The worst states for bed bugs in the US are generally those with large, dense urban populations, high rates of travel and tourism, and older high-density housing, which allows bed bugs to spread easily through apartments, hotels, and public transportation. According to annual reports from pest control companies like Orkin and Terminix that track the number of bed bug treatments performed, the states that consistently rank highest include New York, California, Florida, Texas, Ohio, Illinois, and Georgia. New York City, especially, is almost always ranked as the number one worst city for bed bugs due to its population density, international travel, and large apartment building stock. Other states that frequently appear in the top 15 worst for bed bugs include Pennsylvania, Michigan, Indiana, North Carolina, Virginia, and Tennessee. Warm, humid states like Florida have year-round bed bug activity, while colder northern states still have major issues because bed bugs thrive indoors in heated buildings regardless of outside temperature. It is important to note that bed bugs are found in all 50 states and are not a sign of poor hygiene, as they can be picked up in five-star hotels, airports, movie theaters, and offices. The worst states simply have more reported cases because they have more people living close together, more travel hubs, and more pest control data being collected.
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