Detection and monitoring of bed bugs (Hemiptera: Cimicidae): review of the underlying science, existing products and future prospects

Scabies, Bedbug, and Body Lice Infestations: A Review

Importance

Scabies, bedbug, and body lice infestations are caused by organisms that live on or in the skin, on clothing, or in the environment and commonly cause pruritus and rash. In 2021, approximately 622 million incident cases of scabies occurred globally. Data on bedbug infestations are limited. Body lice prevalence ranges from 4.1% to 35% among persons experiencing homelessness worldwide.

Observations

Scabies is caused by mites (Sarcoptes scabiei) that burrow into the epidermis. Transmission primarily occurs from prolonged skin-to-skin contact with an individual who has an infestation. Common scabies is characterized by excoriated pruritic papules, plaques, and pathognomonic burrows on finger/toe web spaces, volar wrists, ankles, axillae, buttocks, male genitalia, and areolae. Permethrin cream and oral ivermectin are first-line treatments for adults, with similar clearance rates by week 2 (74% with permethrin vs 68% with ivermectin; relative risk, 0.91; 95% CI, 0.76-1.08). Treatment failure can occur with oral ivermectin (11.8%; 95% CI, 8.4%-15.4%) and topical permethrin (10.8%; 95% CI, 7.5%-14.5%). Bedbugs (Cimex lectularius, Cimex hemipterus) are insects that live on mattresses and furniture and feed on blood nocturnally, causing linear pruritic erythematous papules. New skin lesions on waking, cohabitants with similar symptoms, and recently residing in a high-occupancy setting should raise suspicion. Treatment requires eradication with pest management. Body lice (Pediculus humanus humanus) are insects found on clothing that travel to the skin for blood meals. Body lice bites cause pruritic excoriated macules/papules and hyperpigmentation in areas where clothing seams contact skin. Treatment and prevention require at least once-weekly bathing and laundering of clothing and bedding.

Conclusions and Relevance

Scabies, bedbug, and body lice infestations are common. Accurate diagnosis requires taking a history, including social drivers of health (eg, housing status, living environment), and physical examination. First-line treatments include scabicides for patients with common scabies and their close contacts. Scabies, bedbug, and body lice infestations should be treated with decontamination measures.

Public and media interest in bed bugs-Europe 2023

In late summer of 2023 bed bug (Cimex lectularius) infestations received much media attention especially from Paris Fashion Week (2023-09-25/2023-10-03). Concern in France has grown in recent years and the public may have been sensitised from the recent release of the report Les punaises de lit: impacts, prévention et lutte from the Agence Nationale de Sécurité Sanitaire. Additionally, families returning from summer travel for the start of the school year (2023-09-04) may have brought Cimex spp. with them. A belief, typically false, that they are associated with poor housekeeping and the commercial sensitivity of infestations makes quantitative data on the occurrence and frequency of the insects difficult to find. Often it was based on the number of consultations with physicians and enquiries about bed bugs. Our study has used Google search frequency (Google Trends) to assess the growth and spread of public interest. It found that concern over the Paris outbreak spread to neighbouring countries and was an inverse function of distance. Health issues are a popular topic in science journalism and articles with bad news, threat, continuity and geographic proximity helped generate considerable media activity such that the public perceptions of the problem were enhanced and suggests that government agencies need to collect well standardised data on bed bug occurrence. Google Trends proved a sensitive tool to follow the public concern over an insect that invokes considerable dread.

Volatile Organic Compounds: A Promising Tool for Bed Bug Detection

The recent decades' resurgence of bed bugs as a public health concern in industrialized countries has driven an increased interest on new sustainable insecticide-free methods to monitor and control these ectoparasites. Current methods of detection rely mainly on visual inspection or canine scent detection, which are methods that are time-consuming, require experience, are non-specific or require costly mission repetitions. Volatile organic compounds (VOCs) are considered an environmentally friendly alternative and a promising approach for bed bug detection. An overview of the released literature on VOCs, their chemical characteristics and their role in bed bugs' intra- and inter-species communications allowed us to highlight the identification of 49 VOCs in Cimex lectularius (23 molecules) and C. hemipterus (26), which are emitted by both sexes during diverse compartments including aggregation (46), mating (11), defense (4), etc., and all life stages including exuviae or dead bed bugs as a principal indicator of infestation. The latter has a great importance for application of these semiochemicals in successful detection and control management of bed bugs and to prevent their further dispersion. This approach has the advantage of more reliability compared to conventional detection methods with no need for repeated inspections, household furniture moving or resident rehousing for bed bugs' VOC detection, which are commonly performed by active or passive sampling with absorbing tubes and analyzed by gas chromatography-based analytical platforms.

Characteristics of Solidified Carbon Dioxide and Perspectives for Its Sustainable Application in Sewage Sludge Management

Appropriate management is necessary to mitigate the environmental impacts of wastewater sludge. One lesser-known technology concerns the use of solidified CO₂ for dewatering, sanitization, and digestion improvement. Solidified CO₂ is a normal byproduct of natural gas treatment processes and can also be produced by dedicated biogas upgrading technologies. The way solidified CO₂ is sourced is fully in line with the principles of the circular economy and carbon dioxide mitigation. The aim of this review is to summarize the current state of knowledge on the production and application of solid CO₂ in the pretreatment and management of sewage sludge. Using solidified CO₂ for sludge conditioning causes effective lysis of microbial cells, which destroys activated sludge flocs, promotes biomass fragmentation, facilitates efficient dispersion of molecular associations, modifies cell morphology, and denatures macromolecules. Solidified CO₂ can be used as an attractive tool to sanitize and dewater sludge and as a pretreatment technology to improve methane digestion and fermentative hydrogen production. Furthermore, it can also be incorporated into a closed CO₂ cycle of biogas production-biogas upgrading-solidified CO₂ production-sludge disintegration-digestion-biogas production. This feature not only bolsters the technology's capacity to improve the performance and cost-effectiveness of digestion processes, but can also help reduce atmospheric CO₂ emissions, a crucial advantage in terms of environment protection. This new approach to solidified CO₂ generation and application largely counteracts previous limitations, which are mainly related to the low cost-effectiveness of the production process.

Historical and Contemporary Control Options Against Bed Bugs, Cimex spp

Bed bugs (Hemiptera: Cimicidae) are an important group of obligate hematophagous urban insect pests. The global resurgence of bed bugs, involving the common bed bug, Cimex lectularius L., and the tropical bed bug, Cimex hemipterus (F.), over the past two decades is believed to be primarily due to the development of insecticide resistance, along with global travel and poor pest management, which have contributed to their spread. This review examines and synthesizes the literature on bed bug origins and their global spread and the literature on historical and contemporary control options. This includes bed bug prevention, detection and monitoring, nonchemical and chemical control methodologies (and their limitations), and potential future control options. Future research needs are highlighted, especially the factors behind the modern resurgence, the necessity of identifying differences between the two bed bug species relevant to control, and the need to improve insecticide test protocols and management strategies.

Spatiotemporal trends in bed bug metrics: New York City

Bed bug outbreaks pose a major challenge in urban environments and cause significant strain on public resources. Few studies have systematically analyzed this insect epidemic or the potential effects of policies to combat bed bugs. Here we use three sources of administrative data to characterize the spatial-temporal trends of bed bug inquiries, complaints, and reports in New York City. Bed bug complaints have significantly decreased (p < 0.01) from 2014–2020, the absolute number of complaints per month dropping by half (875 average complaints per month to 440 average complaints per month); conversely, complaints for other insects including cockroaches and flies did not decrease over the same period. Despite the decrease of bed bug complaints, areas with reported high bed bug infestation tend to remain infested, highlighting the persistence of these pests. There are limitations to the datasets; still the evidence available suggests that interventions employed by New York City residents and lawmakers are stemming the bed bug epidemic and may serve as a model for other large cities.