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INTERNATIONAL ENVIRONMENTAL HEALTH: Invasion of the Bedbugs

2010; National Institute of Environmental Health Sciences; Volume: 118; Issue: 10 Linguagem: Inglês

10.1289/ehp.118-a429

1552-9924

John Manuel,

Insects and Parasite Interactions

Vol. 118, No. 10 NewsOpen AccessINTERNATIONAL ENVIRONMENTAL HEALTH: Invasion of the Bedbugs John Manuel John Manuel Published:1 October 2010https://doi.org/10.1289/ehp.118-a429Cited by:6AboutSectionsPDF ToolsDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InReddit The invaders have arrived, and our chemical weapons are practically useless to stop them. They have reached every major city, threatening students in college dorms and taking over stores, apartments, and hotels across the country. People are begging authorities for help and, increasingly, taking matters into their own hands. What sounds like a script for a science fiction movie is, in fact, the reality of the fight against bedbugs.Bedbugs have been annoying humans since ancient times. They are mentioned in medieval European texts and in classical Greek writings back to the time of Aristotle.1 Following the introduction of the pesticide DDT in the 1950s, bedbugs virtually disappeared in the United States. But now they are making a comeback. Anecdotes about infestations can be found in blogs and newspapers in virtually every major city.The extent of the problem is suggested by a survey conducted by the National Pest Management Association, Inc. (NPMA) and the University of Kentucky, which had respondents from 43 countries.2 Of 521 responding U.S. pest management companies, 95% reported encountering a bedbug infestation in the past year. Similar numbers were reported for Canada (98%), Europe (92%), and Africa/Middle East (90%). By comparison, before 2000 only 25% of U.S. survey respondents reported bedbug infestations, according to a 26 July 2010 press release from the NPMA.3The common bedbug (Cimex lectularius) is about a quarter-inch long with a reddish-brown, oval, flattened body. It feeds solely on the blood of warm-blooded animals, preferably humans. Bedbugs usually bite people at night while they are sleeping. Some people show little or no reaction to the bites. Others develop welts that cause severe itching and, in rare cases, anaphylaxis. Anecdotal evidence indicates anxiety about bedbugs can be as bad as an actual infestation, even causing "delusional parasitosis," a condition in which people mistakenly believe they are infected with parasites.Bedbugs are not known to transmit disease except for possible associations with hepatitis B4 and Chagas disease.5 They are classified by the U.S. Environmental Protection Agency (EPA) as "a pest of significant public health importance" under the Federal Insecticide, Fungicide, and Rodenticide Act.6Experts are not certain of the cause for the bedbug resurgence. The increased movement of people domestically and internationally is thought to be one factor. Another is the resistance bedbugs have developed to pesticides. "Bedbugs have been treated so many times, they have developed a resistance to commercially available products allowed for use by the EPA," says Dini Miller, an associate professor of entomology at Virginia Polytechnic Institute and State University.Propoxur (sold as Baygon®) is one commercially available chemical that is still effective in killing bedbugs. This carbamate pesticide is widely used in commercial settings in the United States and was once approved for use in residential environments. However, propoxur is toxic to humans if ingested. Pesticide manufacturers, recognizing that indoor use of certain pesticides would not pass the more stringent testing requirements under the Food Quality Protection Act (FQPA) of 1996, agreed to drop their registration of propoxur for residential use.The removal of propoxur and similar pesticides has left pest management companies with a limited array of tools to combat infestations. Steamers and rapid freezing equipment will kill bedbugs on contact. But the insects are experts at hiding, and repeated treatments are required to be effective. At an NPMA-estimated cost of $500–1,200 per session, such treatments are unaffordable for many people.State and local government officials say they are being overwhelmed with complaints of bedbug infestations. They also are hearing of widespread misuse of pesticides. Miller visited one home in which the resident had set off 30 "bug bombs" at once.7 Another blew the walls out of his apartment after setting off a bug bomb and failing to turn off the pilot light (aerosol propellants can ignite in an enclosed room). Officials in the state of Ohio have become so concerned that they have asked the EPA to grant them an exemption under Section 18 of the FPQA, allowing them to use propoxur in residential environments.That exemption request is still pending, according to spokeswoman Kaleigh Frazier of the Ohio Department of Agriculture. "The EPA has not issued a formal denial on this request," she says. "We continue to work with the EPA to get this matter resolved." However, EPA scientists believe the use could present an unacceptable risk to children who might be exposed to propoxur in and around rooms being treated for bedbugs, according to Dale Kemery, a press officer with the EPA.In August 2010, the EPA and the Centers for Disease Control and Prevention issued a joint statement promoting an integrated pest management (IPM) approach to bedbug control.8 IPM includes heat treatment, vacuuming, nonchemical pesticides (such as diatomaceous earth), and "judicious use" of chemical pesticides.9 The EPA says it is actively working with industry and researchers to develop new compounds (or new uses of existing compounds) to control bedbugs.That can't come soon enough for Miller, who has requested government funding to study the bedbug's genetic and mechanical resistance mechanisms. "Our hope is to eventually manipulate those mechanisms," Miller says. "In the meantime, we are essentially defenseless."An exterminator fumigates a Queens, New York apartment for bedbugs, 28 July 2010.REFERENCES AND NOTES1 A&E Television NetworksThey're Back: A Bed Bug HistoryAvailable: http://tinyurl.com/239a58p[accessed 15 Sep 2010]. Google Scholar2 Potter MFet al.Bugs Without Borders—Executive SummaryFairfax, VANational Pest Management Association, Inc2010. Available: http://tinyurl.com/2czdvoq[accessed 15 Sep 2010]. Google Scholar3 NPMANPMA Releases First-Ever Comprehensive Global Bed Bug Bedbug Study to Determine Extent of Resurgence [press release]2672010. Fairfax, VANational Pest Management AssociationAvailable: http://tinyurl.com/28zz2om[accessed 15 Sep 2010]. Google Scholar4 Ogston CWet al.J Infect Dis 140(3):411-4141979.501152. Crossref, Medline, Google Scholar5 Pipkin ACInt Rev Trop Med 3:1-471969.4985409. Medline, Google Scholar6 EPAPesticide Registration (PR Notice) Notice 2002-1. Notice to Manufacturers, Formulators, Producers, Registrants and Applicators of Pesticide Products2002. Washington, DCU.S. Environmental Protection AgencyAvailable: http://tinyurl.com/29d85vq[accessed 15 Sep 2010]. Google Scholar7 Most bug bombs—or total release foggers, in official terms—contain pyrethroid pesticides, which may cause gastrointestinal effects and worsen allergies and asthma. To minimize improper use of these products, the EPA has ordered pesticide manufacturers to implement clearer labeling by 30 September 2011. For more information, see http://tinyurl.com/2d6dvk9 [accessed 15 Sep 2010].8 CDC, EPAJoint Statement on Bedbug Control in the United States from the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Environmental Protection Agency (EPA)Atlanta, GAU.S. Centers for Disease ControlWashington, DCU.S. Environmental Protection AgencyAvailable: http://tinyurl.com/278elrf[accessed 15 Sep 2010]. Google Scholar9 The NPMA has posted a warning to consumers noting that, although some exterminators use propane heaters to treat bedbugs, these are not the same type of heaters that are used for camping or outdoor cooking. Using these devices indoors produces carbon monoxide and can be fatal. For more information, see http://tinyurl.com/25rhdxu [accessed 15 Sep 2010].FiguresReferencesRelatedDetailsCited by Forrester M and Prosperie S (2013) Reporting of bedbug treatment exposures to Texas poison centres, Public Health, 10.1016/j.puhe.2013.01.023, 127:10, (961-963), Online publication date: 1-Oct-2013. DAVIES T, FIELD L and WILLIAMSON M (2012) The re-emergence of the bed bug as a nuisance pest: implications of resistance to the pyrethroid insecticides, Medical and Veterinary Entomology, 10.1111/j.1365-2915.2011.01006.x, 26:3, (241-254), Online publication date: 1-Sep-2012. Williams K and Willis M (2012) Bedbugs in the 21st Century: The Reemergence of an Old Foe, Laboratory Medicine, 10.1309/LM1TBJG6S7USSKEN, 43:5, (141-148), Online publication date: 1-Aug-2012. Rieder E, Hamalian G, Maloy K, Streicker E, Sjulson L and Ying P (2012) Psychiatric Consequences of Actual Versus Feared and Perceived Bed Bug Infestations: A Case Series Examining a Current Epidemic, Psychosomatics, 10.1016/j.psym.2011.08.001, 53:1, (85-91), Online publication date: 1-Jan-2012. Wick J (2011) Bedbugs, Other Infestations, and Outbreaks: No Magic Bullet, The Consultant Pharmacist, 10.4140/TCP.n.2011.430, 26:6, (430-434), Online publication date: 1-Jun-2011. Dooley E (2018) The Beat, Environmental Health Perspectives, 118:11, (A474-A475), Online publication date: 1-Nov-2010. Vol. 118, No. 10 October 2010Metrics About Article Metrics Publication History Originally published1 October 2010Published in print1 October 2010 Financial disclosuresPDF download License information EHP is an open-access journal published with support from the National Institute of Environmental Health Sciences, National Institutes of Health. All content is public domain unless otherwise noted. 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