Bed bugs are now common in the United States. They are small, flat, parasitic insects that feed on the blood of people or animals. They can be found in any setting, regardless of whether it is clean or dirty, and can live for several months without a blood meal. 

Symptoms
Bites that appear overnight, usually small, hard, swollen red welts accompanied by severe itching which can last several days. The degree of reaction to the bites can vary among individuals, ranging from no physical signs of a bite to an allergic reaction requiring medical attention. 

Exclusion

Child Care and School: None. Children and students living in households containing bed bugs do not need to be excluded. Daily inspection of the child and their belongings may be necessary. Follow your center’s policy. 

Prevention/Control

1. Do not allow the sharing of personal items such as towels, bedding, clothes, coats, or backpacks. Perform inspections of such items regularly or take steps to restrict the entry of such items into the facility if a problem is discovered. 

2. Hang clothing in individual lockers, or on assigned hooks which are spaced so that they do not touch; or keep clothing items in separate plastic bags when not in use. 

3. Once bed bugs have infested an area, treatment by a professional exterminator is necessary. Multiple treatments are often required. 

4. Use of second-hand furniture, particularly beds and couches, is another way these insects are spread. Be very careful when purchasing or receiving used furniture. 

5. Consider limiting cloth materials being brought into the facility. This may include blankets, stuffed animals, soft toys and backpacks

Prevention/Control

Parents/guardians: Inform your school/child care provider if your child or family is exposed to a bed bug infestation.