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While bed bugs are not known to transmit disease, their presence is unwelcome and has presented difficult challenges and distress to many people. Experts suspect the resurgence is associated with more international and domestic travel, lack of knowledge necessary to prevent infestations, increased resistance of bed bugs to pesticides, and ineffective pest control practices. The encouraging news is that there are ways to control bed bugs. While there is no chemical "silver bullet" or quick fix, there are effective strategies involving both non-chemical and chemical methods.

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Identifying Bed Bug Infestations

Much of the time, a bed bug infestation is only suspected when bites appear on a person. Oftentimes, the bites are misidentified, thus allowing infestations to go unnoticed, which gives the bed bugs time to spread to other areas of the house.

When cleaning, changing bedding, or staying away from home, look for:

Signs of bed bugs on an old box spring
Signs of bed bugs on a pillow
Close up of eggs on cardboard

Canvas strap of old box spring covering that is housing adults, skin castings, feces, and eggs. (Photo courtesy of Dr. Louis Sorkin)

Close up of blood stains on pillow (L. Sorkin)

Close up of eggs on cardboard (H. Harlan)

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Treating Bed Bug Infestations

Information Bed Bug Pesticide Alert
  • Never use a pesticide indoors that is intended for outdoor use. It is very dangerous and won’t solve your bed bug problem.
  • Using the wrong pesticide or using it incorrectly to treat for bed bugs can make you sick, may not solve the problem, and could even make it worse by causing the bed bugs to hide where the pesticide won’t reach them.
  • Check if the product is effective against bedbugs -- if a pest isn’t listed on the product label, the pesticide has not been tested on that pest and it may not be effective. Don’t use a product or allow a pest control operator to treat your home unless bed bugs are named on the product label.
  • Before using any pesticide product, READ THE LABEL FIRST, then follow the directions for use.
  • Keep in mind that any pesticide product without an EPA registration number has not been reviewed by EPA, so we haven’t determined how well the product works.

Integrated Pest Management

Integrated Pest Management (IPM) is an effective and environmentally sensitive approach to pest management that relies on a combination of common-sense practices. IPM programs use current, comprehensive information on the life cycles of pests and their interaction with the environment. This information, in combination with available pest control methods like pesticides, is used to manage pest damage by the most economical means, and with the least possible hazard to people, property, and the environment.

IPM methods for bed bugs include:

For more information on IPM visit http://www.epa.gov/pesticides/factsheets/ipm.htm.

Non-chemical treatments

Chemical treatments

Pesticides are one component of a comprehensive strategy for controlling bed bugs. Currently, there are over 300 products registered by EPA for use against bed bugs – the vast majority of which can be used by consumers. Several classes of chemicals are utilized in these products -- each class share a similar mode of action, or way in which the chemical affects the biological functions of a bed bug.

To help you find a product, EPA has developed a Bed Bug Product Search tool to help you find a product that meets your needs.

If you find that a particular chemical treatment seems to be ineffective, please read When Treatments Don’t Work before reapplying or trying a different product. You may want to consult a pest management professional to inspect your residence and, if needed, apply approved pesticides to treat any infestation. For assistance with choosing a pesticide registered for consumer use, you may also check with the Cooperative Extension Service office in your area.

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Preventing Bed Bug Infestations

Bed bugs are very successful hitchhikers, moving from an infested site to furniture, bedding, baggage, boxes, and clothing. Although they typically feed on blood every five to ten days, bed bugs can be quite resilient; they are capable of surviving over a year without feeding.

A few simple precautions can help prevent bed bug infestation in your home:

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Hiring Pest Management Professionals

Getting a pest management professional (PMP) involved as soon as possible rather than taking time to try to treat the problem yourself is very effective at preventing further infestations. Each pest management company should have instructions for residents on how to prepare the unit for a treatment which will include laundering and cleaning.

The PMP will inspect your residence, take apart furniture if necessary and use vacuums, heat and pesticides to treat the infestation.

EPA’s Citizen’s Guide to Pest Control and Pesticide Safety (PDF) (54 pp, 2.37M, about PDF) offers more tips on how to choose a pest control company.

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Bed Bug Biology

Life cycle of the bed bug from egg to adult

Life cycle of the bed bug, starting from the top left, moving counterclockwise: eggs (1mm), 1st stage nymph (1.5 mm), 2nd stage nymph (2 mm), 3rd stage nymph (2.5 mm), 4th stage nymph (3 mm), 5th stage nymph (1.5 mm), unfed adult (5.5 mm), and fed adult. Photo Courtesy of Stephen Doggett, Department of Medical Entomology, Westmead Hospital, Sydney, Australia

The common bed bug (Cimex lectularius) has long been a pest – feeding on blood, causing itchy bites and generally irritating their human hosts. The Environmental Protection Agency (EPA), the Centers for Disease Control and Prevention (CDC), and the United States Department of Agriculture (USDA) all consider bed bugs a public health pest. However, unlike most public health pests, bed bugs are not known vectors for the transmission and spread of diseases.

Knowing what to look for is the first step in controlling bed bugs. Generally, adult bed bugs are 1/4 to 3/8 inch (4-5mm) long, brown in color, with a flat, oval-shaped body; while young bed bugs (also called nymphs) are smaller and lighter in color.

When not feeding, bed bugs hide in a variety of places. Around the bed, they can be found near the piping, seams and tags of the mattress and box spring, and in cracks on the bed frame and head board.

If the room is heavily infested, you may find bed bugs in the seams of chairs and couches, between cushions, in the folds of curtains, in drawer joints, in electrical receptacles and appliances, under loose wall paper and wall hangings -- even in the head of a screw. Since bed bugs are only about the width of a credit card, they can squeeze into really small hiding spots. If a crack will hold a credit card, it could hide a bed bug.

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Common Bed Bug Myths

Myth: You can’t see a bed bug.
Reality: You should be able to see adult bed bugs, nymphs and eggs with your naked eye.

Myth: Bed bugs live in dirty places.
Reality: Bed bugs are not attracted to dirt and grime; they are attracted to warmth, blood and carbon dioxide. However, clutter offers more hiding spots.

Myth: Bed bugs transmit diseases.
Reality: There are no cases that indicate bed bugs pass diseases from one host to another. Lab tests have shown that it is unlikely that the insect is capable of infecting its host.

Myth: Bed bugs won’t come out if the room is brightly lit.
Reality: While bed bugs prefer darkness, keeping the light on at night won’t deter these pests from biting you.

Myth: Pesticide applications alone will easily eliminate bed bug infestations.
Reality: Bed bug control can only be maintained through a comprehensive treatment strategy that incorporates a variety of techniques and vigilant monitoring. Proper use of pesticides may be one component of the strategy, but will not eliminate bed bugs alone. In addition, bed bugs populations in different geographic areas of the country have developed resistance to many pesticidal modes of action. If you're dealing with a resistant population, some products and application methods may only serve to make the problem worse. It is a good idea to consult a qualified pest management professional (PMP) if you have bed bugs in your home.

In case of emergency, call local Poison Control: 1-800-222-1222

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