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Bed Bugs: - Dr. Curt Colwell, IDPH - ASPCRO

Bed Bugs: - Dr. Curt Colwell, IDPH - ASPCRO

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Prepared by CURT COLWELL, PhD<br />

Illinois Department of Public Health<br />

Division of Environmental Health<br />

525 W. Jefferson, Springfield, IL 62761<br />

CURT.COLWELL@ILLINOIS.GOV


120<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

PEST and BED BUG INQUIRIES, <strong>IDPH</strong>, 2008-12<br />

8 9 101112 1 2 3 4 5 6 7 8 9 101112 1 2 3 4 5 6 7 8 9 101112 1 2 3 4 5 6 7 8 9 101112 1 2 3 4 5 6<br />

2008 2009 2010 2011 2012


What’s wrong with this picture?<br />

Lyn Garling, Penn State Univ.


The “Fog of War” on <strong>Bed</strong> <strong>Bugs</strong><br />

JR claimed a misapplication in his apartment<br />

after a bed bug treatment.<br />

JR said his 8-yr.old daughter’s room had a recurring<br />

infestation. Told landlord, who hired pest control.<br />

PMP told JR to leave apt. for 4 hrs., JR returned to find<br />

“everything” covered in smelly, oily residue,<br />

and 3 empty cans of “Viper Total-Release Fogger”<br />

(pyrethrins + PBO).<br />

JR’s wife felt ill, fell down. Was ambulanced to<br />

hospital and diagnosed with “chemical exposure.”<br />

JR calls PMP who tells him to use air freshener.


The “Fog of War” on <strong>Bed</strong> <strong>Bugs</strong><br />

<strong>IDPH</strong> Inspector finds oily residue. <strong>Bed</strong>room is<br />

950 cu.ft., Viper label: 1 can treats 6000 cu.ft.<br />

Service ticket shows 3 cans of Viper used, along with<br />

“2 ½ gals. of bed bug spray” later determined to<br />

be “Hot Shot <strong>Bed</strong>bug and Flea Home Insect Killer”<br />

(Permethrin); PMP says he meant “quarts” not<br />

“gallons.”<br />

<strong>IDPH</strong> pursuing a fine and license revocation for<br />

pesticide misuse and not reporting an incident<br />

of potential harm to human.


Found 111 illness incidents from pesticide<br />

applications for bed bugs: All “low” or<br />

“moderate” severity, except 1 fatality<br />

Pyrethroids or pyrethrins in almost all cases<br />

39% were applications by occupants<br />

Most common reasons for illness:<br />

over- application and treated bedding


Fatality: 65-yr. woman complained of bed bugs<br />

Husband applied bifenthrin to baseboards,<br />

around bed, mattress, box springs,<br />

AND set off 9 “Hot-Shot” foggers<br />

(cypermethrin + tetramethin)<br />

2 days later… he treated mattress again,<br />

while woman used a “Hot-Shot <strong>Bed</strong> Bug &<br />

Flea” fogger on her arms, sores on chest,<br />

hair, and covered with shower cap<br />

2-days later… husband found her unconscious


What role can state regulatory<br />

agencies play in preventing the<br />

general public from misusing<br />

bed bug pesticides?


<strong>Bed</strong> Bug Legislation?<br />

Graham Snodgrass, US Army Public Health Command


What’s <strong>IDPH</strong> doing?<br />

Responding to increasing numbers of<br />

bed bug inquiries and complaints<br />

<strong>Bed</strong> bug fact sheets posted on <strong>IDPH</strong> Website<br />

Presenting seminars on bed bugs<br />

Advisory Council bed bug report sent to<br />

Legislature<br />

Working with legislators and non-profit<br />

group to write a “bed bug bill” based on<br />

Advisory Council’s bed bug report


Structural Pest Control Advisory Council’s<br />

Subcommittee on <strong>Bed</strong> <strong>Bugs</strong><br />

8 Members representing pest industry,<br />

public health, AG’s Office,<br />

non-profit, housing authority,<br />

tenant and landlord organizations<br />

Conducted 6 open meetings in 2010-11<br />

Composed report for Legislature,<br />

sent to Legislators in February 2012


Subcommittee on <strong>Bed</strong> <strong>Bugs</strong>:<br />

Recommendations<br />

Improve public awareness<br />

Enable local health departments<br />

to respond to bed bug complaints<br />

Amend “Illinois Safe & Hygienic <strong>Bed</strong> Act”<br />

Improve bed bug control, especially in<br />

multi-unit dwellings<br />

Fund all of the above $$$$$$$$$$$$


Improve Public Awareness<br />

Expand <strong>IDPH</strong>’s role:<br />

Train staff of local health depts.,<br />

municipalities, health facilities,<br />

schools, etc.) on bed bugs<br />

Expand role of local health departments<br />

to inspect hotels, apt. buildings,<br />

do bed bug training seminars


Enable Local Health Departments<br />

to Respond to Complaints<br />

At present, many Illinois municipalities<br />

do not exercise their authority to<br />

investigate bed bug complaints in<br />

hotels, apt. buildings, businesses, etc.<br />

Fund, train, and empower local health<br />

dept. staff to help resolve bed bug<br />

issues in hotels, apartments, etc.


Amend Illinois Safe & Hygienic <strong>Bed</strong> Act<br />

THE ACT:<br />

<strong>Bed</strong>ding must be labeled new/used<br />

<strong>Bed</strong>ding distributors must register with <strong>IDPH</strong><br />

Can’t sell or ship infested items<br />

THE AMENDMENT:<br />

Include used-furniture dealers and renters<br />

Require consumers to be informed of risk<br />

Require proper disposal of infested items<br />

Fund and enforce the Act


Improve <strong>Bed</strong> Bug Control in<br />

Multi-Unit Dwellings<br />

Improve landlord-tenant cooperation by<br />

defining their responsibilities<br />

Landlords responsible for providing<br />

and coordinating BB control<br />

Tenants must report BB to landlords,<br />

prepare and allow access to units<br />

Tenants get pamphlet and bed bug<br />

history upon leasing/renewal

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