Killing Bed Bugs is Hard Work, both Mentally and    Physically  
    Bed bugs are hard to exterminate because the treatment process,    which begins with a thorough inspection, is more complicated    than for most other insects. Every step, from start to finish,    requires skills honed to a degree unmatched in any other field    of pest management. Those skills come from training and    experience, and must be backed up with effective treatment    methods, specialized treatment equipment, sophisticated    protective clothing, and personal commitment.  
    So, mentally, those engaged in bed bug inspections and    treatments must be at the top of their class. To the surprise    of many, the same also applies to the physical demands    of this work. A bed bug inspector who does nothing beyond    pulling back the bed clothes, shining a flashlight into a few    dark corners, and looking under the bed and at the baseboards,    isnt worthy of the title. Real bed bug inspectors sweat. Real    bed bug inspections are among the most physically demanding    jobs known in the pest management business.  
    To conduct a valid bed bug inspection the inspector must lift    and closely examine every surface, seam, and crevice of the    largest, heaviest, most unwieldy mattresses and box springs    manufactured. While doing that, the inspector must make sure    nothing besides the inspectors gloves contacts the mattress,    box springs, or bed frame. Sloppy inspectors contaminate    themselves with bugs and eggs while inspecting. Later they    carry bed bug infestations from one inspection to the next, as    well as to all the places they visit in between, including    their offices, their homes, and the places where they shop.    Thats not conducive to good public relations.  
     And the Risks are High, Too  
    Imagine youre a bed bug inspector/exterminator, standing in    line at a coffee shop, when the customer next to you says, in a    very loud voice: Hey, is that a bed bug on your sleeve?    Youre an exterminator, right? Did you just come from a place    infested with bed bugs? The manager of the coffee shop    overhears, comes over, sees the bug the customer is pointing to    and ushers you out of the shop. There the manager pauses to    write down your name and the name of your company. Now imagine,    a week or two later, getting a call from that manager informing    you the coffee shop has become infested with the bed bugs that    you brought into the place, and asking, in an angry voice,    What are you going to do about it?  
    Get the point? If you are a homeowner doing a bed bug    inspection in your own bedroom, the same cautions apply to you,    as well. Every surface of those articles of furniture, and of    any associated bed frames, headboards, footboards, sofas,    divans, dressers, etc., must be examined closely from every    visible angle, without getting a single bed bug on your    clothing in the process. That means lifting mattresses and box    springs off the bed and carefully turning them successively    through 360 degrees of rotation, all the while peeling back,    illuminating, and inspecting every seam, every crack, and every    crevice to avoid missing the small, isolated and well-hidden    groupings of bed bugs typically present with fresh    infestations. The bed frame must then be dismantled  it is    impossible to inspect the cracks where the pieces mate unless    you take everything apart  and examined with the same care, as    must the remaining articles of furniture in the area suspected    of being infested.  
    An inspector unwilling or incapable of safely and carefully    performing such physically demanding work cannot claim to    perform effective bed bug inspections. Thats important,    because the results of poorly performed inspections are costly,    for everybody.  
    Bed bug treatments require similar, if not more strenuous bouts    of sheer physical exertion as inspections. When I finish either    a bed bug inspection or a full treatment Im usually soaked in    perspiration  even in the midst of winter  and look like Ive    just run a marathon. For that reason, I dress for the job    year-round as though preparing for a long hike up a mountain    trail, with mountaineer-tested polyester undershirts and shorts    that wick enough of the perspiration away so I dont look like    a drowned rat when Im done.  
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    Call EntomoBiotics Inc. at:     (512) 331-1111     forquestions about, or help with, your    or your customers bed bug issues.  
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    Training Never Ends  
    The typical telephone call about bed bugs starts with Hi, I    have bed bugs. Do you treat for them? The first question I ask    the caller is Are you sure you have bed bugs? Much of the    time the caller answers with Yes, Im 100% sure. My doctor    says my bites are from bed bugs or Ive seen the bugs, and    they look exactly like the ones I found on the Internet.  
    Yet, even when the caller is 100% certain they have bed bugs,    30-40% of the time, the resulting bed bug inspection finds zero    bed bugs and no visible evidence of their presence.  
    Granted, on rare occasions bed bugs are actually present but    cannot be found even after conducting a thorough, well-done    inspection. Most of the time, though, when a thorough    inspection fails to find bed bugs, something else besides    bed bugs is causing the sufferers skin lesions or showing up    on or in the bed.Im often presented with specimens    of bugs collected by homeowners from their beds and bedrooms.    Most are 100% certain the specimens are bed bugs, yet on    examination they turn out to be something else entirely. But    thats no reflection on the homeowners; insect identification    is not quite as simple as it looks.  
    Not all Skin Lesions are Caused by Bed    Bugs  
    As pointed out later in this article, it is difficult to    impossible to identify the cause of a skin lesion just by    examining the outward features of the lesion. Patterns of    lesions on a persons body dont provide conclusive evidence of    the cause, either.Skin lesions that look like bed bug    bites can be, and often are, caused by a number of other agents    or organisms. It is important to get to the bottom of the    actual cause. Just knowing how to identify bed bugs is not    enough.  
    Successful bed bug inspectors must be skilled, not only in    finding and identifying bed bugs, but also at finding and    identifying practically all the non-bed-bug organisms and    agents that may also cause human skin lesions. That, alone,    requires a depth and breadth of knowledge, training,    experience, and commitment that goes far beyond that needed    solely to inspect for and treat bed bugs.  
    Many companies ignore this and assign inexperienced, poorly    trained personnel to perform bed bug inspections and    treatments. Others assign personnel to this work whose training    and experience appears adequate but whose level of personal    commitment is below par. The inspector must be operating at    100% efficiency, mentally and physically, at every inspection.    Cutting corners, taking it easy  just once out of 100    inspections  can spell disaster. Whenever a bed bug    inspection or treatment is performed, the individual who signs    off on the work must be ready, willing, and able to take full    responsibility for following through and ensuring the client is    fully satisfied with the result.  
    Why Many Pest Managers Dont Inspect for or Treat    Bed Bug Infestations  
    Not every pest management firm is willing to subject itself or    its employees to the risks that come with inspecting for and    treating bed bugs. Those who opt out of that field are often    the best and most reputable pest management firms around when    it comes to general pest management work. They are also some of    the best companies to work for, because they refuse to subject    their employees to the risks and overtime commitments that    typically go along with bed bug work.  
    Others specialize in handling pest management issues, like bed    bugs, with which most companies wisely prefer not to deal. All    those who do bed bug inspections and treatments discover,    sooner or later, the importance of making a positive    confirmation of the existence of bed bug infestations before    treating. Many do not, and pay high penalties for failing to do    so. Of those that do, only a few are sufficiently well-versed    in finding and identifying the other organisms and agents that    can produce skin lesions capable of mimicking bed bug bites.    The result is thatmany pest management companies find    themselves regularly treating homes for bed bugs when no bed    bugs are present. For a while that may even seem like a good    financial model. If 30-40% of the time no bed bugs are present,    pretending they are and treating for them brings in more    revenue. Until, that is, the treatment failures begin to mount    up. And, trust me, they will.  
    As I pointed out in an earlier article, the outward    manifestation of a skin lesion is often more a function of the    sufferers immune system than of the actual cause of the    lesion. Despite a vast array of photos on the Internet showing    typical bed bug bites, the average persons skin lesions    rarely fit the norm. Many so-called typical bed bug bites    turn out to have been caused by something other than bed bugs.    Furthermore, many of the other causes of skin lesions that    mimic bed bug bites are not resolved by any of the bed bug    treatments presently in use, whether the treatment involves the    use of heat, steam, pesticides, green products, or any    combination thereof.  
    Whenever new skin lesions occur after a bed bug treatment has    been performed, the implication is that the treatment failed    and should be re-done. Often, however  as noted above  there    were no bed bugs to eradicate in the first place, or the    treatment succeeded in eradicating them, but another    undetected organism or agent is still present and    fully capable of irritating the clients skin. When either    situation occurs, what usually results is a succession of    unsuccessful re-treatments that often read like scenes from a    horror movie.  
    Having The Right Equipment is    Crucial  
    It bears repeating that identifying the actual cause of skin    lesions on a homes occupant or occupants iscrucial.    Doing so requires the use of sophisticated detection,    collection, and analysis equipment. The user must also possess    extensive training and experience in how to use such equipment.    Just as important, the individual who does the collecting must    be able, in the field, to study the evidence collected by the    equipment and accurately interpret the clues that such evidence    provides. For my bed bug inspections I take advantage of almost    all of the unique tools used by crime scene specialists for    collecting trace forensic evidence, including vacuums and    sweeps fitted with trace specimen isolators, digital    microscopes, laptop computers, and specialized analytic    software.  
    What happens if bugs are found during the inspection, and a    cursory examination with a hand lens confirms that they have    all the outward anatomical characters of bed bugs? Can the    inspector terminate the inspection immediately and formulate a    plan of treatment without further ado? Although most pest    management companies do exactly that, much more must yet be    done, after bed bugs are confirmed, before a bed bug inspection    is complete.  
    Got Bed Bugs? And What Else?  
    In truth, bed bug inspections should really be called skin    lesion precursor inspections. Sometimes the causes of a    persons skin lesions are strictly bed bugs. At other times,    the lesions may be caused by another organism or agent    altogether and bed bugs have nothing to do with it. More often    than not, though, the lesions can be caused by both bed bugs    and another easily overlooked organism or agent. Yes, ancillary    causes of skin lesions may exist alongside the presence of bed    bugs, too. Thats something many pest management professionals    dont realize, but ignoring or neglecting it can lead to major    problems later.  
    Many people are afflicted with one or more chronic skin    conditions that produce lesions similar to bed bug bites. When    bed bugs are suspected, those chronic conditions may be    forgotten or discounted. Many people without chronic skin    conditions becometemporarilysusceptible to skin    lesions caused by other organisms or agents that normally would    not affect them, but are expressedduring    periodswhen they re subjected to excessive levels of    stress. The psychological effect of having to deal with bed    bugs is unusually high on the list of human stressors. Coping    with such levels of stress often makes one or more of the    occupants of a home more susceptible to ancillary causes of    skin lesions. Most companies fail to consider the possibility    that some of the skin lesions are stress related. That prevents    them from taking the time to inspect for possible ancillary    causes and identify their presence. Neglecting to deal with    such conditions properly is a major cause of what appear to be    treatment failures when, in fact, the bed bugs have been    controlled but the ancillary issues have not been handled.  
    Birds, Bats, and Other Causes of Bed    Bugs  
    Even when bed bugs are confirmed to be present, the real cause    of the bed bug infestation may not be apparent. Those who    assume that bed bugs arebeingbrought in solely by    the human occupants of the home are often mistaken, which is    why every bed bug infestation must first be examined under the    microscope before a treatment plan is formulated.  
    Over 70 species, in 22 genera, are recognized in the Cimicidae    family (the family of insects comprising bed bugs and their    kin) worldwide. Most of them are typically found associated    with warm blooded animals other than humans, but nearly all are    capable of parasitizing human hosts when their typical hosts    are absent. Not only that, but nearly all of those are just as    transportable, in luggage and other personal effects, by    travelers who fly, ride trains and busses, rent automobiles,    and sit in waiting rooms at hospitals, medical clinics, and you    name it Many people living in Central Texas regularly travel    outside the United States, and some of them unwittingly bring    back some of the bed bugs they encounter along the way.  
    Native bed bugs, commonly found throughout the U.S. in general,    also include a multitude of species. Birds and bats roosting in    a homes attic, eaves, or walls, will often bring bird bugs or    bat bugs in with them. Other animals, too, can host cimicid    parasites that  when their animal hosts are not present  will    leave the nest and go looking for the closest warm body    available. Under magnification the subtle anatomical characters    that distinguish non-typical bed bugs from common bed bugs    can alert the professional when an atypical infestation of this    nature has been found. However, few bed bug inspectors have the    knowledge or skills necessary to make such distinctions.  
    Excluding such Animals is Not Enough  
    Treatment of cimicid infestations emanating from animal nests    must go way beyond treating the secondarily-infested areas    inside the occupied portions of a home. If the birds, bats, and    other animals that brought the bugs to the home are not dealt    with, the bugs will show up again, no matter how well the    treatment inside the occupied portions of the home, is done.  
    Bird, bat, and animal exclusion processes alone, however, will    not resolve the infestation if the nesting materials  which    provide a reservoir of bugs waiting to resurface inside the    home  are not treated. Bird nests and bat roosts in attics are    often extensive. Besides repairing the ingress/egress access    ports used by the offending animal, so that future nesting is    brought to a halt, existing nesting materials must be    disinfected and treated to eradicate existing parasites that    must be suspected of harboring not only cimicids but parasitic    mites as well.  
    The Importance of Proper Personal Protective    Equipment  
    In addition to all the complications attending bed bug    inspections and treatments mentioned above, the inspector and    those performing bed bug treatments must be properly garbed    when dealing with any organism or agent suspected of causing    skin lesions. Like everything else involving bed bugs, thats    easier said than done, but the penalties for failing to wear    the right protective gear at the right time, and for failing to    remove and dispose of that gear properly, are sobering. Not    only does an improperly garbed individual risk being personally    contaminated, but everyone who comes into contact with that    individual risks becoming contaminated as well.  
    The fastest way to decide never, ever, to do another bed bug    inspection or treatment again is to discover, belatedly, that    youve brought bed bugs to your home, or that youve    unwittingly passed them on to one of your clients, or to your    favorite coffee shop. Imagine walking into a clients office    and having someone in your clients employ peer closely at your    shoulder, saying Gee, is that a bed bug on your shirt? And    didnt you tell me you were coming here from a home you were    treating for bed bugs? Talk about a recipe for disaster    Imagine, two weeks later, getting a call from that same client    saying Remember the bed bug John noticed on your shirt    when you were here last? Well, now we have bed bugs in my    office. I need you to come out here right now. Dont even    think of charging that client for the treatment you will now be    forced to carry out for free. And dont be surprised when every    employee of that company suddenly has bed bugs in their homes    that they also expect you to treat for free.  
    Mandatory protective clothing for bed bug inspections and    treatments include heavy-duty 6 mil. disposable gloves with    extended gauntlets, wide-brimmed headgear or, when wearing a    full-face mask, a disposable bonnet, plus an ascot to protect    the neck, back, and chest from falling bugs that might    otherwise fall down inside your shirt, and disposable    foot-to-knee cleanroom footwear. These articles of clothing    should be donned immediately on arrival at the inspection    and/or treatment site, before work commences, for all present    to see. During the inspection and/or treatment, it is crucial    that sterile, non-contact procedures be followed as closely as    possible and that all articles of clothing worn by the    inspector/exterminator be treated to deal with bed bugs and    eggs that may inadvertently fall onto them while the job is    being done. When manipulating mattress, box springs, or any    piece of furniture that may harbor bed bugs, inadvertent    contact must immediately be followed by an inspection of the    personal area where contact was made to ensure no contamination    occurred, and to enable the inspector to remove any    contamination that is observed at once.  
    These precautions and procedures reduce the risk of    contamination, but they are not foolproof, and they are easily    defeated during removal of the protective articles when the job    is complete. Remember the problems the nurses treating Ebola    patients experienced? Similar issues surround treatments for    bed bugs. Before removing disposable protective articles of    clothing a complete inspection of ones person must be    conducted to make sure no hitchhikers are marching around on    shirts, trousers, sleeves, etc. All disposable articles of    clothing must be disposed of on site, upon exiting, to ensure    no hitchhiking organisms are taken away unwittingly.  
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    This article is still under construction. As it    unfolds actual case histories of good and bad bed bug    treatments will be described that demonstrate the importance of    having a positive work attitude, and an abiding interest in the    customers health and welfare. Pest managers who treat for bed    bugs, in particular, have to care deeply about their customers.    How deeply? Its hard to place a limit on it. But its    impossible to care without first having a positive attitude.    Positivity is the cement that holds a good job together.    Negativity, on the other hand, makes what should have been a    good job fall completely apart, even when the technician is    well-trained, and is provided with the best equipment and    pesticides on the market.  
    Ill explain the details as we go along  
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    Questions? Comments? Corrections?    e-mailjerry.cates@bugsinthenews.info.  
    You may also register, log in, and leave a    detailed comment in the space provided    below.  
    This article by Jerry Cates was first published on 27 October    2014, and last revised on 12 December 2014.     Bugsinthenews Vol. 15:10(01)  
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    Abstract:The author, a specialist in bed    bug inspections and treatments in the Austin, Texas    metropolitan area, reports on the extraordinary difficulties    attending bed bug diagnosis and remediation. No insect is more    difficult than the common bed bug, and few jobs are nastier or    carry more risks than identifying and eradicating them. It is    impossible to do either without investing in expensive gear and    pesticides vetted and labeled specifically for bed bugs. Yet    those prerequisites are useless until combined with specialized    knowledge and years of practical experience. Over the years the    author has had to investigate for and clean up after a lot of    botched bed bug jobs, most done by homeowners, but some done by    professionals in the pest management business. In so doing hes    noticed several mistakes common to all.  
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Bad Bed Bugs in Austin, Texas: Why theyre so Hard to ...