Bed bugs have become more prevalent in the last decade, making them a larger concern for many residents, travelers, business owners, and other organizations. They infest many different spaces, including:

  • Hotels
  • Apartments
  • Motels
  • Shelters
  • Day care facilities
  • Nursing homes
  • College dorms
  • Transportation vehicles
  • Homes

Bed bugs are extremely mobile and can travel quickly from room to room or home to home, by hiding in luggage, clothing, furniture, boxes, bedding, and other items.

Here are 5 key facts about bed bugs that expose the impact these creatures have on public health in the United States, and the challenges that remain in treating and eradicating them.

  1. Bed bug infestations are likely seasonal

An article in Time magazine cited a study that showed bed bug infestations were higher during the warmer seasons. Bed bugs are more prone to reproduction and circulation during these hotter months.

This study and knowledge about infestation patterns will help us find effective ways to get rid of bed bugs.

  1. The top 3 places bed bug infestations occur

Bed bugs are consistently reported most in the following places:

  • Apartments/condos
  • Single-family homes
  • Motels/hotels

Other top places where bed bugs are encountered are listed in this Travel Channel article. An increase in frequency and proximity of travel may also be part of the reason for more bed bug infestations.

  1. Bed bugs are difficult to treat, more so than other pests

According to the National Pest Management Association (NPMA), a 2015 Bugs Without Borders Survey conducted by the University of Kentucky showed 68 percent of people stated that bed bugs are the hardest pest to defeat.

Treating bed bugs is a complex situation, and these elements may determine your success in getting rid of bed bugs:

  • The degree of the bed bug issue
  • The quantity and amount of clutter in the space
  • Infestations with neighbors
  • If you’re dealing with a shared space, and can everyone be part of the treatment plan?
  1. Bed bugs are hard to detect

Because of their small size, life cycle changes, behavior, ability to hide, and fast reproduction rate, bed bugs can easily go undetected. Plus, they usually feed when people are sleeping.

  1. Bed bugs can be resistant to some treatments

Over time, many bed bugs in different regions have become immunity or resistance to some treatment options available for getting rid of the tiny critters. Scientists have tested foggers and other products and found some to be ineffective.

This presents a challenge in getting rid of bed bugs, as many treatment methods may need to be used in conjunction with one another and the multi-layer treatment process can take longer.

What are bed bugs?

Bed bugs (Cimex lectularius) are small, brown, and flat-bodied bugs that feed on human or animal blood. They are about the size of an apple seed and after they eat, their bodies turn more bloated and red in color.

bed-bugs-02

Source: Texas A&M Agrilife Extension

These small bugs can move quickly by crawling. Though they do have wings, they are not used for flying. Their bodies include a beak and 3 parts, an antenna with 4 parts, wings, and short hairs.

Bed bugs also have an odor that is made by glands on their bodies that smells musty and sweet.

Where do bed bugs live and come from?

Bed bugs primarily live where their hosts (people or animals) live and spend a lot of time — in mattresses, bed frames, headboards, box springs, and bedding. They like to stay in small spaces in groups and hide in spots where they can easily feed.

Many times, bed bugs enter homes or places by traveling on luggage, clothing, boxes, used furniture, and couches, among others. They can also travel from apartment to apartment, home to home, and room to room.

These insects live all over the world, and date back to ancient times.

Beg bug life cycle

Bed bugs start as eggs that are about 1/16 inch long and grow into 5 nymph stages before they become an adult (male or female).

Females lay about five eggs — in mattresses, box springs, etc., — during the adult life cycle. Once eggs are laid, they hatch between 4-12 days later.

This first nymph stage means the bed bugs are ready to have their first meal. After the first meal, the bed bugs will molt into the next nymph phase. This process repeats for each nymph phase. It takes about 5-10 minutes for bed bugs to eat a whole meal.

Adult bed bugs usually live to be 6 months to a year old. They can survive for a long time without getting a meal (up to and sometimes more than a year), which is one reason they are such good travelers.
bed-bugs-01

Source: Center for Disease Control

Bed bug prevention

Prevention is key! Bed bug treatment can be a challenge that interrupts daily life. Bed bug treatment also is expensive, especially if you have to pay for a professional service, supplies, and if you’re forced to replace your mattresses, bedding, furniture, accessories, and other large investments.

How to find bed bugs

Bed bugs are small and they are excellent at hiding, so knowing how to detect them is important. The Environmental Protection Agency suggests that an infestation should be addressed immediately, no matter how big or small.

Other bugs and insect bites can be mistaken for bed bug bites or bugs, so it is recommended that you accurately identify the bugs and take action quickly.

Bed bugs are usually somewhere about 15 to 20 feet from where you sleep. Using a flashlight will help illuminate the small spaces and cracks where the bugs can easily hide.

Follow these tips on looking for physical signs:

  • Red or rust-colored stains on bedding
  • Dark spots on bedding or mattresses or fabric (bed bug feces)
  • Small eggs, eggshells about 1/16 inch long
  • Light yellow molted skin
  • Living bed bugs

Look for bed bugs in these places:

  • All around the bed and bedding
  • Near tags, seams, and piping of mattresses/box springs/headboard/frame
  • Check tight places and seams on furniture/curtains
  • Look in drawers
  • Electric appliances, receptacles
  • Wallpaper and wall decor
  • Wall and ceiling creases

How to protect your home

Since bed bugs are great travelers and can go long periods without eating, they can come into your home easily undetected.

Follow these tips on preventing bed bugs from getting into your home.

  • Check thrift or second-hand furniture and accessories before bringing them home
  • Consider a protective mattress cover to protect your entire mattress and box springs
  • Check your protective mattress cover for holes or tears
  • Simplify and get rid of clutter
  • Vacuum regularly
  • Be cautious when using community laundry facilities
  • Transfer your laundry items in plastic bags and use new bags for the return home trip
  • For multi-family homes:
    • Consider putting up door sweeps
    • Seal baseboard cracks and holes around electrical or light panels
  • Buy a portable heat chamber

How to protect yourself when away from home

Protecting your home and yourself means taking precautions when you are outside of your home traveling, and spending time in community gathering places.

When traveling:

  • Learn to look for physical signs of bed bugs and check hotels, motels, or lodging, upon arrival
  • Put your suitcase in the bathtub when you arrive at your destination
  • Pack clothing in tight plastic bags
  • Consider quality lodging, read reviews, and check bed bug registry
  • Use steam and dry clothing with heat
  • Talk to hotel staff about bed bug prevention

When buying used furniture:

  • Look for physical signs of bed bugs before bringing furniture home
  • Check seams, cracks, and tight places where bed bugs can easily hide
  • Understand there’s more risk when purchasing used furniture and clothing
  • Ask the thrift store or second-hand shop owner if they take preventative measures
  • Vacuum and use heat treatment or steam on any upholstered or fabric items
  • Wash, sanitize, and dry all furniture that can be washed
  • Buy mattress protectors
  • Educate family or roommates on bed practices

Bed bugs at school

Bed bugs can hitchhike into schools from infested homes of students, teachers, and school staff members. Teachers and school administrators and staff members should know the proper procedures in dealing with bed bugs.

Here are some tips on what to do if a student or person has been identified with bed bugs.

  • Don’t make a child or person go home; a solution can’t be reached overnight anyway
  • Give the student or person materials to take home with them (fact sheets)
  • Write a letter to the student’s parent/guardian requesting steps on prevention and treatment
  • Give child necessary storage items to hold belongings with bed bugs
  • Separate and isolate student’s items
  • Inspect the student’s locker or desk for signs of bed bugs
  • Facilities and classrooms should be kept uncluttered and clean
  • Vacuum common areas regularly
  • Use plastic containers for storage
  • Have a bed bug expert or canine inspect the property
  • Have bed bug specimen inspected by professional

How to get rid of bed bugs

Do you have bed bugs? If your answer is yes: first thing’s first — don’t panic. We will walk you through tips and steps to help you determine the best course of action.

Where do I start?

There are steps you can take right away to start addressing a bed bug infestation. Consider these tips on getting started and how to prepare for treatment.

  • Identify and confirm you have bed bugs (consult a professional to verify and contact your landlord)
  • Assess the infestation area and look for clutter that can be removed and treated
  • Educate yourself with bed bugs and their behavior
  • Consider neighbors who may have the same issue
  • If you live in a shared dwelling, let your landlord know of the issue (they may be required to help)
  • Come up with a strategy, and start a log and map that shows when and where bed bugs were detected
  • Start a journal that documents where pests are found and dates
  • Vacuum frequently and empty vacuum bag in a sealed bag and throw away outside
  • Place items that can be treated in sealed plastic bags and clean and treat them
  • Remove all bed bugs from bedding and bed, and place your bed away from the walls
  • Remove clutter and clean all items in the area Place items in sealed plastic bags and use hot water and a hot dryer to clean bedding, clothing, and fabric items
  • For belongings that can’t be treated, leave them in sealed plastic bags until bed bugs die off (could be more than a year)
  • Clean and repair furniture that can be salvaged and destroy furniture that can’t be saved (write “bed bugs” on it so nobody will be tempted to take it home)
  • Vacuum well and empty before each use (empty vacuum bag in outside trash container)
  • Make a decision about a treatment plan (do-it-yourself or hire a professional)

Do-it-yourself bed bug treatment

You can attempt to exterminate bed bugs yourself. However, it is highly recommended that you do it in the most effective, safe, and legal way possible. If you’re considering a DIY method, make sure you follow the initial starting steps above in preparing for treatment. If not, treatment may not be as effective.

Step 1: Determine extermination methods and evaluate what you need and will use (non-chemical, pesticide, or a combination plan)

Step 2: Attempt bed bug removal with non-chemical methods like heat or cold treatment and remove bugs from area and items with vacuum, cleaning, etc.

Step 3: Review and monitor the infestation area and keep a log with notes and dates

Step 4: If additional treatment is needed, select EPA-approved bed bug pesticide and use with caution (there are health and safety risks that are associated with pesticides of this nature)

Note: The EPA has a list of approved products available online. Illegal and unsafe or non-EPA approved methods are listed here. Also, check state pesticide laws through the National Pesticide Information Center and bed bug laws and regulations through the Environmental Protection Agency.

Step 5: Follow instructions on pesticide application and proper product use

Step 6: Review and monitor the infestation area again and determine if additional treatment is needed

Step 7: If you see bed bugs, that means the initial cleanup (non-chemical and pesticide treatments) missed bugs or new eggs hatched

Step 8: If more treatment is needed, consider another EPA-approved product or method, including an EPA-approved and registered pesticide like a desiccant

Step 9: Determine which pesticide product to use and apply it by following directions on proper use and application

Step 10: Review and monitor the infestation area (the EPA suggests monitoring the area every 7 days to check for new bugs from eggs that may have hatched)

Step 11: Use interceptors to catch bugs before they move and spread to other areas

Step 12: Use the EPA’s prevention steps regularly

Where do I find help to deal with bed bugs?

There are some local resources, including your county extension office and state regulatory departments, that will be helpful in your bed bug identification and assistance.

How do I hire a professional?

Although do-it-yourself methods can be effective, the most successful treatments are done by pest management professionals.

When you’re searching for a professional, consider recommendations from family, friends, neighbors, and coworkers. Then, carefully read company reviews, information on success rates, and costs online. Pest management professionals and reviews can be found on websites like:

Before hiring a pest management professional, consider these things:

  • An inspection of the site by the company (fee may be charged)
  • Services offered (short term and long term) and ongoing treatment plans
  • Treatments available
  • Chemicals and pesticides to be used and locations where they will be used
  • Make sure you understand the contract, costs, etc.
  • Does your service offer a canine investigation, too?

How much will it cost?

Bed bug extermination can cost anywhere from $500 to $5,000. In general, it can cost $250 to $900 per room.

Professionals will inspect the site and charge a fee for the inspection, and charge for services that day, along with follow up treatments and visits.

If you request services from a trained dog, those usually run from $300 to $600 per home.

Frequently asked questions about bed bugs

  1. What are bed bugs and what do they look like?

Bed bugs are small, brown, and flat-bodied bugs with a beak. They feed on animal and human blood. When they feed, their bodies become bigger and more red in color. Bed bugs do have wings, but do not fly.

  1. What do bed bug bites look like?

Bed bug bites are caused by bed bugs piercing skin and feeding on blood with their beaks. The bites are usually not painful immediately, but later turn red, itchy, and look like welts. Bites are typically found on skin that has been exposed during sleep. They don’t have red spots in the center.

  1. How did I get bed bugs?

Anyone can get bed bugs. Bed bugs probably traveled to your home by hiding in a suitcase, piece of furniture, moving box, or article of clothing, or traveled by way of a shared hallway or community laundry facility. Or, a visitor who was affected by bed bugs was in your home and brought the small creatures over.

  1. What health risks do bed bugs pose?

Scratching from the bites can cause infections and an infestation can also lead to loss of sleep, insomnia, depression, and anxiety. Each person reacts differently — from a small itchy bite to an allergic reaction. In the case of an allergic issue, a person may need to consult a medical expert.

  1. How do I check for bed bugs?

Look for these physical signs on mattresses, bedding, bed frames, furniture, drawers, electrical appliances, wall paper and decor, and wall/ceiling creases:

  • Red or rust-colored stains on bedding
  • Dark spots on bedding or mattresses or fabric (bed bug feces)
  • Small eggs, eggshells about 1/16 inch long
  • Light yellow molted skin
  • Living bed bugs
  1. How do I get rid of bed bugs?

You can approach your bed bug infestation with do-it-yourself methods or hire a professional.

The four ways to treat for bedbugs include:

  1. Do bed bugs spread disease?

No, they are not known to spread disease.

  1. I have bed bugs, what do I do?

Follow these steps to start preparing for a treatment plan:

  • Act immediately and start a journal with notes and dates
  • Talk to neighbors and your landlord
  • Clean all linens, fabrics in hot water and use a hot dryer
  • Clean mattress and vacuum
  • Vacuum entire room and around bed, and dispose of vacuum bag in outside trash can
  • Cover mattresses with protective covers
  • Move bed away from the wall (make it an island)
  • Fix cracks in baseboards, walls, and electric outlets
  • Remove clutter
  • Use proper techniques to prevent spreading to other areas
  • Monitor the infestation
  • Consider your treatment plan (integrated pest management; non-chemical; pest professional; pesticide treatment)
  1. What are some myths about bed bugs and are they true?
  • You can’t see bed bugs. FALSE
  • All bed bug bites look alike. FALSE
  • Bed bugs are only found in dirty spaces. FALSE
  • Bed bugs can spread disease. FALSE
  • Bed bugs won’t return if lights are bright. FALSE
  • The only thing needed to get rid of bed bugs is pesticides. FALSE
  • Some people aren’t bothered by the bites. TRUE
  • Bed bugs can live for a long time without biting/feeding. TRUE
  • You can’t get bed bugs from a neighbor. FALSE
  1. What do I do with my pets if I have bed bugs?

Bed bugs can bite pets but don’t live on them. Bed bugs can travel on your pets in fur and bedding. If you find bed bugs on your pet or their bed or clothing, wash all items in hot water and use a hot dryer, and investigate your infestation further. Ensure all treatment methods will not affect your pets and if using a professional service, notify the pest management specialist that you do have pets in the home.

Bed bug resources

Consider these online resources to help you learn more about bed bugs, prevention, treatment, and more. Find a list of sources for each category or topic listed below:

Bed bug information

  1. Learn all about bed bugs from WebMD and more in this photo slideshow.
  2. Look at this interesting infographic by Mother Nature Network on bed bugs.
  3. Read about bed bugs and how to get them out and keep them out from the Environmental Protection Agency.
  4. The National Pesticide Information Center has a lot of information about bed bugs on its website, plus other resources.
  5. Find an FAQ and more information about bed bugs through the Center for Disease Control.

How to find bed bugs

  1. Learn how to find bed bugs from the Environmental Protection Agency.
  2. Cornell University offers information on their website about how to find out if you have bed bugs and how to perform an inspection.
  3. Learn about bed bugs and how to find them from the Center for Disease Control.
  1. Read more about what to look out for with bed bugs in this self.com article.
  2. Learn some tips for how to check a hotel room for bed bugs in this USA Today article.

Hotels

  1. Read tips on how to inspect your hotel room for bed bugs by the University of Minnesota.
  2. Check out the Bed Bug Registry and find out where bed bug infestations have been reported in hotels and lodging places around the country.
  3. Bed Bug Reports is another resource for researching which hotels (by state) have had cases of bed bugs.
  4. Learn 15 tips for avoiding hotel bed bugs in this health.com article.
  5. Read about the best way to search a hotel room for bed bugs in this Fox News article.
  6. The Georgia Department of Public Health’s handbook on bed bugs talk about hotels and bed bugs on page 10.

Hospitals

  1. Johns Hopkins Hospital published a manual about procedures for dealing with bed bugs in the hospital environment.
  2. Read this article by The Society for Healthcare Epidemiology of America and The University of Chicago Press about bed bugs in health care settings.
  3. Consider this NPR article about bed bugs in hospitals and nursing homes.
  4. Read this information from the National Pest Management Association on how to respond to bed bugs in medical facilities.
  5. The Georgia Department of Public Health’s bed bug handbook covers bed bugs in hospitals on page 11.

Landlord/tenant

  1. Read about what landlords need to know about bed bugs and dealing with tenants from the Environmental Protection Agency.
  2. Find out about bed bug laws by state from the National Conference of State Legislatures.
  3. NOLO.com’s website has a section about landlord responsibility for bed bugs and how to handle a bed bug infestation in rental units.
  4. Learn about tenant’s rights when it comes to bed bugs and the law from the Legal Services of New Jersey.
  5. Read questions and answers for tenants on bed bugs from Iowa Legal Aid.

Schools/childcare facilities

  1. Read the University of Minnesota’s guidelines for dealing with bed bugs in schools.
  2. The Environmental Protection Agency published this guide to bed bugs in schools that addresses steps to take, communication with parents, and information on bed bugs.
  3. Consider this fact sheet from the Michigan Department of Education, Michigan Department of Community Health, and the Michigan Department of Agriculture, on what schools need to know about bed bugs.
  4. The New York Department of Education created a bed bug information kit just for schools.
  5. Read the Environmental Protection Agency’s guide to dealing with bed bugs in child care facilities.
  6. Here is a helpful fact sheet from the Safer Pest Control Project on bed bugs in schools and child care facilities.

Shelters

  1. The Georgia Department of Public Health published a handbook on bed bugs and addresses bed bugs in shelters on page 11.
  2. Read this bed bug action guide for shelters by Virginia Tech’s Department of Entomology.
  3. Learn more about dealing with bed bugs in transitional housing from the Michigan State University Extension.
  4. Texas A&M Agrilife Extension published this guide about bed bugs in homeless shelters.
  5. Consider this Business Insider article about bed bugs in shelters: “Here’s a trick I learned at the homeless shelter for surviving bed bugs.”
  6. Read about suggestions from the Alameda County Vector Control on controlling and preventing bed bugs in group living environments.

Monitoring and Detection

  1. The National Pesticide Information Center website provides a list of resources on tools for pest identification for detection.
  2. Read this National Geographic article about an effective do-it-yourself trap for monitoring bed bugs in the early infestation stage.
  3. Find out how to to look for and detect bed bugs from the Environmental Protection Agency.
  4. Here’s a guide from the University of Minnesota and the Minnesota Department of Health on how to detect and control bed bugs in lodging establishments.
  5. Consider more information on detecting bed bugs with bed bug monitors from the Rutgers New Jersey Agricultural Experiment Station.

Prevention

  1. Check out this easy-to-read slideshow from Real Simple with quick tips on bed bug prevention.
  2. Learn more about prevention and control of bed bugs in your home from the University of Minnesota.
  3. Read the Environmental Protection Agency’s top 10 tips for controlling bed bugs and prevention and more prevention tips for public places.
  4. The University of California Agriculture and Natural Resources lists helpful information about how to manage pests in homes, structures, people, and pets.
  5. Learn about bed bug prevention and infestations from the National Pesticide Information Center.
  6. Read our guide on How to Clean a Mattress.

Bed bug extermination

  1. Read more about non-chemical bed bug extermination methods in this guide by Virginia Tech’s Department of Entomology.
  2. The Environmental Protection Agency’s website lists extermination methods and varieties of pesticides that are EPA-approved. Plus, consider this EPA pesticide product search tool.
  3. Learn more about tackling bed bugs and extermination from this starter guide from the Environmental Protection Agency and Evans School of Public Policy and Governance.
  4. Read more about hiring a professional for pesticide extermination and consider this guide from the University of Minnesota.

DIY help (videos, checklists, etc.)

  1. Look over this checklist before preparing for do-it-yourself bed bug treatment by Michigan State University, Michigan Department of Health and Human Services.
  2. Consult this list to find out more about why bed bug treatments don’t work from the Environmental Protection Agency.
  3. Here’s a helpful resource on do-it-yourself bed bug control options on the Texas A&M University website.
  4. Watch a video on how to get rid of bed bugs by The Home Depot.
  5. Here’s a video on bed bug control and prevention by Purdue University Extension.
  6. The New York City Department of Health published a helpful guide on preventing and getting rid of bed bugs safely. The guide is geared toward property owners, managers, and tenants.
  7. Read this guide on dealing with bed bugs by hand and do-it-yourself methods from the University of Minnesota.

Professional help

  1. The Michigan Department of Health and Human Services and Michigan State University published a guide on getting the bed bugs out with tips on how to decide on a treatment plan.
  2. Before you hire a pest control professional, consider these tips from the University of California Agriculture and Natural Resources. This page also includes tips on what to do after hiring a company, too.
  3. Learn more about pest control professionals from the National Pesticide Information Center.
  4. This guide on how to select a bed bug provider from the Texas A&M Agrilife Extension talks about what to look for in a bed bug pest control provider, tips on preparation, and bagging. It also includes a sheet to use when interviewing pest professionals and companies.
  5. Read about hiring a professional and key questions to ask from the University of Minnesota.

Additional resources

  1. Learn tips on what NOT to do when you have bed bugs from the University of Minnesota.
  2. Read 201 things to know about bed bugs from the American Camp Association that appeared in Camping magazine and more about what every camper needs to know.
  3. Read a white paper by Rollins Inc. on Bed Bugs: The Issues, Challenges and Facts.
  4. Consider more research about the bed bug epidemic in the United States in a paper from the University of Arkansas.
  5. The National Pesticide Information Center’s website has information and resources on state regulations and other pesticide regulations and federal agencies.