1. All About Bedbugs Presented by ETSU Nursing Students: Andrea Baxley Laura Cook Audrey Jones Doug Klaras Leslie Raby Whitney VanderHorst Jeanette Wilson

2. Bedbug Identification Size - appleseed Color – reddish brown Shape – flat & oval Males - pointed abdomens Females - rounded abdomens. Odor – sweet & musty Movement - crawl

3. Life Cycle Eggs – Pear-shaped & white – 300 in one female’s lifetime – Attach to surfaces & hatch within 10-14 days Nymphs – “Young” bedbugs – Smaller & lighter in color – Stage lasts 6 weeks Adult

4. Bedbug Feeding Live on human or animal blood Feed at night Pierce skin and suck blood Feed for 3-12 minutes Swell and turn bright red after feedings Can live over a year without feeding

5. Bedbug Bites Similar to mosquito bites Red with darkened center May take a few days to show up

6. Bedbug Bites Symptoms – Itching – Swelling – Painless Common Sites – Arms & Legs – Face & Neck Treatment – Soap and water – Anti-itch cream (to avoid scratching) – Should resolve within 3-10 days without treatment

7. Who can get Bedbugs?

8. Where are Bedbugs? Worldwide Common in developing countries Rising in the United States due to: – Lack of awareness – Increase in international travel – Resistance to insecticides

9. A Nationwide Outbreak. This map shows the reported areas of bed bug infestations.

10. Where are Bedbugs? Crowded Lodging – Hotels – Shelters – Dormitories – Military barracks – Apartment complexes Specific Locations – Mattresses – Bed frames – Box springs – Headboards – Sofas & chairs – Cracks & crevices *Bed bugs can easily spread where people come and go frequently.

11. How do they get into your home? Pets Boxes Clothing Luggage Furniture

12. Risk Factors Recent travel Crowded living Secondhand furniture Furnished apartments

13. Prevention of Bedbugs Eliminate clutter Vacuum regularly Report cracks, crevices, and holes to be sealed Inspect secondhand items before bringing home Place protectors over pillows, mattresses, and box springs

14. Bedbugs on fabric. Red/bloody spots on sheets showing where bedbugs have been squished. Bedbug eggs on particle board.

15. Bed Inspection http://www.youtube.com/watch?featu re=fvwp&NR=1&v=yGYbkjKnoag http://www.youtube.com/watch?featu re=fvwp&NR=1&v=yGYbkjKnoag http://www.youtube.com/watch?featu re=fvwp&NR=1&v=yGYbkjKnoag

16. If You See Bedbugs… Report to management IMMEDIATELY! Clean & vacuum area Wash clothes & linens in HOT water Dry in HIGH heat for 20 minutes Limit visitors to prevent spreading Last Resort: discard infested belongings

17. Joel Burd

18. What have we learned?!?

19. Let’s Eat Cowboy Soup!!!

20. References Bed Bugs FAQs. (2010, November 2). Retrieved September 25, 2011, from Center for Disease Control and Prevention: http://www.cdc.gov/parasites/bedbugs/faqs.html Bed Bugs. (2011, August 29). Retrieved September 25, 2011, from Medline Plus: http://www.nlm.nih.gov/medlineplus/bedbugs.html Schwartz, R. A. (2011). Beg Bug Bites. Retrieved September 25, 2011, from Medscape Reference: http://emedicine.medscape.com/article/1088931-overviewhttp://emedicine.medscape.com/article/1088931-overview http://www.mayoclinic.com/health/bedbugs/DS00663 http://www.cdc.gov/nceh/ehs/publications/bed_bugs_cdc-epa_statement.htm http://www.epa.gov/bedbugs/#treat http://www.nysipm.cornell.edu/publications/bb_guidelines/