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Prevalence, Knowledge and Self-Reported Containment Practices about Bedbugs in the Resource-Limited Setting of Ethiopia: A Descriptive Cross-Sectional Survey

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DOI: 10.4236/health.2015.79130    2,071 Downloads   2,507 Views   Citations


Over the past decade, a dramatic rise in bedbug resurgence has become one of the top potential public health hazards. This study was conducted to determine prevalence, knowledge and self-reported containment practices about bedbugs in the resource-limited setting of Ethiopia. A community based, cross-sectional survey was conducted between January and May 2014. Selected 260 respondents were interviewed by the administration of a pre-tested questionnaire on knowledge and practices about bedbug infestation in the resource-limited setting of Ethiopia. Overall, 91.6% (238/260) of the residents had ample awareness on bedbug infestation. The majority of them (97.2%) extremely bothered about infestations because of bad odors (83.8%), insomnia (79.8%), biting (66.9%), and skin rashes (56.9%). A high prevalence of infestation (72.7%) was observed. Bedrooms and main hall/salon were identified as potential high-risk areas. Chi-square exhibited a strong association between sanitary status and housing conditions (χ2 = 40.91; df = 4; P = 0.0001). Besides, there was a strong association between respondents’ monthly income (χ2 = 42.1; df = 6; P = 0.0001) and educational status (χ2 = 26.01; df = 5; P = 0.0001) with the presence or absence of bedbug infestation. Though the majority of respondents had adequate knowledge, they suffer with deprived practices attributable to deficient resources as well as negligence/ignorance. This study emphasizes the following key interventions: 1) community-based awareness campaigns, 2) implementation of sustainable preventive/containment strategies, 3) educational interventions to ensure translation of knowledge into practices, and 4) the implementation of appropriate poverty alleviation programs to enhance the local-residents living-standard in the future.

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The authors declare no conflicts of interest.

Cite this paper

Karunamoorthi, K. , Beyene, B. and Ambelu, A. (2015) Prevalence, Knowledge and Self-Reported Containment Practices about Bedbugs in the Resource-Limited Setting of Ethiopia: A Descriptive Cross-Sectional Survey. Health, 7, 1142-1157. doi: 10.4236/health.2015.79130.


[1] AFPMB (Armed Forces Pest Management Board) (2013) Bed Bugs-Importance, Biology, and Control Strategies. Technical Guide No. 44.
[2] Hwang, S.W., Svoboda, T.J., De Jong, I.J., Kabasele, K.J. and Gogosis, E. (2005) Bed Bug Infestations in an Urban Environment. Emerging Infectious Diseases, 11, 533-538.
[3] Usinger, R.L. (1996) Monograph of Cimicidae (Hemiptera-Heteroptera). Thomas Say Foundation, College Park.
[4] Harlan, H.J., Faulde, M.K. and Baumann, G.J. (2008) Bedbugs. In: Bonnefoy, X., Kampen, H. and Sweeney, K., Eds., Public Health Significance of Urban Pests, World Health Organization, Regional Office for Europe, Copenhagen, 131- 154.
[5] Panagiotakopulu, E. and Buckland, P.C. (1999) Cimex lectularius L., the Common Bedbug from Pharaonic Egypt. Antiquity, 73, 908-911.
[6] Potter, M.F. (2008) The History of Bed Bug Management. Bed Bug Supplement: Lessons from the Past. Pest Control Technology, 36, 12.
[7] Wang, C., Saltzmann, K., Chin, E., Bennett, G.W. and Gibb, T. (2010) Characteristics of Cimex lectularius (Hemiptera: Cimicidae), Infestation and Dispersal in a High-Rise Apartment Building. Journal of Economic Entomology, 103, 172-177.
[8] Delaunay, P. (2012) Human Travel and Traveling Bedbugs. Journal of Travel Medicine, 19, 373-379.
[9] Wang, C. (2009) Bed Bugs. The State University of New Jersey, Rutgers, Fact Sheet FS1098.
[10] Goddard, J. and deShazo, R. (2012) Psychological Effects of Bed Bug Attacks (Cimex lectularius L.). American Journal of Medicine, 125, 101-103.
[11] Paul, J. and Bates, J. (2000) Is Infestation with the Common Bedbug Increasing? British Medical Journal, 320, 1141.
[12] Romero, A. (2009) Biology and Management of the Bed Bug, Cimex lectularius L. (Heteroptera: Cimicidae). Doctoral Dissertations, University of Kentucky, Lexington.
[13] Chinnakali, P., Gurnani, N., Upadhyay, R.P., Parmar, K., Suri, T.M. and Yadav, K. (2012) High Level of Awareness but Poor Practices regarding Dengue Fever Control: A Cross-Sectional Study from North India. North American Journal of Medical Sciences, 4, 278-82.
[14] Seidel, C. and Reinhardt, K. (2013) Bugging Forecast: Unknown, Disliked, Occasionally Intimate. Bed Bugs in Germany Meet Un-prepared People. PLoS ONE, 8, e51083.
[15] Gangloff-Kaufmann, J., Hollingsworth, C., Hahn, J., Hansen, L., Kard, B. and Waldvogel, M. (2006) Bed Bugs in America: A Pest Management Industry Survey. American Entomologist, 52, 105-106.
[16] Lyons, J. (2010) The Social Impacts of Bed Bugs on Inner Winnipeg. University of Manitoba, Manitoba.
[17] Goddard, J. (2009) Bed Bugs (Cimex lectularius) and Clinical Consequences of Their Bites. Journal of American Medical Association, 301, 1358-1366.
[18] Doggett, S.L., Dwyer, D.E., Penas, P.F. and Russell, R.C. (2012) Bed Bugs: Clinical Relevance and Control Options. Clinical Microbiology Review, 25, 164-192.
[19] Reinhardt, K., Kempke, D., Naylor, R. and Siva-Jothy, M.T. (2009) Sensitivity to Bedbug Bites, Cimex lectularius. Medical and Veterinary Entomology, 23, 163-166.
[20] Leverkus, M., Jochim, R.C., Schad, S., Brocker, E.B. and Andersen, J.F. (2006) Bullous Allergic Hypersensitivity to Bed Bug Bites Mediated by IgE against Salivary Nitrophorin. Journal of Investigative Dermatology, 126, 91-96.
[21] Goddard, J. and de Shazo, R. (2012) Psychological Effects of Bedbug Attacks (Cimex lectularius L.). American Journal of Medicine, 125, 101-103.
[22] Karunamoorthi, K., Mulelam, A. and Wassie, F. (2008) Laboratory Evaluation of Traditional Insect/Mosquito Repellent Plants against Anopheles arabiensis, the Predominant Malaria Vector in Ethiopia. Parasitology Research, 103, 529-534.
[23] Karunamoorthi, K., Mulelam, A. and Wassie, F. (2009) Assessment of Knowledge and Usage Custom of Traditional Insect/Mosquito Repellent Plants in Addis Zemen Town, South Gonder, North Western Ethiopia. Journal of Ethnopharmacology, 121, 49-53.
[24] Karunamoorthi, K., Ilango, K. and Endale, A. (2009) Ethnobotanical Survey of Knowledge and Usage Custom of Traditional Insect/Mosquito Repellent Plants among the Ethiopian Oromo Ethnic Group. Journal of Ethnopharmacology, 125, 224-229.
[25] Karunamoorthi, K. and Tsehaye, E. (2012) Ethnomedicinal Knowledge, Belief and Self-Reported Practice of Local Inhabitants on Traditional Antimalarial Plants and Phytotherapy. Journal of Ethnopharmacology, 141, 143-150.
[26] Karunamoorthi, K., Ramanujam, S. and Rathinasamy, R. (2008) Evaluation of Leaf Extracts of Vitex negundo L. (Family: Verbenaceae) against Larvae of Culex tritaeniorhynchus and Repellent Activity on Adult Vector Mosquitoes. Parasitology Research, 103, 545-550.
[27] Karunamoorthi, K. (2012) Plant-Based Insect Repellents: Is That a Sustainable Option to Curb the Malaria Burden in Africa? Journal of Medicinal and Aromatic Plants, 1, e106.
[28] Karunamoorthi, K., Mohammed, M. and Wassie, F. (2012) Knowledge and Practices of Farmers with Reference to Pesticide Management: Implications on Human Health. Achieves of Environmental and Occupational Health, 67, 109-116.
[29] Karunamoorthi, K. and Yirgalem, A. (2013) Insecticide Risk Indicators and Occupational Insecticidal Poisoning in Indoor Residual Spraying. Health Scope, 1, 166-173.
[30] Potter, M.F. (2008) Bed Bug Supplement. The History of Bed Bug Management. Pest Control Technology, 36, S1.
[31] Busvine, J.E. (1958) Insecticide-Resistance in Bed-Bugs. Bulletin of World Health Organization, 19, 1041-1052.
[32] Douglas Reis, M. (2010) An Evaluation of Bed Bug (Cimex lectularius L.) Host Location and Aggregation Behavior. Master’s Thesis, Virginia Polytechnic Institute and State University, Blacksburg.
[33] Adeyeye, A., Adams, A., Herring, L. and Currie, B.P. (2010) Bed Bug Infestation on a Maternity Unit in a Tertiary Care Center. American Journal of Infection Control, 3, E82.

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