Environmental Health Section, SFDPH February 15, 2018 Bed Bug Control Environmental Health Section, SFDPH February 15, 2018

Strategies for Controlling Bed Bugs 1. Bed bugs 2. Prevention/Early Detection 3. Elimination/Control 4. Monitoring 5. Environmental Health

-Parasites. Require blood meal to molt to next stage/adult 1. Bed Bugs -Parasites. Require blood meal to molt to next stage/adult -Shape: Oval, flat -Color: Reddish brown color -6 legs

Bed Bug Lifecycle -Egg, 1st stage larva, 2nd stage larva, 3rd stage larva, 4th stage larva, fifth stage larva, Adult

Public Health Significance They do not transmit disease Nuisance: bites, allergic reactions, itching, etc. Some people do not react to bites. Inspectors are unable to identify bed bug bites If your clients have bed bugs in their home, it does NOT mean it’s a sign of poor hygiene.

Bed bug distribution Bed bugs are hitchhikers. Easily transported. They can travel on clothing, bags, purses, luggage, furniture, mattresses, etc. They can be found in hotels, nursing homes, hospitals, child care centers movie theaters, public transportation, etc.

Difficult to know where infestation began Infestations may go unnoticed (6 months) till they are severe

2. Prevention Never bring into your home Inspect hotel bed and furniture Protect suitcase Seal cracks and crevices with caulking

Seal all cracks and crevices Do not take furniture from the streets Laundry Be mindful of guests visiting Can be difficult to prevent Reduce clutter

Early detection Monitoring traps Bed bug interceptors for the foot of the bed Sticky glue boards/traps Inspection: bed bug activity

Types of treatments Vacuuming Heat/steam (direct) Volumetric heat (122°F or higher) Insecticides Freeze Do not recommend do-it-yourself treatments Dependent on the severity of infestation and condition

3. Elimination/Control Do not move anything out of the infested unit

3. Elimination/Control -Tenants: Prepare unit for treatment 1. Declutter, remove unused items 2. Launder all clothing on highest setting. 3. Store in sealable plastic bags 4. Move furniture away from the walls 5. Cooperate with management, pest control, and allow access to unit for inspections and treatment 6. Follow pest control company guidelines

3. Elimination/Control -Property Owners www.new-york-bed-bugs.com Inspection Verify Typically provide pest control treatment from a licensed pest control company at least 3 times Provide more if needed 4. Provide sealable plastic bags 5. Provide bed bug mattress encasements www.gettyimage.com

4. Monitoring Watch for signs of re-infestation Tenants must report to property owner/manager immediately if bed bugs are sighted Tenants must provide access for pest control service and inspection. Property owners/managers: proactive and conduct routine inspections on units.

5. Environmental Health SF Health Code Article 11, Sec 581 (b)(8): The following conditions are hereby declared to be a public nuisance: Any noxious insect harborage or infestation including, but not limited to cockroaches, bed bugs, fleas, scabies, lice, spiders or other arachnids, houseflies, wasps and mosquitoes, except for harborages for honey-producing bees of the genus Apis regulated by the California Food and Agriculture Code Sections 29000 et seq. which are not otherwise determined to be a nuisance under State law.

Environmental Health Complaints: from tenants, managers, owners Respond to complaints about bed bugs within 2 days Conduct inspection to verify complaint Management/property owners: must provide pest control from a licensed pest control company or operator to unit and adjacent units Tenants: must properly prepare unit for bed bug treatment and allow access for pest control

Complications DPH Licensed Clinical Social Worker Abatement Conference Connects client to services (APS) Heavy cleaning, deep cleaning, bed bug preparation, decluttering Client has to qualify Services are provided only if client allows Abatement Conference Correct by deadline Director’s Hearing Can lead to repossession of unit

San Francisco Department of Public Health Director’s Rules and Regulations for Prevention and Control of Bed Bugs

http://www.sfdph.org/dph/EH/Vector/ Complaints: 311 or (415)701-2311 thank you! http://www.sfdph.org/dph/EH/Vector/ Complaints: 311 or (415)701-2311