Pesticides Misused for Bed Bug Control: Comparing Professional and Nonprofessional Applications Reported to the National Pesticide Information Center, 2013-2017.

Objectives. To compare outcomes when pesticides are used to control bed bugs by professionals and nonprofessionals. Methods. All US National Pesticide Information Center inquiries from 2013 to 2017 were assessed to identify scenarios involving bed bugs and pesticide applications. Cases were evaluated with respect to types of applicators, misapplications, and human pesticide exposures. Results. Misapplications were more than twice as likely to be reported in cases involving nonprofessional applications (14%) as in cases involving professional applications (5%). Human exposures to pesticides were reported more often when pesticides were misapplied (70%) than when there were no apparent misapplications (31%). Conclusions. Both professionals and nonprofessionals may misuse pesticides to control bed bugs, which may increase the risks of exposure and adverse outcomes. Policy interventions may reduce pesticide incidents related to bed bug control by promoting professional involvement and adherence to product label instructions.

Acute illness associated with use of pest strips - seven U.S. States and Canada, 2000-2013.

Dichlorvos-impregnated resin strips (DDVP pest strips) are among the few organophosphate products still available for indoor residential use. The residential uses for most other organophosphate products, including most DDVP products, were canceled because they posed unreasonable risks to children. DDVP pest strips act by inhibiting acetylcholinesterase activity in the brain and nerves of insect pests and are designed to gradually release DDVP vapor for up to 4 months. Acute illnesses in humans associated with nonlethal acute exposures usually resolve completely, but recovery is not always rapid. To assess the frequency of acute illnesses associated with DDVP pest strips, cases from 2000 through June 2013 were sought from the 12 states that participate in the Sentinel Event Notification System for Occupational Risks (SENSOR)-Pesticides Program, the National Pesticide Information Center (NPIC), and Health Canada.* A total of 31 acute DDVP pest strip-related illness cases were identified in seven U.S. states and Canada. The majority of these illnesses resulted from use of the product in commonly occupied living areas (e.g., kitchens and bedrooms), in violation of label directions. Although 26 of the 31 cases involved mild health effects of short duration, five persons had moderate health effects. Illnesses caused by excess exposure to DDVP pest strips can be reduced by educating the public about the proper usage of DDVP pest strips and with improvements in label directions.

Reports of metaldehyde and iron phosphate exposures in animals and characterization of suspected iron toxicosis in dogs.

OBJECTIVE: To describe reports of animals exposed to metaldehyde- and iron phosphate-containing molluscicides and characterize iron phosphate exposure incidents in dogs with clinical signs compatible with iron toxicosis. DESIGN: 2-part retrospective case series. SAMPLE: 1,500 reports of animals exposed to molluscicides containing metaldehyde (n … 1,285) or iron phosphate between 2001 and 2011 (n … 215; part 1) and a subset of 56 reports involving 61 dogs with suspected iron toxicosis (part 2). PROCEDURES: In part 1, a National Pesticide Information Center database was searched to identify reported exposures to metaldehyde- and iron phosphate-containing molluscicides before, during, and after a regulatory transition affecting metaldehyde product labeling beginning in 2006. Source of the report, number of animals, clinical signs, and deaths were evaluated. In part 2, reports involving potential iron toxicosis in dogs were additionally reviewed for signalment, circumstances of exposure, and product identification. RESULTS: Reports of metaldehyde exposures decreased each year between 2006 (n … 193) and 2011 (21), whereas reports of iron phosphate exposures increased between 2006 (n … 4) and 2010 (73); changes were not evaluated statistically. Animals had no clinical signs at the time of the call in 130 of 215 (60%) and 675 of 1,285 (53%) reports of iron phosphate and metaldehyde exposure, respectively. In dogs, 35 deaths were associated with metaldehyde exposure and no deaths were associated with iron phosphate exposure. CONCLUSIONS AND CLINICAL RELEVANCE: Veterinary professionals should be aware of the potential for iron toxicosis following exposure to iron phosphate-containing molluscicides.