From the category archives:

Toronto

Because the recently proposed bed bug education bill in NYC contemplates a bed bug website at the Department of Health—on this point we’ve already indulged big dreams that we know aren’t happening anytime soon—we should really look at a working bed bug website.

Toronto Public Health’s bed bug website is the most comprehensive of its kind anywhere that we have seen. While health departments in many cities are putting out materials and fact sheets—and we now have more widely available best practice literature from various sources around the world—the presentation of so much useful bed bug information directed at various specific audiences, in a clear and organized way, is a major step forward.

Toronto has set the bar very high.

Some items of interest, in no particular order:

10. Seal up hiding spots
Make sure all holes, cracks, gaps, and voids around pipes, baseboards and electrical cover plates are sealed with caulking or expansion foam to prevent pests from traveling unit to unit.

Toronto Public Health staff is available to conduct educational seminars on bed bug detection, treatment and prevention. Call Toronto Health Connection 416-338-7600.

And there are lots more good things.  The site also has a section about the Toronto Bed Bug Project and we’ve already discussed how impressed we are—you can read our interview with the co-chair of the Toronto Bed Bug Project here.

At this point we should probably begin a discussion of why some would object to the presentation of prescriptive information about how to control a pest as challenging as bed bugs.  Toronto has several fact sheets that address preparation and treatment.  No one wants to inhibit the testing and development of improved tools and protocols by pest control professionals. And some professionals may disagree about the reliability of any one protocol. However, I think the benefits of clear guidelines outweigh these concerns. I would describe the benefits of clearly expressed suggested protocols like this:

  • they provide consumers information to evaluate the expertise of the pest control company they intend to hire;
  • they allow the person who is in the weakest position, usually the bed bug sufferer, the means by which to evaluate the actual work provided by the pest control company; and
  • they give people the authoritative information necessary to persuade those who need to be persuaded—depending on the scenario, that can be the tenant, landlord or pest control professional—that improvements are needed when treatments are failing or inadequate.

We will return to this subject because it’s already emerging as an important one in our internal discussions about the new bill.

We are really eager to know your thoughts?

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We are so pleased to share with you the conversation we had last Wednesday with Rima Zavys, Director, Homelessness & Housing Help Services and Mental Health & Developmental Services of WoodGreen Community Services and Co-Chair of the Toronto Bed Bug Project.

(See our earlier review of the Toronto Bed Bug Project interim report and our look at the genesis of the Toronto Bed Bug Project in the early efforts of the shelter and health services community.)

New York vs Bed Bugs: What was your reaction to the report?

Rima Zavys: Well, we had a Community Bed Bug Committee meeting yesterday. We’ve had the Community Bed Bug Committee meetings in place for over a year. The Community Bed Bug Committee organized the community Town Hall on bed bugs that was held about a year ago and we’ve continued to meet. We hadn’t met for six months because a lot of us have been involved in the Toronto Bed Bug Project. So we really wanted to see where that process would lead to and we don’t have many resources so we really wanted to support the Toronto Public Health bed bug process and have been doing so. But yesterday it was good to just sit back and reflect as a community group to look at what has been done. Essentially, we’re quite pleased because over the last six months or so, there’s been quite a bit of movement, although not as much as we’d like to, and there’s work still to be done. But Public Health has created a number of different fact sheets that are now on their website and one of them is available in a variety of languages and there are plans in place to translate the rest as well in a variety of languages. And that was a big issue for us. Also, there are plans in place to take the information that’s on the Toronto Public Health website and get it out there through outreach efforts into local communities. Because we know a lot of folks don’t have access to computers or aren’t computer savvy. So, that’s the next stage.

So, things are moving forward. And we also have now a very clear phone number to call [416-338-7600], at Public Health, to report bed bugs, and also Public Health has a much better process in place to work with individuals who need advice or support or information, and even hands-on support in helping them to eradicate bed bugs. That wasn’t in place before.

New York vs Bed Bugs: I noticed in the press coverage, and where the newspaper articles allow for comments, that the public is very much in favor of action and in fact they’re disappointed that it’s taken so long. So it seems that at least there is an emerging consensus that this is necessary. Which will help!

Rima Zavys: Definitely. There is. The media has been very interested in this topic. Every time that we have sent out press releases there has been a lot of interest and it’s been reported, I think, in a way that has been very encouraging for the city of Toronto and has put some pressure on the city to do more, which is a good thing.

We’ve also had discussions at the Community Bed Bug Committee and also the Toronto Bed Bug Project about how to take it up a step, how to get our province involved, how to get the national government involved, because we know this is an issue that’s not just within the city of Toronto, but it’s also an issue across the world and North America. So we want to begin to make linkages, provincially, nationally, internationally. We know that it’s only through those linkages that we’ll better find out what’s going on and we’ll better be able to put pressure on various funding bodies on various levels of government to become involved and put resources towards this issue.

New York vs Bed Bugs: I think that’s wonderful. I think you are all doing wonderful work. We have no one here doing that. We have no Joe Fiorito. We’re really in a sad state… I want to ask you, I think I came across a job notice for a researcher, so it seems that you are directly involved, that WoodGreen is directly involved in one of the pilot projects?

Rima Zavys: Yes, it’s a different part of the project. It’s not a pilot project under the Toronto Bed Bug Committee. It’s a pilot project that got funding—there was left-over funding that Habitat Services had over a year ago and they negotiated with the city of Toronto to take that money and to specifically target it towards trying to eradicate bed bugs and do tenant education within 45 rooming houses that are funded by Habitat Services in Toronto. And so Habitat Services wanted us to get a better idea of the extent of the bed bug problem, because they really didn’t know what kind of situation tenants were encountering around bed bugs. Not everybody was reporting bed bugs; some had, some hadn’t. Some spraying had taken place but this project is a very systematic way of going in, doing tenant education, doing inspections in all 45 Habitat Services rooming houses, then helping the tenants do preparation, do spray, and then do follow-up inspections. And we have a research component built into it, because it’s very important I think to build in these research components. There’s been so little documented…

New York vs Bed Bugs: Yes!

Rima Zavys: …in research and also in any kind of format, in a community report, in a city of Toronto report on bed bugs. So I feel as though the more that can get documented the better. And then it’s a resource that can be used by anybody, nationally or internationally, it just becomes another document that helps support the fact that we need to do something about bed bugs.

New York vs Bed Bugs: Indeed… I wonder if you and your community partners have already learned some things about what works and—I know you’ve learned a lot about the challenges, I’ve been reading, and I’m so impressed—but I wonder if you have any sense, or an opinion, about what direction things must go in and what actually works in certain settings?

Rima Zavys: Well, we’ve talked yesterday at the Community Bed Bug Committee about a multi-pronged approach. We know tracking and monitoring is so important and we don’t have any tracking and monitoring mechanism in place that would give us a comprehensive picture of the bed bug situation in Toronto and we want to get there as soon as possible, because without solid statistics it becomes challenging to say that we need resources and we need funding and we need support, so that’s important. As well as developing better intervention strategies and more funding for tenants and landlords so that they can actually access a service, to help support the prep and spray that’s needed by a service that knows what they’re doing.

New York vs Bed Bugs: I’ve been reading about Bug and Scrub, awesome, an awesome thing… we need more of those social enterprise…

Rima Zavys: Right. In the interim report that was approved by the Board of Health on Monday, the report asks for more funding and for an expansion of Bug and Scrub, which is great, great to see. And also $75,000, a pool of money for individuals who don’t have any financial resources, can’t access financial resources from anywhere, to help them pay for any prep and spray that they need. It’s a very little amount of money, and I think it’d be gone probably in about three months time… but what I like about it is that it it’ll give us an indication of the extent of the problem; it’ll give us an indication of the fact that people don’t have the financial resources often to do what is necessary and I think it will open up the floodgates and people will call and try to access that money and help us to document the extent of the problem in Toronto.

It’s just the beginning. Definitely, we need to have tracking and monitoring, we need to have services in place that people can access of qualified individuals who know what they’re doing, who will do laundry and will seal cracks and crevices and caulk around baseboards and do all the necessary prep that is required and bring in somebody who will do a very good spray that’s needed, a thorough spray. And the Toronto Bed Bug Committee came up with some standards around what preparation actually needs to look like if it’s done properly, that we want to hold pest control companies to that standard, because we find that there’s just such a variation. More education is needed. Information needs to go out there. A lot of people still don’t know the differences between a bed bug and a cockroach and a flea. And so often they may see these bugs and may disregard them for some time because they don’t know what they are, they don’t know what situation they’re going to be in in a few months if they don’t do anything. We have found that early intervention, if you intervene—anecdotally, we’ve found that if you intervene right away when you see blood spots and you see a bed bug, that in fact you can probably get away with one spray and one prep and then you’re probably bed bug free, but if you wait until you have a more severe infestation, it will be much longer for you to get rid of it.

New York vs Bed Bugs: Is the city… I didn’t see much about that public education effort. I think that obviously will require money, so maybe that’s something for down the road, but that would be so helpful, because so many people are not allergic and that in itself is an obstacle.

Rima Zavys: There’s been some discussion. We’ve had other public education campaigns around other health issues that have been displayed on buses, on street cars, on various public transit vehicles in Toronto before, and those were funded from various levels of government and did need more funding. That’s something that the committee continues to look into and wants to do but needs more resources to be able to do that. But it would be great. But I think there’s always this push back from those who don’t necessarily want to speak about the bed bug problem so publicly. Hotels and other tourist-related services that don’t want to talk about it because there’s always the fear that it will impact upon tourism and people won’t visit. But in fact it’s an international phenomenon and anywhere you really go, you’re at risk.

New York vs Bed Bugs: And I think it’s counter-productive because people have much more confidence in people who have outright policies rather than people who are trying to hide the problem.

Rima Zavys: Right.

New York vs Bed Bugs: I think people are making decisions on their tourism based on this; we had someone comment on the site that they were thinking of cancelling their trip to New York City. And I said, no, don’t cancel your trip, just educate yourself about bed bugs, because it’s not just New York City, they’re everywhere.

I want to say thank you for talking to us! You’re doing wonderful, wonderful work. I just hope, I think that this public conversation across cities, across countries, is so necessary and it’s such a step in the right direction.

Rima Zavys: I would definitely agree. We need to do more of this. We need to make linkages nationally and internationally more and more, because there are some really good resources being developed internationally that it doesn’t make sense for us to re-develop things.

New York vs Bed Bugs: We need to share, I agree completely, we want to do our part with that, and we’re so encouraged by, for example, the people of Cincinnati; Cincinnati and Toronto are the two cities we look to for leadership and it is very, very encouraging.

Rima Zavys: And I’m surprised because I don’t feel like we’ve done enough!

New York vs Bed Bugs: [laughter]

Rima Zavys: We need to do so much more. But that’s encouraging for us. That it seems that we’re going in the right direction. And we’ve got the support of our City Council and Toronto Public Health which has been incredible to have…

New York vs Bed Bugs: It’s significant, yeah. Without it, you can’t move forward, which is what is happening in New York City—there’s no official support. At the meeting Monday, did they consider that Howard Moscoe request? Do you know if they’re doing anything or planning to do anything about rights of access?

Rima Zavys: Into units? There’s been discussion about what the right mechanism is to do that. So, there have been suggestions from the community initially to try to designate bed bugs as a health hazard, but in fact it doesn’t meet the definition of a health hazard, and Public Health already has a mechanism in place that they can enter units that are really infested badly by declaring it a hazard on an individual basis. There’s also another suggestion that in severe situations there would be an order issued that would allow Public Health to enter and begin to develop a plan to treat a unit. So that may be the direction that it moves into. Those at Public Health—there’s a working group looking at legislative issues, and so they’re just trying to figure out the best designation. It looks like there will be some kind of designation. There has been some suggestion that a by-law be introduced, so the working group has been looking at those various options and probably by the time that the final report comes out, which will be in March-April, there will be a decision on that.

New York vs Bed Bugs: It’s so expensive for small landlords. It’s really hard for them, too.

Rima Zavys: And landlords and tenants need to have access to the information about what to ask for when they’re trying to schedule a company to do prep and spray. So often because they’re not fully informed and don’t have the information about what to ask for, it causes them to not get the best service possible. So we’re trying to get information out there that says, if you’re trying to book a company to come and do prep and/or spray, this is the standard. This is what you should be asking the companies to do. And if they can’t do it, you need to get someone else. Except we’re also experiencing the phenomenon right now that pest control companies are getting so many calls that it’s been difficult to book a company to come in right away and people end up having to wait, and people don’t want to wait. And so they’re choosing to go with a company that’s not necessarily providing the service but they can come into their home right away within 2-3 days.

New York vs Bed Bugs: I imagine Bug and Scrub is also overbooked…

Rima Zavys: They’re overbooked.

New York vs Bed Bugs: I guess finally I just want to ask you if it was difficult to get the support from the politicians, the elected and civil leadership. It’s been so hard for us here to get their attention. And it seems, well, from a distance it seems rather easy, in cities like Toronto and Cincinnati, I wonder if it’s just a different mentality that we’re dealing with.

Rima Zavys: The City Councillor who has been very supportive and has taken the lead on this issue has been Paula Fletcher. She happens to be our representative in the geographical area where WoodGreen Community Services is located. And we initially called her, when we had the Town Hall we wanted her to chair it. She wasn’t able to chair it but she said, you know what, I’m going to take this issue up, I’m going to make it up to you, I can’t make the Town Hall, but I will continue to work on it, and she made that commitment and she’s certainly continued to do that, and it’s been great. She’s very involved in the community. She has a great track record of taking up community issues and bringing them forward. And it just happened that everything lined up so well.

New York vs Bed Bugs: Thank you so much for your time and your kindness. I’m overwhelmed by your kindness.

Rima Zavys: I, you know, what did I know about bed bugs a few years ago? Nothing. But it’s just been… I’ve seen so many people affected and I can’t just stand by and do nothing. A lot of us just can’t. Because we’ve seen the detrimental impact that it’s had on people and we feel we have to do something.

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WoodGreen Community Services has developed The Bed Bug Resource Manual: A Guide to Preventing, Treating and Coping with Bed Bugs (PDF), a valuable addition to the policy and best practice literature we have available. It is especially interesting to us because it provides background on the city’s response to the bed bug epidemic.

WoodGreen’s Bed Bug Resource Manual outlines background information on events that preceded the Toronto Bed Bug Project and makes policy recommendations. (We have just reviewed the Toronto Medical Officer of Health’s Staff Report on the Toronto Bed Bug Project.)

We get a sense of the urgency created by the spread of bed bugs in Toronto and their impact on vulnerable citizens in the foreword by Rima Zavys, Director, Homelessness & Housing Help Services and Mental Health & Developmental Services—Ms. Zavys is also the Co-Chair of the Toronto Bed Bug Project:

We knew that immediate action was necessary to reduce the levels of bed bug infestations we were hearing about in Toronto. We organized the Bed Bug Town Hall at WoodGreen Community Services on November 14, 2007. We felt something had to be done right away, and the 300 people who attended the Town Hall felt the same way.

The Town Hall was the product of discussions within various community groups on the front lines:

In 2007, a subcommittee of the Sherbourne Health Bus Community Advisory Panel began to meet to discuss the issue of bed bugs. The group was made up of shelter, housing and health care staff working in the downtown core and had representatives from Central Neighbourhood House, Parkdale Activity Recreation Centre, Sherbourne Health Centre, Street Health and WoodGreen Community Services. Working in conjunction with this committee, WoodGreen Community Services hosted a Town Hall meeting on November 14, 2007, on the topic of bedbugs.

In Toronto, then, the path to action began with social services agencies and non-profits.

The Manual contains the following Community Advocacy Recommendations:

  • Conduct a survey to determine the extent of the problem among social housing providers, rooming houses, and shelters.
  • Identify the resources needed to address the issue.
  • Provide funds for bed bug outreach teams that would assist landlords and tenants in developing plans to address the issue.
  • Fund housekeeping supports to assist low-income individuals in preparing for pest control treatment.
  • Provide funds for social housing landlords to access the services of pest control companies.
  • Establish a bed bug reporting centre so that the City can monitor the extent of the problem.
  • Consider initiating a Bed-Bug furniture pick-up program.
  • Expand on public education initiatives, particularly to tenants, occupants of multi-residential units and shelter users.
  • Develop a website that is useful and interactive.
  • Review the issue of bed bugs under Municipal Licensing.

Measure the problem, identify resources, develop useful materials, provide funds for access to pest control services, do something about bed bug trash, review the legal framework… If you read enough policy proposals, the recommendations are familiar and applicable to any city or community affected by bed bugs. Knowing what to do is the first step and we believe that it’s critical to correctly analyze the problems, but analysis must be followed by the actual work. And so it is very encouraging that Toronto is already acquiring experience and evidence through five pilot projects designed to evaluate strategies for bed bug prevention and control.

More things we like about the Manual, which collected fact sheets and policy documents from other organizations:

  • a “Say No to Bed Bugs: Make our Apartment Building a Bed Bugs Free Environment” sample tenant notice (appendix 1)
  • a useful section on the risks faced by home support workers and community outreach and shelter staff and the prevention strategies they should use (p. 13) plus a checklist and additional recommendations for those workers (appendix 2)
  • a necessary reminder of the need for community education and continual monitoring (p. 15):

Once units have been treated with an integrated pest management approach, there should be protocols for on-going monitoring for the presence of bed bugs in order to determine the need for further treatment. If monitoring is carried out routinely, it is more likely that infestations can be eliminated or controlled. The monitoring process should be written and made available to all those involved.

Right! Especially given the propensity of bed bugs to just play dead. Emphasis added.

And we already mentioned the great photographs. I’m encouraged by this work. It can help people and social service groups well beyond Toronto.

Updated to add: Also, if you are new to our site or you work at a shelter, group home or social services agency, you really should download the Guidelines for Prevention and Management of Bed Bugs in Shelters and Group Living Facilities from the NYS IPM Program at Cornell.  For more policy documents, check our Resources page.

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In looking through the WoodGreen Community Services Bed Bug Resource Manual (PDF), a great document we will discuss in a moment, I am struck by the beautiful photographs—and this from someone who generally avoids video and photographs of bed bugs. Indeed, I never thought I’d use that word about this subject.

But these are beautiful photographs of bed bugs by Dr. Tim Myles of the University of Toronto.

I think we’ve mentioned this before, but it’s worth underlining. This is what Dr. Tim Myles (and colleagues) wrote in 2003:

If the resurgence of bed bugs in shelters and other public facilities is not contained, there is the risk of a continuous and escalating growth in the source populations, leading to larger-scale infestations, which will require more frequent and costly control efforts later. As the source populations grow, the rate of spread will inevitably increase and bed bugs will start to appear in hotels, apartments, theaters, restaurants, public transit, hospitals and eventually detached single family homes.

Source: Bed Bugs in Toronto, Centre for Urban and Community Studies, Research Bulletin #19 (PDF).

Hotels, check, apartments, check, theaters, restaurants, public transit, hospitals, single-family homes, check, check, check, depressing check…

Another reason I like to point this out is that in all the press accounts that blame bed bugs on international travellers, there is very little mention of the long history of bed bugs right here in North America. More research and less speculation is in order.

Toronto has begun to address the resurgence of bed bugs in an organized way. Naturally, the longer you wait, the harder it is. Anyone who has had bed bugs knows this. They have a terrific knack for multiplying. But policymakers need to be made aware of this. We can’t wait until they all get bed bugs themselves.

Additional University of Toronto photographs are available here.

When is New York City going to act?

Have you written to your council member?

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The Toronto Board of Health meets on Monday, November 17—here are the agenda (PDF) and supplementary reports (PDF).

The Medical Officer of Health, Dr. David McKeown, will present a staff report on the Toronto Bed Bug Project (PDF). (We have briefly reviewed the Toronto Bed Bug Project here and here.)

Let’s mention something right at the outset before we discuss the report, when you visit the Toronto Public Health website, you see that bed bugs are on the front page. On the front page. This is exactly what is necessary and we commend TPH for this simple but effective move.

What you actually see when you click on “bed bugs” is a portal with information for the public, for professionals, a link to fact sheets, and a link to the Toronto Bed Bug Project.

Again, well done, and we need to point this out because disseminating information in an organized way that is only a couple of clicks away from the front page is extremely important and it’s something we want our own city agencies to consider.

The Toronto Board of Health will also consider the request from Councillor Howard Moscoe that bed bugs be declared a health hazard (PDF). The Councillor’s letter is remarkable. He is speaking on behalf of the residents of a Toronto City Housing building where some residents are refusing treatment and thereby making it impossible to eradicate bed bugs from the building:

Even after a unit is sprayed the infestation quickly migrates from infested units back into the treated units.

Recommendations of the Medical Officer of Health

The Medical Officer of Health’s Staff Report on the Toronto Bed Bug Project (PDF) makes the following recommendations:

  1. City Council approve a request for one time emergency funding of $75,000 gross and net in the Toronto Public Health 2009 Operating Budget to assist vulnerable adults who do not qualify for Ontario Works (OW) and Ontario Disability Support Program (ODSP) support, to purchase services to prepare their residences for bed bug pesticide treatment;
  2. the Board of Health request the General Manager, Shelter Support and Housing Administration, to request funding for the expansion of the Bug and Scrub initiative, as part of the 2009 Operating Budget process;
  3. this report be referred to the Budget Committee for consideration during the 2009 operating budget process;
  4. this report be referred to the Greater Toronto Apartment Association, Municipal Licensing and Standards, the Ontario Non-Profit Housing Association and Toronto Community Housing for information; and
  5. the Board of Health reiterate its request to the government of Ontario to fund bed bug control initiatives for vulnerable populations as part of their poverty reduction strategy.

An emergency funding request in the amount of $75,000 and an expansion of Bug and Scrub.

The Medical Officer’s report describes Bug and Scrub as follows:

Bug and Scrub is a Social Purpose Enterprise that was created by the Seaton House Men’s Shelter within Shelter, Support and Housing Administration. The program is currently supported through Division’s operating budget and more recently funding has been secured through the United Way to further develop the business. Bug and Scrub provides responsible, reliable and cost effective assistance in the preparation of tenant households for bed bug treatment. The enterprise creates real employment opportunities for homeless individuals and assists them in overcoming the barriers that restrict their ability to gain employment and reintegrate successfully back into their community.

Bug and Scrub is currently the only bed bug treatment business of its kind in Toronto. It provides much needed support to those who are unable to prepare their units before effective pest control measures can take place. The support is above and beyond that provided by traditional pest management companies.

(Information on contacting Bug and Scrub is available here.)

Statistics and Tracking

According to the Medical Officer’s report, there have been 1,444 bed bug service calls logged by Toronto Public Health from March 1, 2008 to October 9, 2008. These are requests for general information, inspections, identification and presentations. The report acknowledges that even with this great increase in calls, “many infestations are not reported.”

A Tracking and Monitoring workgroup of The Toronto Bed Bug Project has developed a Bed Bug Survey (not yet posted on the Toronto Public Health website) to gather additional information (“types of buildings infested, control measures used, financial implications and the degree of knowledge about bed bugs”).

And then there is this intriguing initiative:

The workgroup is also investigating the feasibility of creating a secure website for the pest control industry which will enable pest control operators to report bed bug activities directly to Toronto Public Health. It is felt that the number and location of treatments by pest control operators in Toronto would be one of the most meaningful statistics in assessing the extent of infestations in the city.

Emphasis mine.

Pilot Projects!

Toronto now has five pilot projects—with the cooperation of tenants, property managers, community agencies and Bug and Scrub—to assess and develop control and prevention methods in five communities. They have chosen communities with specific challenges:

These issues and challenges include dealing with buildings where the tenants speak very little English and where there is an inherent mistrust of government, dealing with large numbers of tenants living with physical and mental health disabilities, and working with tenant groups where personal health and safety and drug use is a reality in their lives.

A preliminary assessment of the challenges is offered (see page 7) and as people who are well-versed in all manner of bed bug problems, we can see where these challenges can even be predicted in multi-unit housing. But we feel very strongly that it would be severe folly to believe that these problems only occur in buildings that house tenants who are vulnerable as indicated in the paragraph above. We see these very problems in our city in all types of buildings in all types of communities. I feel it’s important to quote these challenges in full as I think they are universal:

  • Improper or lack of preparation by tenants due to physical limitations and mental health issues. In many cases the task of preparing a unit can be overwhelming for tenants.
  • Improper disposal of furniture and belongings that are infested with bed bugs, thus causing spread to hallways and elevators.
  • Premature disposal of furniture that is infested with bed bugs. Furniture or belongings are frequently discarded where instead, they could have been treated by vacuuming, steam cleaning or laundering. Where furniture needs to be discarded, it must be destroyed upon disposal to prevent it from being reused. Often this is not the case.
  • Lack of cooperation and in some cases, poor communication between management and tenants.
  • Lack of resources for tenants who do not have the funds to obtain mattress covers, and to launder all of their belongings.
  • Units being sprayed several times without successful results.
  • Lack of reporting infestations by tenants.
  • Tenants performing their own incomplete pest control treatment and exposing themselves to hazardous levels of pesticide dusts and chemicals due to incorrect use.
  • Not enough time given by property management to allow tenants to properly prepare for the application of pesticide.

Let’s turn to the strategies that are being evaluated in the pilot projects:

  • Conducting a survey in each building to determine the true extent of the problem.
  • Getting all stakeholders involved (i.e. family, friends, tenant groups, social workers and community health officers) to help engage tenants in creating a sense of community within the building and to develop a building specific control strategy.
  • Providing a series of educational seminars on how to properly prepare your unit for bed bug treatment with the use of visual aids. Education needs to encompass prevention methods.
  • Providing mattress encasements for both the mattress and the box spring to the tenants. Funding for this strategy is currently being sought outside of government.
  • Providing free or subsidized laundry services.
  • Providing plastic bags for transporting laundry to and from the laundering area.
  • Providing vacuum cleaners and hand held steamers on loan with instructions on proper use.
  • Pesticide treatment by professionals only, to ensure safe application and appropriate use of pesticides according to the standard protocols for treatment.
  • Securing funding for the above initiatives.

Mattresses!

Sorry, no information in the report on the recycling pilot project beyond mentioning it! Will have to do some research on that and get back to you.

WoodGreen Community Services

The Medical Officer’s report rightly commends the Bed Bug Resource Manual (PDF) developed by WoodGreen Community Services with assistance from Toronto Public Health. It is a truly wonderful document that I’ve been reading the past couple of days and hope to discuss shortly.

The Future

The Toronto Bed Bug Project expects to:

  • Expand educational outreach and support to those affected.
  • Encourage citizens to report their infestations in a prompt manner to property management.
  • Develop best practice protocols for businesses to prevent practices that may be contributing to the spreading of infestations such as selling used furniture and moving furniture.
  • Document each of the pilot projects, including the successes, challenges and failures.
  • Create templates from these projects that can be applied to other building locations.
  • Work with the pesticide industry to lobby for more effective chemical options to treat bed bugs.
  • Secure adequate sustainable funding for an integrated bud bug control strategy for Toronto including the Bug and Scrub program.

We will be watching—and learning. We wish the people of Toronto health and success in controlling this pest that is capable of such havoc.

If you live in New York City and you are reading this. Please. Please. Please call your City Council representative. These solutions will not come to New York City unless and until all of us ask for them in voices that do not take no for an answer.

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For the previous update see this.

Look what we just found on the website of Toronto’s RENT (Resources Exist for Networking and Training):

A PowerPoint presentation on The Toronto Bed Bug Project!

It elaborates on the Project’s goals and current initiatives, the members and structure of the working groups and other good stuff.

I have to concentrate and read it fully, but this caught my eye on a page describing ongoing work:

Development of public messaging campaign to reduce stigma (“anyone can get bed bugs”) and increase awareness to reduce infestations

and this:

Development of Furniture and Mattress Re-use/Donation protocols

Oh no, you know mattresses are not our favorite subject!

We have our work cut out for us, and we’re not even done with the Cincinnati/Hamilton County plan review.

In any case, enjoy.

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A brief update on Toronto

by Renee Corea on October 15, 2008

in Action Plans - Other Cities,Toronto

Toronto’s Bed Bug Action Committee is now formally called the Toronto Bed Bug Project.

The Toronto Bed Bug Project

The minutes of the September 10, 2008 meeting of the Toronto Shelter, Support and Housing Administration (PDF) give us the lowdown:

The Toronto Bed Bug Project resulted from a report submitted by Toronto’s Medical Officer of Health to the Board of Health on bed bug infestations in Toronto. The Project consists of a Steering Committee and 7 workgroups with representation from Toronto Public Health, various city departments including Shelter, Support and Housing Administration and external stakeholders. Each workgroup will address a specific issue as it pertains to the issue of bed bugs:

  • Health Issues
  • Legislative Review
  • Education/Outreach
  • Community Based Responses
  • Bed Bug Control Issues
  • Tracking and Monitoring
  • Public Messaging

The Steering Committee and the seven Workgroups meet monthly. The Steering Committee reviews the activities and reports from all Workgroups and will report back to the Toronto Board of Health. The Bed Bug Action Steering Committee Report will provide clear direction and recommendations to the Board of Health and Toronto Public Health for the development of a comprehensive strategy to manage bed bug infestations in Toronto.

Bed bugs are currently classified as a health issue, not a health hazard. Classifying bed bugs as a hazard might open up other options and funding to address the issue.

The Project will improve communication by enhancing the City of Toronto’s web page on bed bugs, and by providing fact sheets in more languages. Fact sheets are currently available in Mandarin, Tamil, Somali, Korean, Russian and Bengali. They are being translated into French, Urdu, Arabic, Polish, Spanish, Hindu, Portuguese and Italian. The Project is also developing a public message campaign to reduce stigma (“anyone can get bed bugs”) and increase awareness to reduce infestations.

The Project is collaborating with TCHC on two pilot projects, which will investigate methods to control, reduce and prevent bed bug infestations in their buildings. They are also assisting Solid Waste Division in the development of protocols for managing bed bug infested furniture, such as the mattresses for the new “re-use” centers opening July 2008.

Standardized treatment procedures are being developed for pest control companies and these will be made available on the TPH website as soon as they are completed.

Quite a bit we need to unpack here!  Especially this business of “re-use” centers and mattresses.  We’re going to have to revisit this.  But no Toronto bed bug update can be complete without a mention of Joe Fiorito.

Joe Fiorito and the unbearable sadness of bed bug committees

The Toronto Star‘s Joe Fiorito reported recently that Toronto’s bed bug action committee will release an interim report in November. This is something to look forward to.

However, it is unnerving to read the sadness in Fiorito’s bed bug columns in The Star. Consider this:

The lingering truth is that some landlords – Toronto Community Housing is not exempt – remain ignorant, unwilling or unable to deal with infestations.

This column features an extraordinary quote from Rima Zavys, the co-chair of Toronto’s bed bug committee:

In an ideal world?

“There should be services available for free. We need a mechanism for reporting and tracking the spread of bedbugs. We need money for research. Landlords need to know what to do. There needs to be a central number people can call for immediate help.”

And that is all you need to know about any bed bug committee that ever was.

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