Agenda 3/20/2014. Bed Bug Management in Senior Housing LeadingAge NY Housing Professionals Conference March 28, 2014

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1 Bed Bug Management in Senior Housing LeadingAge NY Housing Professionals Conference March 28, 2014 Claire Guerette Assistant Executive Director St. Margaret s House Timothy Wong Director M&M Environmental Agenda Develop effective strategy & action plan Review inspection, prevention & treatment options Share SMH protocol and results Q & A 2 St. Margaret s House, NYC 3 1

2 Key Points to Remember 4 Developing a Bedbug Strategy 8 steps 5 Step # 1 Acknowledge the Problem 6 2

3 Step # 2 Create a Response Team Point Person Community Certified & Licensed Pest Control Firm Staff Contractors 7 PCO Qualifications 8 Step # 3 Define the Infestation Where ARE they? 9 3

4 St. Margaret s House Activity Map September 2009: 25 Apts /10% March 2014: 0 Apts/ 0% A B C D E F G H J K L M N O A B C D E F G H J K L M N O S S S S M M A B C D E F G H J K L N O A B C D E F G H J K L N O 10 Step # 4 Assess Available Budget Research Decide Develop Discuss 11 Step # 5 Know the Options for Inspection Prevention Treatment 12 4

5 What Your Exterminator Might Not SHARE WITH YOU 13 Scope of the Areas to Treat 14 Bedbug Biology & Behavior Adult Bedbug Bedbug Nymph Bedbug After Feeding Bedbug on a Thumb 15 5

6 Inspection Options Visual Inspection Bedbug Detecting Canine NightWatch Monitor Climb up Interceptor 16 New Monitoring Tools NightWatch Monitor Verifi Monitor ActiveGuard Mattress Liners 17 Inspection Options: Pros & Cons Treatment Types Pros Cons Visual Inspection Readily Available Time Consuming Limited Accessibility Requires Physical Evidence Bedbug Detecting Canines NightWatch Monitors Immediate Results 98% Accuracy Detect Even At Low Levels Can Pinpoint Source Requires No Preparation Completely Objective Requires Preparation False Positives Various Certifications Requires 1 2 weeks Difficult to Find CO2 refills Climb Up Interceptors Most Economical Requires Maintenances May Not Fit All Beds 18 6

7 NightWatch Monitor Results Bed Bugs at various stages of maturity 19 Evidence of Bedbugs Fecal matter 20 Treatment Options Chemical Residual Liquid Insecticide Contact Liquid Insecticide Dust Insecticide Vikane Fumigation Non Chemical Steam Instant Freeze( 108 F) Ambient Heat (113 F +) Proofing (Exclusion) 21 7

8 Treatment Options: Pros & Cons Treatment Types Pros Cons Residual Liquid Spraying Requires Less Preparation Slow Results and Very Passive Resistance build up Contact Liquid Spraying Ultra Low Volume (ULV) Immediate Results Requires Intense Preparation and Cleaning Steam Treatment No Pesticide Limited Penetration, Cannot Treat Electronics, Books or Sensitive items Cryonite (Instant Freeze) No Pesticide, Can Treat Electronics, Books & Sensitive Items Must Be Precise, Patented Process (More Costly) Heat Remediation No Pesticide, Less Preparation Requires Extensive Experience, Expensive Wall Void Treatment Exclusion (Proofing) Little to No Pesticide Exposure, Permanent Barrier No Pesticide, Permanent, Prevents other pests, Some Drilling Required Time Consuming Fumigation 100% Effective Must be Free Standing Not Readily Available 22 Fumigation (Vikane) Structural Two Types: Chamber 100% effective 23 Proper Preparation Conventional Preparation Vikane Fumigation 24 8

9 Proper Preparation Utilize good quality mattress and box spring encasements Remove clutter & untreated wood Discard heavily infested items Launder and dry clothing in hot temperatures Isolate cleaned items in plastic containers or bags Remove people & pets during treatment Consider hiring professional preparation firms for Vikane fumigation 25 Important Considerations Physical & mental health Capability to understand and properly prepare Financial resources Genuine intention to cooperate Support network 26 Putting the Pieces together Acknowledge Team Budget Options 27 9

10 Step #6 Prepare the Plan of Attack Who? What? When? How? 28 Sample Response Protocol 29 SMH Treatment Protocol Wall Void Proof/exclusion NightWatch Monitors Cryonite and residual treatments Contact treatments (ULV) Fumigation 30 10

11 SMH Treatment Protocol (Cont d) Packing & moving companies Cleaners Steam Encasements & interceptors *Vacant Units* 31 SMH Response Protocol 32 Taking Control Tips for Maintaining Law & Order 33 11

12 Step #7 Educate and Communicate Transparency = Accountability 34 Educate and Communicate (Cont d) 35 Step # 8 Document and Measure Paper Up! 36 12

13 SMH Treatment History, current As of 3/1/14 Apts treated (occupied) As of 3/1/14 Apts treated (occupied & vacant) A B C D E F G H J K L M N O A B C D E F G H J K L M N O U U U U C C / 6 F/U F/U U/ 7 U U 9 9 U 9 10 U S U/ / S U U x U/H U U/H 13 U 14 S S / / F/V F/V U U U U A A B C D E F G H J K L M N O B C D E F G H J K L M N O 82/251 = 33% 37 Success by the Numbers 38 Recap of the 8 Steps:

14 Summary 40 Q & A 41 Contact Information Claire Guerette St. Margaret s House claire4smh@aol.com Timothy Wong M&M Environmental timothy.wong@mmenviro.net