second-hand items) • Eradication of infestations difficult and time intensive • Changes in pesticide use • Insecticide resistance A Public Health Quandary • No Funding • No resources • Not a traditional TPH role • A vague sense of the extent of the problem The Standard Response • Bed bugs are a nuisance pest • Bed bugs do not spread communicable diseases • Educational materials may or may not be p. [...] • Woodgreen Bed Bug Manual Partnership BOH endorsed the creation of a Bed Bug Action Committee – Focus on Action The Toronto Bed Bug Project Multi-Stakeholder approach: Landlords, tenants, pest control, social housing, shelters, community agencies, etc. [...] • Steering Committee • Work groups • Pilot Studies • Partnerships Report to the Board of Health on an integrated Toronto plan COMMUNITY BASED RESPONSES BED BUG CONTROL ISSUES EDUCATION & OUTREACH BED BUG STEERING COMMITTEE FUNDING PUBLIC MESSAGING TRACKING & HEALTH MONITORING LEGISLATIVE ISSUES REVIEW Determining the Extent of the Problem •50 pest control contractors - limited data • Public and pr. [...] Roles of Toronto Public Health • Assist with identification of bugs • Provide direction on IPM measures • Liaise with property management and tenants to achieve optimal outcome • Provide in-services upon request • Liaise with external agencies to provide assistance with bed bug remediation Health Hazard? • Case-by-case assessment • Vulnerabilities of client • Bed bug life cycle • Migration Vulnera. [...] • Contracts with extreme cleaning/unit preparation companies • Virtual stock of replacement beds • Supply of client supplies – mattress encasements, pillows, bedding, vacuum cleaners, plastic tote bins, water soluble laundry bags Storage Unit Client Supplies Co-ordination • Now aim to increase and improve coordination for enhanced response to vulnerable clients • Joint response for Toronto Communi.
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