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Baltimore has the worst bed bug infestation in America, according to study

For the second year in a row, Baltimore is ranked as the worst city for bed bug infestation.

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This is a superlative no one wants their city to win.

Pest control company Orkin recently released the Top 50 Bed Bug Cities list, compiled with data from the places where Orkin performed the most treatments for bed bugs from December 2016 to November 2017.

The reality is that the bed bugs have shown that in cities across America, from mansions to small apartments. They’ve been increasing in number in the United States since the beginning of the century, as a result of the increased travel and restrictions of certain insecticides, but the numbers are especially high in these cities.

There is not so much that you can do to stop them; early detection is crucial, because there is no reliable way to keep them out of your house. Here are the warning signs you have a bed bug problem.

On the first place on the list for the second year in a row was Baltimore, closely followed by neighbouring Washington, D. C., Chicago, Los Angeles, Columbus, Cincinnati, Detroit, New York, San Francisco and Dallas all in the top ten.

New York, infamous for bed bugs, dropped four spots to eighth place, while Los Angeles, Cincinnati, and Dallas all rose in the rankings, as well as Atlanta, where Orkin is based. New Orleans and Flint, Michigan made the list for the first time.

So if you live in or a visit to one of these cities, it is wise to be a little more vigilant about your sensitivity to bed bugs. According to the CDC, bed bugs often come in contact with people through suitcases, bags, clothing, bedding, furniture, or where they can easily hide and hitch a ride.

Always inspect hotel rooms or in a place you could stay—here is a guide to see how to as well. Now, check out these secrets that bed bugs don’t want you to know.

This article originally appeared on Reader’s Digest

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