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A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce...

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Dr. Gale E. Ridge Dr. Gale E. Ridge A Home Owners Guide to Bed Bugs A Home Owners Guide to Bed Bugs Cimex Cimex lectularis lectularis L., L., C.hemipterus C.hemipterus Fabr Fabr . . ( ( Cimicidae Cimicidae : : Heteroptera Heteroptera ) ) The Connecticut The Connecticut Agricultural Agricultural Experiment Station Experiment Station New Haven, CT New Haven, CT Photo by Timothy O Photo by Timothy O Connor Connor The common bed bug, The common bed bug, Cimex Cimex lectularius lectularius L. L.
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Page 1: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Dr. Gale E. RidgeDr. Gale E. Ridge

A Home Owners Guide to Bed BugsA Home Owners Guide to Bed BugsCimexCimex lectularislectularis L., L., C.hemipterusC.hemipterus FabrFabr..

((CimicidaeCimicidae: : HeteropteraHeteroptera))

The Connecticut The Connecticut Agricultural Agricultural

Experiment StationExperiment StationNew Haven, CTNew Haven, CT

Photo by Timothy OPhoto by Timothy O’’ConnorConnor

The common bed bug, The common bed bug, CimexCimex lectulariuslectularius L.L.

Page 2: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

ContentsContentsHistoryHistory

Bed bugs and languagesBed bugs and languages

Medical importanceMedical importance

BiologyBiology

Bed bug survivalBed bug survival

Life cycle of a bed bugLife cycle of a bed bug

Signs of bed bug infestationSigns of bed bug infestation

Preventing bed bug entry intoPreventing bed bug entry intoa home or apartmenta home or apartment

Travel tipsTravel tips

Control history and resurgenceControl history and resurgence

Steps for controlSteps for control

AcknowledgmentsAcknowledgments

ReferencesReferences

Adult (center) and nymphsAdult (center) and nymphsPhoto by Mike VasilPhoto by Mike Vasil

Page 3: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

HistoryHistory

There are approximately 100 bed bugs species worldwideThere are approximately 100 bed bugs species worldwide

There are two species of human bed bugs; the common bed bugThere are two species of human bed bugs; the common bed bugCimexCimex lectularuslectularus L. and the tropical bed bug L. and the tropical bed bug C. C. hemipterushemipterus FabrFabr..

Bed bug association with humans began during the last ice ageBed bug association with humans began during the last ice agein the caves of the Middle East (10,000 years ago)in the caves of the Middle East (10,000 years ago)

When people left caves and built villages and towns, bed bugsWhen people left caves and built villages and towns, bed bugscame alongcame along

Bed bugs became a worldwide human pest. They wereBed bugs became a worldwide human pest. They weredescribed in 2,000 year old literature, even Aristotle wrotdescribed in 2,000 year old literature, even Aristotle wrote aboute aboutthemthem

Page 4: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

““BugBug”” is the shortened old English word is the shortened old English word ““BuggieBuggie”” meaning ghost ormeaning ghost orsprite because of their spiritsprite because of their spirit--like nocturnal visits to feed on peoplelike nocturnal visits to feed on people

English language references to bed bugs include:English language references to bed bugs include:Bughouse Bughouse -- Insane asylum Insane asylum Firebug Firebug –– ArsonistArsonist ““Snug as a bug in a rugSnug as a bug in a rug””Bug eyed Bug eyed -- Protruding eyesProtruding eyesBig bug Big bug -- Important personImportant person ““Sleep tight, donSleep tight, don’’t let thet let theBug juice Bug juice -- Inferior liquorInferior liquor bed bugs bitebed bugs bite””

Most world Most world languageslanguages have a unique name for bed bug:have a unique name for bed bug:

Bed bugs and languagesBed bugs and languages

GreekGreek CorisCoris (to bite)(to bite)LatinLatin CimexCimexFrenchFrench PunaisePunaise (stink)(stink)RussianRussian KlopKlopArabicArabic BukBukChineseChinese PiqPiq--seqseq (wall louse)(wall louse)JapaneseJapanese TokouramiTokourami (bed louse)(bed louse)

GermanyGermany WandlausWandlaus (wall louse)(wall louse)SlavicSlavic PluskwaPluskwa (flat louse)(flat louse)CzechCzech SteniceStenice (wall)(wall)AfricaAfrica TihuaniTihuaniIndiaIndia UddamasUddamas (biter)(biter)HinduHindu MakMak hunhunSpanishSpanish ChincheChinche de de CamaCama

Page 5: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Medical importanceMedical importance

Bed bugs feed on blood to grow and reproduceBed bugs feed on blood to grow and reproduce

In severe infestations they can cause mild anemiaIn severe infestations they can cause mild anemia

They can cause allergic skin reaction and secondaryThey can cause allergic skin reaction and secondarybacterial infection from scratching; direct bacterialbacterial infection from scratching; direct bacterialinfection from the bug has not been reportedinfection from the bug has not been reported

Disease pathogens:Disease pathogens:

Bed bug feeding:Bed bug feeding:

Disease pathogens are Disease pathogens are notnot known to be transmitted by bed bugsknown to be transmitted by bed bugs

Hepatitis B (HBV) DNA has been found in bed bugs up to two Hepatitis B (HBV) DNA has been found in bed bugs up to two weeks after feeding and Human Immunodeficiency Virus (HIV)weeks after feeding and Human Immunodeficiency Virus (HIV)up to four hours, but bed bugs up to four hours, but bed bugs cancan notnot transmit them to humanstransmit them to humans

Page 6: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

BiologyBiology

Mating is bizarre and called Mating is bizarre and called ““Traumatic inseminationTraumatic insemination””..A male saberA male saber--like reproductive like reproductive ““clasperclasper”” stabs into the femalestabs into the female’’ssunderside and a sperm mass deposited into her body. Spermunderside and a sperm mass deposited into her body. Spermthen swim to her reproductive organs. Mating reduces a fethen swim to her reproductive organs. Mating reduces a femalemale’’sslifespan by 30%. lifespan by 30%.

After mating, a female may lay an average of 200 eggs in her lAfter mating, a female may lay an average of 200 eggs in her lifetime.ifetime.Eggs are small, white, barrel shaped, sticky and hatch in Eggs are small, white, barrel shaped, sticky and hatch in about 10 daysabout 10 days

The nymphs (immature bed bugs) have 5 molts (stages) beforeThe nymphs (immature bed bugs) have 5 molts (stages) beforebecoming adults. To grow up to the next size they must habecoming adults. To grow up to the next size they must have ave ablood meal. Technically they blood meal. Technically they do not bitedo not bite but suck blood with piercingbut suck blood with piercingsucking mouthparts called a beaksucking mouthparts called a beak

Adults are lentil or apple seed in size (6Adults are lentil or apple seed in size (6--8mm;1/4 inch), chestnut brown8mm;1/4 inch), chestnut brownand flat. They can live as long as 316 daysand flat. They can live as long as 316 days

Page 7: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Bed bug survivalBed bug survival

Bed bugs are temperature sensitiveBed bugs are temperature sensitive

At 86At 86°°F (30F (30°°C), egg to adult development can occur in 21 daysC), egg to adult development can occur in 21 days

At 65At 65°°F (18F (18°°C), development requires 120 daysC), development requires 120 days

Adults often become inactive between 55Adults often become inactive between 55°°F (13F (13°°C) and 59C) and 59°°F (15F (15°°C)C)but populations can adapt to cold and be active at 45but populations can adapt to cold and be active at 45°°F (7F (7°°C)C)

Bed bugs are killed at temperatures between 111Bed bugs are killed at temperatures between 111°°F (44F (44°°C) and 113C) and 113°°F (45F (45°°C)C)

Bed bugs hide in cracks and crevices during the day near whereBed bugs hide in cracks and crevices during the day near wherepeople sleep or congregatepeople sleep or congregate

Feeding lasts 3 Feeding lasts 3 –– 15 minutes at night, usually before dawn. They usually15 minutes at night, usually before dawn. They usuallydefecate after feeding leaving brown spots on the bedding odefecate after feeding leaving brown spots on the bedding or other surfacesr other surfaces

Page 8: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

The Life Cycle of a Bed Bug

Egg

Hungry1st Instar Nymph

Blood-fed1st Instar Nymph

Hungry2nd Instar Nymph

Blood-fed2nd Instar Nymph

Hungry3rd Instar Nymph

Blood-fed3rd Instar Nymph

Hungry4th Instar Nymph

Blood-fed4th Instar Nymph

Hungry5th Instar Nymph

Blood-fed5th Instar Nymph

HungryAdult Female

Blood-fedAdult Male

HungryAdult Male

Blood-fedAdult Female

Hatches

Molts

Molts

MoltsMolts

Molts

Lays Eggs

Mate

Adults Feed and Mate

Multiple Times

Seeks HostLeaves Host Fully Fed

Dr. John Anderson CAESDr. John Anderson CAESArtist: Bonnie HamidArtist: Bonnie Hamid

Presenter
Presentation Notes
Bed bugs feed only on blood. (Fig) Their life-cycle, from egg to egg may take about 6-7 weeks in the summer in CT. Using diagram, review life history of bed bug. They have 5 juvenile or nymphal stages, each needing at least one blood meal. Bed bugs are nocturnal, that is they are active at night, but they will feed in full daylight when hungry. Females attach their small whitish eggs (about 1 mm long) to wooden and plaster surfaces and to mattresses, often in the crevices where they may hide in loose groups or clusters. Each female may lay about 200 eggs in her lifetime, which may be several months.
Page 9: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Signs of bed bug infestationSigns of bed bug infestation

Fecal brown spots on sheets, mattress or adjacent objectsFecal brown spots on sheets, mattress or adjacent objects

A sweet musty odor is often noticed when populations are highA sweet musty odor is often noticed when populations are high

Photos by Dr. RidgePhotos by Dr. RidgeBed bug fecal spots Bed bug fecal spots Bed bug on arm (size, Bed bug on arm (size, ¼¼ inch)inch)

Page 10: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Dead bugs and/or their shed skins present in or near hiding placDead bugs and/or their shed skins present in or near hiding placeses

A common skin reaction to bed bug feeding. A common skin reaction to bed bug feeding. Note how the feeding sites are in a rowNote how the feeding sites are in a row

Photo by Dr. RidgePhoto by Dr. Ridge

Feeding sights may be either clustered or in rows on exposed sFeeding sights may be either clustered or in rows on exposed skinkin

Page 11: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Preventing bed bug entry into a Preventing bed bug entry into a home or apartmenthome or apartment

VIGILANCE AND EARLY DETECTIONVIGILANCE AND EARLY DETECTION STOPS BED BUG STOPS BED BUG INFESTATIONSINFESTATIONS

FROM GETTING OUT OF CONTROL FROM GETTING OUT OF CONTROL

Know sources of bed bugsKnow sources of bed bugs

Travel precautions reduce chances of bringing bed bugs homeTravel precautions reduce chances of bringing bed bugs home

Get proper identification of suspected bed bugsGet proper identification of suspected bed bugs

Adult bed bug is 5 mm (1/4 inch) longAdult bed bug is 5 mm (1/4 inch) long

Photo by G. RidgePhoto by G. Ridge

Page 12: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Purchased used furniture, TVPurchased used furniture, TV’’s, linens, cloths, boxes etc.s, linens, cloths, boxes etc.

Furniture including mattresses, cloths etc., picked up off theFurniture including mattresses, cloths etc., picked up off the streetstreet

Gifted furniture, luggage, clothing etc., from a personal acquGifted furniture, luggage, clothing etc., from a personal acquaintanceaintance

Self infesting by bed bugs themselves. Bed bug can walk from Self infesting by bed bugs themselves. Bed bug can walk from roomroomto room; apartment to apartment very easilyto room; apartment to apartment very easily

Items from self storage facilitiesItems from self storage facilities

Items carried in rental, delivery or moving trucksItems carried in rental, delivery or moving trucks

Rented furniture from rental furniture centersRented furniture from rental furniture centers

House guests who have traveled or relatives/friends visiting fHouse guests who have traveled or relatives/friends visiting fromromlonglong--term careterm care

Cruise ship vacationersCruise ship vacationers

Luggage and other items from travelingLuggage and other items from traveling

Bed bugs can easily enter into homes or apartment.Bed bugs can easily enter into homes or apartment.Be aware that the following can be sources:Be aware that the following can be sources:

Page 13: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Travel tipsTravel tipsThe following tips may reduce your chances of bringing bed bugs The following tips may reduce your chances of bringing bed bugs home:home:

Travel with clothes that can be laundered in hot water and withsTravel with clothes that can be laundered in hot water and withstandtand30 minutes of hot drying30 minutes of hot drying

Select hard smooth luggage over fabric luggage. Hard smooth cSelect hard smooth luggage over fabric luggage. Hard smooth cases haveases havefewer places for bed bugs to hidefewer places for bed bugs to hide

Pack plastic bags to seal purchased items or to isolate items Pack plastic bags to seal purchased items or to isolate items which maywhich maybecome infestedbecome infested

Once at vacation destination, keep luggage off floor and beds.Once at vacation destination, keep luggage off floor and beds. Place on Place on luggage racks; do not unpack cloths; keep luggage closed wluggage racks; do not unpack cloths; keep luggage closed when not in use;hen not in use;hang business suites and dresses on shower railhang business suites and dresses on shower rail

Page 14: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Travel tipsTravel tips

Inspect bed area for brown fecal spots and bugs on mattress seamInspect bed area for brown fecal spots and bugs on mattress seams,s,headboards, furniture and objects adjacent to the bedheadboards, furniture and objects adjacent to the bed

Before checking out, pack clothing, souvenirs etc., in sealablBefore checking out, pack clothing, souvenirs etc., in sealable e plastic bags. Check luggage, including shoes, for bed bugplastic bags. Check luggage, including shoes, for bed bugss

On arriving home, unpack luggage outside residence; take clothOn arriving home, unpack luggage outside residence; take cloths in plastics in plasticbags directly to washing machine and wash immediately; dispbags directly to washing machine and wash immediately; dispose of ose of empty plastic bag in trash; dry clean delicate clothing; liempty plastic bag in trash; dry clean delicate clothing; lightly spray ghtly spray empty luggage with a pyrethrumempty luggage with a pyrethrum--based insecticidebased insecticide

Note: Freezing must be for longer than 72 hours to kill bed buNote: Freezing must be for longer than 72 hours to kill bed bugsgs

Page 15: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Control history and resurgenceControl history and resurgence

Starting with DDT after WWII through the 1970Starting with DDT after WWII through the 1970’’s, bed bugs were all buts, bed bugs were all buteradicated from the western worlderadicated from the western world

Reemergence started in the late 1990Reemergence started in the late 1990’’s because of increased internationals because of increased internationaltravel and decline of residual pesticide use in buildingstravel and decline of residual pesticide use in buildings

Bed bugs are not a reflection of personal hygiene. They are inBed bugs are not a reflection of personal hygiene. They are indiscriminatediscriminateregarding peopleregarding people’’s socios socio--economic status or cleanliness and economic status or cleanliness and are opportunistic. Anyone can pick them up (see sources).are opportunistic. Anyone can pick them up (see sources).

Residences and temporary shelters with transient human populatResidences and temporary shelters with transient human populations areions areparticularly at risk for bed bugs. They may include homeleparticularly at risk for bed bugs. They may include homeless shelters, ss shelters, hotels, motels, other multihotels, motels, other multi--type residences, college and university dorms,type residences, college and university dorms,hostels, halfway houses, correctional facilities, summer cahostels, halfway houses, correctional facilities, summer camps, mps, churches, airports transit lounges, residential or conferenchurches, airports transit lounges, residential or conference centers,ce centers,restaurants, and residential charitiesrestaurants, and residential charities

Page 16: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Steps for controlSteps for controlStep 1: IDENTIFICATION. Have insects properly identified by anStep 1: IDENTIFICATION. Have insects properly identified by an expert.expert.

They can be confused with other insects such They can be confused with other insects such as carpet beetles as carpet beetles and there are other species of bed bugs such as bat bugs whand there are other species of bed bugs such as bat bugs whichichrequire a different approach for controlrequire a different approach for control

Photo by Dr. RidgePhoto by Dr. Ridge

•• Step 2: PICK UP. Pick up clutter, books, magazines, ornamentStep 2: PICK UP. Pick up clutter, books, magazines, ornaments, clothings, clothingand miscellaneous items, checking for bed bugs.and miscellaneous items, checking for bed bugs. If bed bugs areIf bed bugs aresuspected, put into a suspected, put into a ziplockziplock bag and freeze for longer than 72 bag and freeze for longer than 72 continuous hours to kill the bugscontinuous hours to kill the bugs

Bed bug compared with a carpet Bed bug compared with a carpet beetle larva (left)beetle larva (left)

Page 17: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

Steps for controlSteps for controlSECURE BED: Wash sheets and bedding in hot waterSECURE BED: Wash sheets and bedding in hot water

and dry in hot dryer for 30 minutes. Dry clean delicatesand dry in hot dryer for 30 minutes. Dry clean delicates

Pull bed 6Pull bed 6”” away from wall and wrap legs of bed withaway from wall and wrap legs of bed withclear 2clear 2”” wide sticky tape, sticky side facing out towide sticky tape, sticky side facing out tocatch climbing bed bugscatch climbing bed bugs

Vacuum bed frame, mattress, and box spring using a creviceVacuum bed frame, mattress, and box spring using a crevice tooltool

Keep bedroom cool (if possible) at night to slow downKeep bedroom cool (if possible) at night to slow downbed bug activitybed bug activity

Step 5: GET PROFESSIONAL HELP: Call in a professional pest Step 5: GET PROFESSIONAL HELP: Call in a professional pest controlcontroloperator (PCO) for corrective treatmentoperator (PCO) for corrective treatment

Eliminating clutter is critical for effective bed bug managemeEliminating clutter is critical for effective bed bug management by a PCOnt by a PCO Not all Not all PCOPCO’’ss specialize or handle bed bug managementspecialize or handle bed bug management Control of bed bugs usually requires more than one visit by thControl of bed bugs usually requires more than one visit by the PCOe PCO A careful inspection is usually the first step before treatmenA careful inspection is usually the first step before treatmentt All All PCOPCO’’ss must be licensed must be licensed

Page 18: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

AcknowledgmentsAcknowledgments

I thank Dr. Harold Harlan of the I thank Dr. Harold Harlan of the Armed Forces Pest Management Armed Forces Pest Management Board, Maryland and Dr. John F. Board, Maryland and Dr. John F. Anderson, Bonnie Hamid, Dr. Kirby Anderson, Bonnie Hamid, Dr. Kirby C. Stafford, and Dr. Louis A. C. Stafford, and Dr. Louis A. Magnarelli of The Connecticut Magnarelli of The Connecticut Agricultural Experiment Station, Agricultural Experiment Station, Marty Marty GillorenGilloren and Jim Miller of Yale and Jim Miller of Yale Pest Elimination, Connecticut, and Pest Elimination, Connecticut, and Patrick F. Callahan of Patrick F. Callahan of BiosensoryBiosensory for their assistance in writing this for their assistance in writing this fact sheet.fact sheet.I also thank the photographers I also thank the photographers Rose Hiskes, Timothy ORose Hiskes, Timothy O’’Connor, Connor, and Mike Vasil for providing images and Mike Vasil for providing images of bed bugs.of bed bugs.

Photo by Rose HiskesPhoto by Rose Hiskes

Bed bug piercing sucking mouthpartsBed bug piercing sucking mouthparts(the beak)(the beak)

BeakBeak

Page 19: A Home Owners Guide to Bed Bugs · Medical importance Bed bugs feed on blood to grow and reproduce ... They can live as long as 316 days. Bed bug survival Bed bugs are temperature

ReferencesReferences

Adler M. W. 2001. Development of the epidemic. BMJ 322: 1226Adler M. W. 2001. Development of the epidemic. BMJ 322: 1226--99

Cleary J. C., Buchanan D. 2004. An emerging U. S. infestation. TCleary J. C., Buchanan D. 2004. An emerging U. S. infestation. The nurse practitioner. Vol. he nurse practitioner. Vol. 29. No. 6: 4629. No. 6: 46--4848

Phil, Rick et al. 2007. CooperPhil, Rick et al. 2007. Cooper’’s Travel Guide to Bed Bugs. Copper Pest Solutions Inc. s Travel Guide to Bed Bugs. Copper Pest Solutions Inc.

Hwang S. W., et al. 2005. Bed bug infestations in an urban enviHwang S. W., et al. 2005. Bed bug infestations in an urban environment. Emerging ronment. Emerging Infectious Diseases. Vol. 11, No. 4Infectious Diseases. Vol. 11, No. 4

JuppJupp P. G., Lyons S. F. 1987. Experimental assessment of bed bugs (P. G., Lyons S. F. 1987. Experimental assessment of bed bugs (CimexCimex lectulariuslectularius and and CimexCimex hemipterushemipterus) and mosquito () and mosquito (AedesAedes aegyptiaegypti formosusformosus) as vectors of ) as vectors of human immunodeficiency virus. AIDS: Sept., Vol. 1 (3): 171human immunodeficiency virus. AIDS: Sept., Vol. 1 (3): 171--44

Potter M. F. 2004. Your guide to bed bugs. Pest Control TechnolPotter M. F. 2004. Your guide to bed bugs. Pest Control Technology. Augustogy. August

Schaefer C. W. 2000. Schaefer C. W. 2000. HeteropteraHeteroptera of economic importance; chapter 17, Bed Bugs of economic importance; chapter 17, Bed Bugs ((CimicidaeCimicidae). CRC Press). CRC Press

Silverman A. L., Silverman A. L., QuQu L. H. Blow J., et al. 2001. Assessment of hepatitis B virus DNL. H. Blow J., et al. 2001. Assessment of hepatitis B virus DNA and A and hepatitis C virus RNA in the common bed bug (hepatitis C virus RNA in the common bed bug (CimexCimex lectulariuslectularius and kissing bug and kissing bug [[RodniusRodnius prolixusprolixus]). American Journal of Gastroenterology Vol. 96: 2194]). American Journal of Gastroenterology Vol. 96: 2194--88

UsingerUsinger R. L. 1966. Monograph of R. L. 1966. Monograph of CimicidaeCimicidae ((HemipteraHemiptera: : HeteropteraHeteroptera). The Thomas ). The Thomas Say Say Foundation Vol. VIIFoundation Vol. VII

World Health Organization, vector biology and control unit: WHO/World Health Organization, vector biology and control unit: WHO/VBC/75.VBC/75.


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