Bed bugs are insects from the genus Cimex that feed on blood, usually at night. Their bites can result in a number of health impacts including skin rashes, psychological effects, and allergic symptoms. Bed bug bites may lead to skin changes ranging from small areas of redness to prominent blisters. Symptoms may take between minutes to days to appear and itchiness is generally present. Some individuals may feel tired or have a fever. Typically, uncovered areas of the body are affected. Their bites are not known to transmit any infectious disease. Complications may rarely include areas of dead skin or vasculitis.Bed bug bites are caused primarily by two species of insects: Cimex lectularius (the common bed bug) and Cimex hemipterus, found primarily in the tropics. Their size ranges between 1 and 7 mm. They spread by crawling between nearby locations or by being carried within personal items. Infestation is rarely due to a lack of hygiene but is more common in high-density areas. Diagnosis involves both finding the bugs and the occurrence of compatible symptoms. Bed bugs spend much of their time in dark, hidden locations like mattress seams, or cracks in a wall.Treatment is directed towards the symptoms. Eliminating bed bugs from the home is often difficult, partly because bed bugs can survive up to 70 days without feeding. Repeated treatments of a home may be required.
Steadily-rising resistance to DDT and other potent pesticides may have also contributed; bans on DDT may have contributed as well, though studies have shown resistance continued to rise in countries where they continued to be used.The U.S. National Pest Management Association reported a 71% increase in bed bug calls between 2000 and 2005. The number of reported incidents in New York City alone rose from 500 in 2004 to 10,000 in 2009. In 2013, Chicago was listed as the number one city in the United States for bedbug infestations. As a result, the Chicago City Council passed a bed bug control ordinance to limit their spread. Additionally, bed bugs are reaching places in which they never established before, such as southern South America.The rise in infestations has been hard to track because bed bugs are not an easily identifiable problem and is one that people prefer not to discuss. Most of the reports are collected from pest-control companies, local authorities, and hotel chains. Therefore, the problem may be more severe than is currently believed. Species
The common bed bug (Cimex lectularius) is the species best adapted to human environments but is also known from birds, Chiroptera, Gallus (chickens and relatives), Myotis myotis, and sheep (Ovis aries). It is found in temperate climates throughout the world. Other species include C. hemipterus, found in tropical regions,  which also infests poultry (including Gallus)  and bats, and Leptocimex boueti, a relative of C. lectularius adapted for the tropics of West Africa and South America, which infests bats and humans.