1.  SCARC Bed Bug Training Education, Treatment and Prevention

3. History of Bed Bugs Bed bugs and mankind – Cavemen and bat bugs Humans moved out of caves and started agricultural civilization Early 1900’s through 1945 Re-introduction of bed bugs to the US Global economy

5. Allergic reaction?????

8. We are not alone This is the first of its kind for SCARC. Bed bugs have become an epidemic in the USA and around the world. In 2013“Nearly half the cities in the US show a rise in bed bug treatments. #1 is Chicago with NY coming in 17 th, Syracuse #14. There are many other ARCs and agencies in NJ that are dealing with this issue or have dealt with it in the past.

9. Where did we get bed bugs? Traveling and staying in a hotel Clothing stores Offices Buying used or new furniture Doctor’s offices Nursing Homes Movie Theatres College dormitory Sleep away camp

10. Biology of Bed Bugs Lifecycle Five developmental stages Feed exclusively on blood Need a blood meal to develop into next life stage All insects have an exoskeleton Shedding their skin is called molting Nymphs need to feed to molt successfully Adult males & females need a meal to reproduce

11. Biology: Lifecycle Egg to adult in 37 days under optimal conditions Adults lifespan can be up to 1 year or more depending on regular access to food If bed bugs are starved of food they most likely will die from dehydration. Adults can go 12 months or more without food but will likely die after that.

12. Biology: Feeding Behavior Secretive lifestyle Active at night between 12:00am to 5:00am Can travel yards to feed Attracted to CO2 and body heat Like to aggregate near where we sleep – Box spring, headboards, bedframes, nightstands Breakfast, lunch and dinner bite pattern Feed 5-10 minutes Return to aggregate sites hiding in cracks & crevices Begin to digest & excrete fecal matter Feed every 3-7 days

14. How big are these little critters?

15. A better look!

16. Biology: Egg production Females lay between 1- 7 eggs per day Can produce 5-20 eggs from a single blood meal Male to female ratio: – 1:1 Female can lay on average 150 eggs during her lifetime

29. Important to know? Bed bugs are human parasites. Bed bugs are not necessarily attracted to unsanitary conditions. Bed bugs do not jump or fly, they crawl. They are known as excellent “Hitchhikers”. They love to travel in or on bags! Bed bugs do not transmit disease. Research is ongoing. Bites go unnoticed while they are feeding. Bed bugs like stillness.

30. Where do they aggregate? Tufts, seams, button on mattresses Inside and under box springs Bed frames and covers Couches and chairs Window and door moldings Behind wall paper and pictures Cracks in hardwood flooring Under carpet along walls Wall voids behind switch plates and outlets Luggage, backpacks, clothing

32. Visual Inspection Seams of the mattress Box spring Bed frame Headboard Encasements Interceptors Look for fecal matter Bed bugs Shell casings from molted bed bugs A good flashlight helps!! If there is a suspicion, contact the Facilities Department, your Director or AOC.

33. Canine Inspection “Pheromone Sniffers” Dana Pest Control Specialists Walter Lucy

34. Treatment Options Pest Control Treatments- Chemical Heat Treatment combined with pest control products

35. Pest Control-Chemical Treatment Process Treat mattress and box springs Treat bedframes Treat night stands Treat all emptied dressers Treat all emptied closets Treat all baseboards Treat light and outlet boxes Treat couches All steps mentioned are repeated three times over a period of a month to break the bed bugs lifecycle. – 1 st Treatment – 2 nd is one week later – 3 rd is about two weeks later

36. Bed Bug Chemical Treatment Preparation Empty all bedroom dressers, night stands, closets and place all bedding, clothing, curtains, linens, stuffed toys (from bedrooms) in a dryer on high heat to kill the bugs and eggs for at least 45 minutes. After drying the items, put them in new large plastic bags and live out of the bags for 30 days. Dirty laundry should be bagged separately and when cleaned placed in new clean plastic bags.

37. More prepping! Prior to each treatment, VACUUM mattress(es), box springs, bed frames, night stands, dressers, closets, baseboards, picture frames. Discard or empty vacuum contents outside. Vacuuming should be a daily activity with extreme vacuuming at least once per week. 1 st treatment: remove all light and outlet switch-plates in bedrooms. (Pest control technician or SCARC maintenance will do this) Must not return to location for at least 4 hours after treatment. Following the last treatment mattress and box spring encasements go on. Sheets must be changed at least once per week!

38. Heat Treatment A company will heat up an entire house to a sustained temperature of 140 degrees. The temperatures are monitoring via heat sensors. Most time companies will use the heat treatment in combination with some sort of residual (liquid) application.

39. Bed Bug Oven

40. Current Plan Locate the bed bugs – Canine Inspections (Lucy and Walter) – All SCARC locations will be inspected. (Completed!) – Following this initial period, inspections will occur on a quarterly basis, until the situation is remediated. (Schedule TBD) – Once located, a treatment plan will be put into action

41. How are we doing? By the Numbers Locations Inspected: 43 – 9 SLP Apt – 1 SLP Office – 19 GHs – 4 ILP Apartments – 7 Day Program Areas – 1 Training Department – 1 Employment Connections Office – 1 Main Office Vehicles Inspected 83 People potentially effected: Residential Census 107 Day Program Census 173 – (SCARC Residential) 99 – (Other Residential) 74 Treated Locations/persons affected 1)Lafayette GH 4 2) Hampton GH 2 3) Stillwater GH 2 4) Valcourt GH 1 5) ILP 1 @ Carlton Village1 6) Swartswood Apt 1 7) Landmark West Apt 1 Total affected 12 8) Sparta Center 3 areas in program 9) Main Office1 chair which was removed

42. Treatment Plans A strategy will be determined by the type of situation, location or possibly other conditions: – Options: Relocation until treatment can be scheduled and home/program can be prepared for treatment, return after 1 st treatment, or Treat in place without a relocation Plan will be decided in consultation with our Pest Control company regarding the best strategy to use.

43. Vehicles Vehicles can be a aggregate for bed bugs, but unlikely. To date we have not had an alert on any vehicle. Why? No food source Not comfortable for them “May hitch a ride on someone”

44. Basic Tools for staff to use Tyvek coveralls and Protective footwear for use during initial preparation for chemical treatment. Rubber gloves (standard for universal precautions) Rubbing Alcohol in spray bottles (kills bugs, eggs on contact) Large supply of plastic bags (for use to dispose of bug invested items and to use during 30 day period.

45. Bed Bug Inhibitors Mattress encasements Interceptors Chemically treated (RV) strips for bags of items that you cannot launder.(available only through an extermination company)

46. Some suggested repellents Lavender scented items – Dryer sheets with lavender – Linen spray with lavender – Rubbing Alcohol (70 or 91%) in spray bottles (a mixture of lavender can be used) – OTC insecticides such as, OFF, Deep Woods. – Grapefruit seed extract – Garlic!! They don’t like garlic in the skin..

47. Treatment Challenges Cluttered conditions Intricate bed frames, platform beds Stuffed Toys!! Poor cooperation/follow thru Reintroduction of bed bugs

50. Where might we be picking them up from??? Shopping malls Big-box stores Bowling alleys Movie theaters Other peoples’ homes Libraries Apartment buildings Buses/trains/taxis Hotels Anywhere!!! They are now firmly entrenched in the Northeast US

51. Preventative Measures to lessen the spread Hot clothes dryers, on for at least 45 minutes will kill them Rubbing alcohol will kill them on contact with a 15 minute residual effect. Make sure you have plenty of rubbing alcohol spray, and spray beds routinely as you change the sheets each week. Bring as few items into the environment as possible; leaving coats, purses and other personal items in your car. Avoid sitting or placing items on beds, couches or upholstered chairs. Be aware by doing self-checks inspecting clothing, shoes, purses, backpacks, etc. Ensure that all rooms are clutter-free. Utilize the bedbug interceptors on all beds, and check them weekly. Make sure they have a small amount of talcum powder in them. Ensure all beds have encasements on the mattresses. Be constantly vigilant!!!

52. The end……… for now????