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

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

3. -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

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

5. 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.

6. 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.

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

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

10. 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

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

13. 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

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

15. 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

16. 3. Elimination/Control -Property Owners
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

17. 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.

18. 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 et seq. which are not otherwise determined to be a nuisance under State law.

19. 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

20. 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

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

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