Public Awareness, Perception, and Knowledge of Bed Bug Infestation Prevalence in Iraq

Background: Bed bugs are blood-feeding insects and are an important urban pest. Bed bugs are nocturnal insects and hide in cracks in walls and beds during the day. The study aims to: (1) determine the bed bugs species that infest Iraq, their infestation source, and their distribution; (2) determine the level of awareness and concern regarding bed bugs among the Iraqi community. Methods: Between 2020 and 2021, a survey of bed bug infestation dynamics was conducted in 18 infested sites located in major cities across eight governorates. The 23-item online survey was distributed over social media to Iraqi citizens between June and July 2022 to survey on their familiarity with bed bug habitat, medical significance, transmission, pre­vention, control measures, and concerns. Results: There were a total of 1104 bed bugs collected. Based on the morphological characteristics, bed bugs collected from eight Iraqi governorates are identified as Cimex hemipterus. Besides, a high rate of bed bug infestation was ob­served in workers' dormitories. The online questionnaire was answered by 1843 respondents and based on the feedback, most respondents (55.3%) have no awareness of bed bug infestations, while around 43.8% are somewhat concerned about bed bug infestations in Iraq. Conclusion: Only tropical bed bugs, C. hemipterus were found in all sampled sites. Bed bug infestations are mainly caused by migrant workers and the reuse of second-hand furniture and clothing. The results suggest that the Iraqi gov­ernment should organize more proper demonstrations on bed bug awareness for the public.