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Revision of Directors Rules and Regulations for the Prevention and Control of Bed Bugs May 15, 2012 1 Bed Bugs: Recent History Have accompanied human civilization for centuries Endemic and prevalent in Asia, Africa & Eastern


  1. Revision of Director’s Rules and Regulations for the Prevention and Control of Bed Bugs May 15, 2012 1

  2. Bed Bugs: Recent History  Have accompanied human civilization for centuries  Endemic and prevalent in Asia, Africa & Eastern Europe  Reported in all 50 US states  Represent a violation of California housing habitability standards and local public nuisance codes  Resurgence in urban areas potentially linked to changes in pest control practices, mobility, etc.  Growth in demand for pest control services  High level of public and media interest 2

  3. 2010 Code Enforcement 3

  4. Health Impacts of Bed Bugs  Allergic reaction to bites  Skin infection from bites  Sleeplessness  Anxiety  Depression  Feeling of helplessness / Lack of control  Barriers to social interactions 4

  5. Bed Bug Bites/Welt 5

  6. Problem Solving Approach Prevention strategies and public awareness Clear regulatory Resources for those expectations most affected by with bed bugs effective enforcement with least resources 6

  7. Improving Public Awareness http://www.sfdph.org/dph/EH/Housing/BedBugs.asp 7

  8. DPH Regulatory Milestones  Enforcement of public nuisance standards in response to complaints; routine inspections of limited shelters and SROs  2003: Developed Bed bug Management Protocol for all Shelter Directors  2006: Issued first Director’s Rules and Regulations for Bed Bug Control  2010: Bedbugs explicitly named as a health nuisance  2011: Began stakeholder process for updating rules and regulations 8

  9. Internal Review of Regulation  Review of regulatory practices in other cities  Review of pest control industry best management practices  Review of DPH enforcement case records  Input of experienced inspectors/ managers  City Attorney review  Draft revised rules and regulations for public hearing (March 2012) 9

  10. Outreach Process  Stakeholder workshops (PCOs, tenants, landlords, apartment and hotel managers)  Presentations of proposed revision to:  Bed Bug Working Group  SRO Task Force  Professional Property Management Association  Public Hearing on proposed revision  Spoken comments (47)  Written comments (14)  Health Commission meets re. final revision 10

  11. Substantive Changes  Prevention steps further defined: training, written plan, monitoring, encasements, educational info provided to tenants  DPH templates and resources provided, e.g. Complaint Response Log  Inspection and treatment explicitly limited to licensed PCOs  PCOs held accountable to best practices or subject to NOV  Complaint closure six week monitoring defined 11

  12. Outcomes of Outreach Process  Expertise from multiple perspectives  Stakeholder engagement; new partners for bed bug control  New focus on the need to ensure PCO best practices 12

  13. Community Resource Requests  Significant investment in public, tenant and manager education.  Greater code enforcement resources, particularly proactive inspection of all SRO units, not just master lease or family-occupied.  More resources for the reasonable accommodation (e.g., laundry subsidy needs and anti-cluttering help for the incapacitated and low- income population most affected by bed bugs). 13

  14. Next Steps  Department adopts revisions  Community education and awareness  Stakeholder-specific training workshops  Enhanced website and educational resources (e.g. video, online tutorial)  1: 1 support for monitoring and control plans in higher risk environments  Consider additional resources for education and resources for proactive unit-by-unit inspections in all SROs 14

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