Bed bugs (Cimex lectularius L.) continue to increase as serious pests in the built environment. These insects are particularly problematic in low-income multiunit housing buildings, where infestations are difficult to control, tend to become chronic, and the locations serve as reservoirs from which bed bugs disperse. This document reviews and reports on published accounts and validations of various methods to detect and manage bed bugs in these urban settings. The analysis demonstrates that programs using IPM approaches for bed bug management can lead to significant reductions in bed bug incidence and density when compared with insecticide-reliant approaches. However, total elimination of bed bugs in multiunit environments remains a challenge and is often reported as unattainable, raising concerns about the effectiveness of strategies for bed bug management used in these environments. Several factors may contribute to the persistence of bed bugs in low-income, multiunit housing situations, including lack of awareness and education of residents and staff about bed bugs, overall building infestation levels, resident lifestyles, reluctance to report infestations, resident abilities to undertake unit preparation required by some pest management companies, and low efficacy of insecticide treatments. Although community-wide and proactive bed bug management programs are shown to be more effective, sustainable, and economically viable in the long term than reactive and insecticide-only programs, general adoption of best practices may be impeded by budget limitations and interest of affordable multiunit housing providers. Los chinches de cama (Cimex lectularius) es una plaga que se sigue expandiendo en ambientes urbanos. Estos insectos representan un serio problema en edificaciones multi-residenciales de familias de bajos nivel de ingresos económicos, donde las infestaciones son difíciles de controlar, tienden a volverse crónicas y sirven de reservorios desde donde los chinches se dispersan. Este documento revisa y reporta información publicada de la validación de varios métodos para para detectar y manejar los chinches de cama en estos ambientes urbanos. El análisis mostró que los programas que usan abordajes de Manejo Integrado de Plagas (MIPs) para el control de los chinches de cama pueden reducir de manera significativa la incidencia y densidad de estos insectos, si se compara con los programas donde se utilizan solamente insecticidas. Sin embargo, la erradicación de los chinches de cama en estos ambientes sigue siendo un reto y muchas veces difícil de alcanzar, lo que genera dudas acerca de la eficacia de estos programas para el chinche de cama usados en estos ambientes. Varios factores podrían contribuir a la persistencia de chinches de cama en estas edificaciones, los cuales incluye la escasez de concientización y educación de residentes y personal administrativo acerca del insecto, los altos niveles de infestación de chinches en las edificaciones, los hábitos de vida de los residentes, renuencia a reportar infestaciones, incapacidad para llevar a cabo la preparación de la vivienda exigida por las compañías de manejo de plagas, y baja eficacia de los tratamientos con insecticidas. Aunque los programas de manejo comunitario y proactivo de los chinches de cama son más efectivos, sostenible y económicamente viable a largo plazo, si se compara con los programas reactivos que solo aplican insecticidas, la adopción general de estas prácticas podría dificultarse debido a limitaciones presupuestales y la falta de interés que tienen las empresas proveedoras de vivienda subsidiadas en edificaciones multi-residenciales de bajos recursos.

School environmental conditions have immediate and long-term effects on student health and learning. Relying on disconnected, inconsistent, voluntary, or unenforced environmental standards has not resulted in sufficient protection of students from toxic insults. Furthermore, the United States public school system was not prepared to navigate a potentially deadly infectious disease like COVID-19. Although Department of Education agencies have policies to establish clean and safe learning spaces, deficiencies are evident. This article highlights common environmental challenges in schools and opportunities for improvement. Voluntary adoption of rigorous environmental policies by grassroots efforts alone is unlikely to occur in all school systems. In the absence of a legally enforced requirement, the dedication of sufficient resources to update infrastructure and build the environmental health workforce capacity is equally unlikely to occur. Environmental health standards in schools should not be voluntary. Science-based standards should be comprehensive, and part of an actionable, integrated strategy that includes preventive measures and addresses environmental health issues sustainably. Establishing an Integrated Environmental Management approach for schools will require a coordinated capacity-building effort, community-based implementation efforts, and enforcement of minimal standards. Schools will need ongoing technical support and training for staff, faculty, and teachers sufficient to enable them to assume greater oversight and responsibility for environmental management of their schools. Ideally, a holistic approach will include all environmental health components, including IAQ, IPM, green cleaning, pesticide and chemical safety, food safety, fire prevention, building legacy pollutant management, and drinking water quality. Thus, creating a comprehensive management system with continuous monitoring and maintenance. Clinicians who care for children can serve as advocates for children's health beyond their clinic walls by advising parents and guardians to be aware of school conditions and management practices. Medical professionals have always been valued and influential members of communities and school boards. In these roles they can greatly assist in identifying and providing solutions to reduce environmental hazards in schools.

Given that older Aedes aegypti (L.) mosquitoes typically pose the greatest risk of pathogen transmission, the capacity to age grade wild Ae. aegypti mosquito populations would be a valuable tool in monitoring the potential risk of arboviral transmission. Here, we compared the effectiveness of near-infrared spectroscopy (NIRS) to age grade field-collected Ae. aegypti with two alternative techniques—parity analysis and transcript abundance of the age-associated gene SCP1. Using lab-reared mosquitoes of known ages from three distinct populations maintained as adults under laboratory or semi-field conditions, we developed and validated four NIRS models for predicting the age of field-collected Ae. aegypti. To assess the accuracy of these models, female Ae. aegypti mosquitoes were collected from Maricopa County, AZ, during the 2017 and 2018 monsoon season, and a subset were age graded using the three different age-grading techniques. For both years, each of the four NIRS models consistently graded parous mosquitoes as significantly older than nulliparous mosquitoes. Furthermore, a significant positive linear association occurred between SCP1 and NIRS age predictions in seven of the eight year/model combinations, although considerable variation in the predicted age of individual mosquitoes was observed. Our results suggest that although the NIRS models were not adequate in determining the age of individual field-collected mosquitoes, they have the potential to quickly and cost effectively track changes in the age structure of Ae. aegypti populations across locations and over time.