Unlike cockroaches and flies that feed on filth, there is often no relationship between bed bugs and cleanliness. Since the bugs feed solely on blood, pristine dwellings can be as vulnerable to infestation as are places of squalor. That said, poverty and privation can lead to increased risk of bed bug problems, as can the inability to hire a professional exterminator.    
Bedbugs are found all over the world. Bed bug infestations were common in the U.S. before World War II and became rare after widespread use of the insecticide DDT for pest control began in the 1940s and 1950s. They remained prevalent in other areas of the world and, in recent years, have been increasingly observed again in the U.S. Increases in immigration and travel from the developing world as well as restrictions on the use of stronger pesticides may be factors that have led to the relatively recent increase in bedbug infestations. While bedbug infestations are often reported to be found when sanitation conditions are poor or when birds or mammals (particularly bats) are nesting on or near a home, bedbugs can also live and thrive in clean environments. Crowded living quarters also facilitate the spread of bedbug infestations.
If I go to an infested apartment, then when I leave I check my shoes very carefully for bugs that may have crawled onto them. I also keep a change of clothes in my garage and put them on before entering my house. Once inside, I immediately put the clothes I wore to the infested apartment in the dryer, which is located in a room just off the garage.

Its important to note that bed bugs can easily be transferred from other locations (such as hotels, friends, etc.) into your bedroom, something your definitely want to avoid! Its important to always check your skin, clothing and bags for any signs of bed bugs (and their bites) before entering your bedroom after sleeping away from the home. If you have been bitten a couple times, there is usually no urgent need for medical care. In fact, there are a number of effective home remedies that you can use to treat these insect bites. However, sometimes medical assistance is required. When is this the case and how can you identify when professional help is needed?
Avoiding repeated bites can be difficult, since it usually requires eradicating bed bugs from a home or workplace; eradication frequently requires a combination of pesticide and non-pesticide approaches.[3] Pesticides that have historically been found to be effective include pyrethroids, dichlorvos and malathion.[4] Resistance to pesticides has increased significantly over time and there are concerns of negative health effects from their usage.[3] Mechanical approaches such as vacuuming up the insects and heat-treating or wrapping mattresses have been recommended.[3]
3. Centers for Disease Control and Prevention; National Center for Environmental Health; Environmental Protection Agency. Joint Statement on Bed Bug Control in the United States from the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Environmental Protection Agency (EPA). Atlanta, Ga.: National Center for Environmental Health; 2010.

Very worry about my daughter.Wnt on a trip to Georgia and south Carolina 13 days ago.As soon and we came back started having rash wrist and forearmas.Vry itchy.Have been extending to legs ,shoulder bladdes and upper arms.Doctors not sure if a bed bus bite or scabies.My grandsone have a few bites but it seems to get better.Thest rest of the group seems to be ok.


Some people develop allergic reactions to bedbug bites, which can include a fever, difficulty breathing, hives, or a swollen tongue. Others may develop an infection where the bite starts oozing pus. If you experience either of these reactions or you develop blisters where the bites occurred, it’s a good idea to make an appointment with a dermatologist.
Bed bugs typically feed at night when we are sleeping. Even though these pests commonly feed for 5 minutes, the bite itself is painless and usually goes undetected at the time. In fact, bed bugs inject an anticoagulant (a blood thinner) as they feed, which makes feeding easier for the bed bug and also less detectable to you. Although you may not see the bed bugs, or feel their bites, they know when you are around. Bed bugs are attracted to warmth and carbon dioxide. So, if you are alive, warm, and breathing - then you are broadcasting loudly and clearly to all nearby bed bugs that "dinner is served!"
When it comes to controlling bed bugs, "do it yourself" should not be anyone's motto. Bed bugs are notoriously difficult to eradicate - 76 percent of pest professionals say they are the most difficult pest to control.  As such, people who suspect a bed bug infestation should turn to a qualified pest professional with expertise in treating these pests. The pest professional will evaluate the extent of an infestation and recommend the best course of treatment.  In fact, the Centers for Disease Control and Prevention endorses that appropriate control of a bed bug infestation requires an experienced pest management professional and recommends that victims be advised against attempting to control measures themselves.

The new plague has an old name: bed bugs. They’re in all 50 states, and can be found everywhere, from airports to motels to mansions. They feed silently in the dark, and leave behind a distinctive calling card: a cluster of itchy red bites. If you believe that you’re suffering a bed bug infestation, you’ll want to take action against the bugs right away, but while you’re fighting them, you may also want to treat the bites.
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]
The likelihood of bed bugs increases if the affected individual has been traveling, or if they have acquired used beds or furnishings before symptoms started to appear. Bed bugs also are suspect if you wake up with itchy welts you did not have when you went to sleep. It’s important to recognize, however, that not all bite-like reactions are due to bed bugs. Confirmation requires finding and identifying the bed bugs, shed skins, fecal spots, etc., which often requires the help of a professional. (Other possible sources of irritation that may be mistaken for bed bugs are discussed in University of Kentucky entomology fact sheet ENT-58, Invisible Itches: Insect and Non-Insect Causes). 
Likewise, if I get bitten by a bed bug, I usually get a rather bad rash which is extremely sensitive to touch while they are hardly visible on my husband. If your bites become very itchy, you need to resist the urge to scratch the affected area as this can make the problem worse and cause further inflammation, infection or even bleeding. According to the Center for Disease Control, bed bug bites can even cause insomnia due to the fear of being bitten. This can result in a lack of energy and dramatically increased anxiety levels.
The significant resurgence of bedbugs in the past decade has been attributed to pesticide resistance, more frequent travel, lack of public awareness, and inadequate pest control programs. Bedbugs are obligate blood parasites (insect family Cimicidae). They can withstand a large range of temperatures but are attracted to warmth and carbon dioxide. They typically feed just before dawn. Cutaneous reactions to bedbug bites can include macules, papules, wheals, vesicles, bullae, and nodules. Bites may be confused with other skin conditions. Bedbug bite reactions are typically self-limited and resolve within one to two weeks without treatment. Bedbug infestation may cause significant psychological distress. The diagnosis of a bedbug infestation is based on history, appearance of bites, and inspection of sleeping quarters. Although there is no evidence that bedbugs transmit disease, systemic reactions may include asthma, angioedema, generalized urticaria, iron deficiency anemia, and, rarely, anaphylaxis. An integrated pest management strategy should be employed to eliminate infestation. Tactics include vacuuming, heat or cold treatment, trapping devices, and pesticides.
Many chemical pesticides are available, with more than 300 registered by the EPA. Pesticides should be applied to walls, floors, cracks in furniture, and seams and buttons of mattresses.21 The EPA’s Bed Bug Products search tool (Web site: http://cfpub.epa.gov/oppref/bedbug/) allows users to search by product name, company, EPA registration number, location of intended use, and pesticide type. The National Pesticide Information Center (Web site: http://npic.orst.edu/; telephone: 800-858-7378) is another useful resource. Silica gel dusts are a safer alternative to traditional pesticides, because they are less concentrated and less toxic.21 Plastic mattress and pillow encasements can help trap bedbugs and restrict spread.42 Regardless of the integrated pest management strategy used, a follow-up inspection 10 to 21 days after extermination is advised to detect and manage a persistent infestation.42
While cleaning up infested areas will be helpful in controlling bedbugs, getting rid of them usually requires chemical treatments. Because treating your bed and bedroom with insecticides can be harmful, it is important to use products that can be used safely in bedrooms. Do not treat mattresses and bedding unless the label specifically says you can use them on bedding.
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