react. (6) Some people will have an immediate reaction, while for others it could take two weeks to emerge. Your body will likely become more sensitive to bedbug bites over time, and if you get bitten repeatedly, it could be only a matter of seconds before your body shows a response.
This pair of bed bug bite photos below show the immediate (left) and next day (right) reaction after feeding a colony of bedbugs from a container in the lab. (That's why they are contained in a small circular area).  The hive-like immediate symptoms are replace by dark red rash type reaction the following day with inflammation and less severe redness radiating out to a larger area.  

Hi Natasha !! I recently saw a bed bug crawling on my bed. So, I immediately cleaned all clothes in my room with hot water and put in high heat in the drier. I also sprayed the whole house with bed bug spray. Now on closer look of the mattress I found some bug remaining like its cover/shell, 2-3 blood stains but I did not find a colony/cluster of the bugs (which I was sort of expecting). So I bought a steamer and steamed my mattress and box spring. I also bought covers for the mattress and the box spring so that in case I missed any, they might get suffocated (at least I hope so). After all this, the next morning I woke up and found some sort of bite marks on my face. Also since I could not find any cluster of bugs, could they still be somewhere in my room ? where should I look for them ?


The diagnosis of a bedbug bite can sometimes be difficult, as bedbug bites may appear similar to the bites of other insects. A health care professional will ask detailed questions and perform a physical exam, focusing on the skin. Other organ systems will also be examined to assess for any signs of an allergic reaction or for signs of infection. No blood tests or imaging studies will be necessary. If someone is able to bring in a specimen of the insect that may have bitten them, this can be helpful in making the diagnosis.
In most infestations, consultation with a professional exterminator is advised because elimination is more likely to be effective if multiple pest management methods are used. These include monitoring devices, canine detection, clutter removal, vacuuming, heat or cold treatment, sealing cracks and crevices, and judicious use of nonchemical and chemical pesticides. Monitoring devices include moat-like devices (e.g., Climbup Insect Interceptor) that trap bedbugs ascending and descending furniture legs, and emitting devices that use carbon dioxide, heat, and/or chemicals (e.g., Nightwatch monitor) that attract and trap bedbugs. Specially trained dogs are reported to detect bedbugs with 97 percent accuracy and are able to differentiate live bedbugs and viable eggs from debris remaining from previous infestations.41 Vacuuming is a highly effective method for removing bedbugs, but not eggs because these adhere to surfaces.42 High-efficiency particulate air filters eliminate bedbug allergens and debris.42  Nonchemical treatments include petroleum jelly (which can be applied to legs of furniture to prevent bedbugs from ascending), heating, and freezing (see Table 36 for effective killing temperatures).

1. Mattress Safe Encasements: Mattress Safe Products are bed encasements to place over your mattress or boxspring so you don't have to throw them away. They are bedbug certified. If using a labeled insecticide on the mattress or boxspring first, apply on mattress or box springs then zip it up. It has a patented hook to keep the bed bugs inside the encasement so they cannot escape. Keep the encasement in place for one year (due to bed bug life cycles).
I found something that works. Diatomaceous earth or perma guard. Buy a big bag. About a good 5 pounds and put it around the whole house yard in your bed in every crack the carpet. I mean all over and give it a couple days. They will be gone. I live in an apt I ha e a cat n dog. It isn’t harmful to pets or humans its 100% safe to use around kids and best of all no bed bugs no ants no roaches. I paid about $10 on ebay. Good luck and I’m telling u this worked for me.

My husband returned from a Military Deployment…and brought bed bugs home with him. The day after we realized we had them, an exterminator that specializes in Bed Bugs came to our house and sprayed. They scheduled themselves to come back in 14 days to spray again (to kill the new bugs that hatch after the initial spray). We were old the spray would kill all the adults and babies…and the second spray would get the new hatchlings. 3 days after the initial spray, we started seeing adult bugs again!
Bed bugs can exist singly, but tend to congregate once established. Although strictly parasitic, they spend only a tiny fraction of their lifecycles physically attached to hosts. Once a bed bug finishes feeding, it relocates to a place close to a known host, commonly in or near beds or couches in clusters of adults, juveniles, and eggs—which entomologists call harborage areas or simply harborages to which the insect returns after future feedings by following chemical trails. These places can vary greatly in format, including luggage, inside of vehicles, within furniture, among bedside clutter—even inside electrical sockets and nearby laptop computers. Bed bugs may also nest near animals that have nested within a dwelling, such as bats, birds,[22] or rodents. They are also capable of surviving on domestic cats and dogs, though humans are the preferred host of C. lectularius.[25]
Becoming a victim of a bed bug infestation is certainly devastating, but the public can rest easy knowing that these pests are not known to transmit any diseases. While it is true that some pathogens have been detected in and on bed bugs including hepatitis B, and exotic organisms such as Trypanosoma cruzi (cause of Chagas Disease, rarely found in the United States) or Wolbachia species, unlike mosquitoes and ticks, bed bugs have not been associated with disease transmission.
I am 60 .My only knowledge of bed bugs had been tbe old tune don’t let the bed bugs bite. I am having a serious reactionn to their bite . I have red blotches which turned into deep red pus filled holes . I am embarassed about going to the doctor. The bites are painful. I have them just about everywhere. I did just a bout everything . The purchase of high priced bed bug insecticides did nothing except poison me. I was bitten while treating a second time. These pests are horrible . They feel like stickers in my clothing. I am losing my mind. I stay in my room letting no one in. I dont want to spread these creatures to anyone. I do not kniw what to.do . I am becoming sick physically. How can I heat my home to the temputure required to kill them? Does anyone know about the product Bed Bug Barrier? They are not that much but it didnt say how many would be needed
These blood suckers lock on to the carbon dioxide (CO2) release when sleeping. Once they have you, they head toward a warm part of your body and begin to bite. Two tubes are inserted into your body; one is used to inject a mixture of anticoagulant and anesthetic while the other is used to suck up your blood. You never notice the bites until you wake up and realize you were the main course!
Considering how time-consuming and costly it can be to eradicate bed bugs, it’s prudent to take precautions and avoid infestations in the first place. Householders should be vigilant when acquiring used furnishings, especially beds and couches. Discarded items should be avoided, and secondhand articles should be examined closely before being brought into the home. Look carefully in the folds and seams of furniture for signs of bed bugs (see the previous section entitled "Description and Habits" for more details). There is no reason to stop shopping in consignment stores, yard sales, etc., but it would be prudent to run clothing and fabric items through the washer or dryer before storing them in the home. The risk of acquiring bed bugs from items purchased in antique stores would generally be insignificant.      
Hey there! So I recently stayed in a condo through a timeshare. After two nights of staying there I woke up with about 30 bites all over my boxy (head to toe) throughout the day more and more bites appeared. They have began to itch very, very badly and are now beginning to blister. I did go to a nearby lake as well so it could possibly be something from the lake. I went to two separate physicians and neither one of them could diagnose the bites as anything. I am no longer there to inspect the bedding and furniture, unfortunately. Although I didn’t not see any blood spots, egg shells or any of that matter on the bed sheets. Do you think the bites could be from bed bugs?

Bed bugs have flat oval bodies, six legs, are reddish-brown in color and are similar in size to a dog tick - many have described the adults as resembling a flat apple seed. Adult bed bugs are approximately 1/4 inch long, while nymphs (juveniles) may be as small 1/16 of an inch. With feeding, they enlarge or engorge with blood. The adults turn from a brownish to reddish color, while the translucent nymphs may become bright red during the feeding process. 


Bedbugs live in any articles of furniture, clothing, or bedding, so they or their eggs may be present in used furniture or clothing. They spread by crawling and may contaminate multiple rooms in a home or even multiple dwellings in apartment buildings. They may also hide in boxes, suitcases, or other items that are moved from residence to residence or from a hotel to home. Bedbugs can live on clothing from home infestations and may be spread by a person unknowingly wearing infested clothing.

Kept replacing the sticky traps just in case but never caught anything other than the occasional spider. Always cycled the sheets and such using the car+sun. They were still getting to us. Bed bugs cannot fly or jump. They had to be in the bed frame. I check it over and notice rusty spotting, which is apparently bed bug fecal matter. Luckily ours was from IKEA so it was easy to take apart – and sure enough – there they were. The way my bed works is a metal frame with holes, rubber end caps fit into those holes, and wooden slats run across the frame in the end caps. So every few days I’d mix up a 50/50 mix of bleach and water in a bucket and soak the wooden slats and end caps for ten minutes. The bed bugs were gone a couple of weeks and came back. I started soaking the things longer and scraping them with a disposable spoon, which was hard to do on the end caps. It warped the wood a little but nothing too bad. After a couple of weeks or so, I stopped finding bed bugs in the frame. I was worried they were in the metal too, but I completely stopped getting bites. I think the added time and scraping got rid of eggs. Not a lot can survive a 30 minute bleach bath.
Encasing mattresses is one of many good parts of a solution, but it doesn't get rid of the infestation. There are going to be other bugs away from the mattress, hiding nearby. What mattress covers are good at is entombing the sometimes large number of bed bugs that can live on a mattress. And because the covers tend to be uniform in color and don't have a lot of seams that the bugs can hide in, it's easier to see the insects.
Bed bugs will also succumb to cold temperatures below 32°F, but the freezing temperatures must be maintained for a longer period (e.g., one to two weeks). Consequently, heating tends to be a better option throughout much of the country. Efforts to rid entire dwellings of bed bugs by raising or lowering the thermostat will be unsuccessful, although pest control firms are able to achieve lethal temperatures with supplemental heaters (see the subsequent section entitled "Heat Treatments" for more details). 
Help!! I have had a long and exhausting experience with these nasty bugs. My mother in law had stayed at my house for a few nights and a few weeks later after returning home she discovered she had a severe infestation of bed bugs.. so of course I took precautions at my home thinking she gave them to me. I threw my mattress away then taped off my entire bed with very sticky tape. No signs or bites at all . Then a few weeks later my son started to sleep in his bed again and sure enough he woke up with 3 bites in the shape of a triangle that were swollen and itchy. I searched his bed and found a casing shell and 3 blood stains under his box spring .I called a exterminator he came out and said we had a mild infestation and there was no signs in my bed but he found one live bug in my son’s bed. He treated the bedrooms and living room. Then my son and i were getting these little bumps on our body that looked nothing like the triangle bites and didn’t itch so the exterminator came again and treated but found no evidence of bed bugs and this cycle happened four times! So he has treated my apartment 4 times and found no signs of bed bugs and even had a dog come out to sniff around .. this was all over the course of about 5 months . The exterminator insists that we do not have bed bugs anymore but my son is still getting these bumps on him, some are reds dots and some are skin colored but no complaining of itching . I’m very overwhelmed and exhausted and havery no idea what to think. I think the tape on my bed prevented them from getting back into my bed after I threw my mattress out but again the exterminator said tape does not work. Are they hiding somewhere else like in the walls to where the exterminator think the problem is gone ?
Just came back from a hotel stay, have one VERY itchy bite on my wrist. I don’t know for sure that it is a bed bug bite butI haven’t unpacked my bags yet, so hopefully everything is safe. Right now I have an aloe and lidocaine gel over the bite, but when I get home I may try soaking it in tea bath. the tannin in black tea can also help with itching and swelling.

The treatment of bedbug bites depends on the symptoms and their severity. The bites should heal and disappear in one to two weeks whether you treat them or not. The goal is to prevent scratching the itchy rash, which can lead to a skin infection. You can use over-the-counter (OTC) anti-itch creams such as calamine lotion or those containing diphenhydramine or cortisone. Be sure to read the product label and don't use these creams around the eyes, anus, or genitals.
If you are seeing bites everywhere and wondering, what do bed bug bites look like, have a look at the bed bug bite pictures below. They illustrate how bed bug bites look on different parts of the body, making it much easier to identify the bites. Write a comment below if you need help determining if you have been bitten by bed bugs or some other insect. You are also very welcome to submit your own bed bug bite pictures, like many of our other members have already done. Just write a comment and I will get back to you on how to upload images.
No typically they do not like hair and actually prefer a host without hair (shaved legs etc). I would imagine this is one reason why we have hair on our bodies. However; this doesn’t mean that 1 or 2 wont get lost and end up in your hair. But typically they will not make that their place of rest or feeding. One thing I would like to advise is that for what I could imagine was quite some time these went unnoticed in my residence and have never caused me to itch, I would awake for work with my face being EXTREMELY PALE and a neck rash that I always assumed was from shaving also if goes unnoticed they must have been a factor in my bout of extreme depression / listlessness over the past few years. The cause…. According to the exterminator was the used furniture I got a too good to be true deal on at a garage sale for my first apartment, which he was even “nice” enough to deliver. He’s lucky he’s moved since than, lord knows what I would have done. But I will never forget his face.

Mix 3 oz per gallon or 0.75 oz per quart and spray with a low pressure sprayer into the areas where the bed bugs are hiding. Typical areas include bed frames, headboards, under beds, baseboards, moldings, behind pictures,etc. Remember to apply in the joints and crevices of furniture. If the crack and crevice is too small, use an aerosol with a crack and crevice tip (recommendations are below.)
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
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