NOVEMBER 15, 2005
VOLUME 2 NO. 19

PATIENTS & PRACTICE

Bed bug resurgence crawls into
urban centres

For richer or poorer, bloodsuckers are set to cheat us out of a tight night's sleep



Bedbugs: Not just a poor man's bane

One morning I awoke and saw red. It was crawling across my sheets. The lumbering red speck was a bed bug, satiated with my blood, and it was not alone: I had an infestation on my hands. My life quickly spiralled into a sleepless psychosis of scalding and freezing pretty much everything I own, and throwing out some of my most cherished possessions. My experience is not unique.

A PEST FOR ALL CLASSES
The vampiric Cimex lectularius has been keeping exterminators increasingly busy in Vancouver, Winnipeg, Ottawa, Montreal and Toronto. Reports of infestations in urban abodes across the country — from ritzy condominiums to homeless shelters — have continued to rise dramatically over the last 5 years.

Dr Stephen Hwang, of St. Michael's Hospital's Centre for Research on Inner City Health, attributes the rising number of bed bug cases to increased international travel and a widespread turn away from the use of persistent pesticides, such as DDT. "Bed bugs are here to stay and they are only going to get worse," says Dr Hwang, senior author of a study on bed bug infestations in Toronto recently published in Emerging Infectious Diseases.

Lots of people think bed bugs are a poor man's plague, but Dr Hwang's study reveals they affect all levels of society. In fact, 70% of the cases pest-control operators in Toronto are called to are in single-family dwellings.

The wingless, brownish-red body of a bed bug is flat in appearance prior to feeding but becomes bright red and bloated when engorged with a blood meal. It pierces the victim's skin and injects an anticoagulant to keep the blood flowing.

The pests have never been shown to transmit disease to humans, so public health institutions consider bed bugs a quality of life issue rather than a threat to public health. But "anyone who has experienced them will tell you that they are a health issue," says Dr Hwang empathetically. Bed bugs cause physical discomfort as well as a tremendous amount of anxiety, emotional distress and insomnia because they are persistent and reproduce rapidly.

KNOW YOUR BITES
Early detection is key to fighting an infestation, which can ultimately be a very expensive and exhausting ordeal.

"Doctors and nurses are going to be seeing bed bug bites," Dr Hwang says. "They can save these patients a great deal of suffering."

Bed bug bites are difficult to diagnose: they are nondescript and each victim reacts differently. The bites often produce welts and swelling on the arms and shoulders, but they can also be found on any bare skin that's exposed during the night. One diagnostic clue is the unique biting pattern of a linear group of three, sometimes referred to as a "breakfast, lunch, dinner" pattern.

Although the St. Michael's study illustrates the extent of the problem, it doesn't offer any comforting conclusions. "The experience turns the victim's life upside down," says Dr Hwang.

 

 

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