Notes on Creepy Crawlies: Fleas, Ticks, Lice, and Bed Bugs

Introduction

• Presenter: Susan Taylor, Scripps Health, San Diego, California
• Guest: Dr. Christen Benke, Family Medicine
• Discussion about common pests: fleas, ticks, lice, and bed bugs (collectively known as "creepy crawlies").
• Higher risk for households with kids or pets.

Lice

Overview

• Description: Tiny insects that feed on human scalp; resemble sesame seeds.
• Transmission: Cannot jump; spread by crawling from head to head through contact.
• Symptoms: Itching, particularly on the scalp.

Diagnosis

• If itching persists, consult a doctor or hairdresser.
• Lice are stuck to the hair and don't rub off like dandruff.

Treatment

• Use of cream rinse (over-the-counter or prescription).
• Steps:
  1. Apply cream rinse for 10 minutes, then rinse off.
  2. Wash all bedding, clothing, and hair accessories in hot water.
  3. Use a fine-toothed comb on wet hair to remove nits (eggs).
  4. Repeat treatment after 9 days to kill any newly hatched lice.

Types of Lice

• Head Lice: Common in children; treated as above.
• Body Lice: Less common; found in areas with poor hygiene; treated by washing clothing in hot water.

Home Remedies

• Mayonnaise, olive oil, butter: Attempt to suffocate lice, but not proven effective.

Fleas

Overview

• Hosts: Typically live on pets (dogs, cats) and can jump up to 2 feet.
• Symptoms: Local irritation, red bites, itching.

Treatment

• Treat pets with veterinary-approved shampoos, collars, and treatments.

Ticks

Overview

• Hosts: Typically found on wild animals (deer, rabbits), in shrubs and tall grass.
• Transmission: Usually via brushing against foliage.
• Symptoms: Bites can lead to irritation; some ticks can carry diseases.

Treatment

• Carefully remove ticks with tweezers, grabbing at the neck.
• Common tick-borne diseases include Rocky Mountain Spotted Fever and Lyme Disease.

Bed Bugs

Overview

• Typically found in seams of mattresses and upholstery; associated with hotels and high-turnover areas.
• Symptoms: Bites on exposed skin, irritation.

Treatment

• Professional extermination often required for infestations.

General Prevention Tips

• Monitor pets for signs of fleas/ticks; maintain a regular cleaning schedule for bedding and furniture.
• In areas prone to ticks, inspect clothing and shower after outdoor activities.

Conclusion

• Common misconceptions: These pests can affect anyone, regardless of socioeconomic status.
• Importance of regular hygiene and treatment for pets to prevent bringing pests into the home.
• Dust Mites: Common in pillows and mattresses; hypoallergenic covers can help manage allergies.
• Recommended washing of sheets and pillowcases every 1-2 weeks.

Final Thoughts

• Awareness and regular cleaning practices can help manage and prevent infestations.
• Encouragement for families not to feel ashamed about dealing with these pests.