If bed bugs are present after heat treatment it means one of three things: someone is bringing them back in, your neighbors (apts) have them and they are coming back from walls/baseboards, or the treatment was not done correctly.
Heat treatments are a fast and effective method of eradicating bed bugs. They can be completed in one day and create very little mess and disruption. A successful heat treatment, however, requires the careful use of heaters, air flow systems, and heat monitoring equipment to evenly heat a structure to 120 - 140 degrees.
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A bed bug heater is an insulated bag that heats up to an optimal temperature to kill bed bugs. Most of these look like a large insulated lunch box. You put whatever possessions you believe have bed bugs, and the box heats up to the desired temperature to kill the bed bugs, nymphs, and eggs.
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By allowing the room to reach these temperatures, you ensure that you never miss a spot — bed bugs all throughout the space are slowed, paralyzed, and ultimately killed by the extreme, penetrating heat.