Three of Ohio's biggest cities are included on the list of the 50 most bed bug-infested towns in 2019. Cincinnati was ranked #5, Cleveland was ranked #7 and Columbus was #11 in a national ranking of cities with the worst bed bug infestations.
The only good thing about bed bugs is they do not carry diseases. However, they must have a blood meal between each of four growth stages and people react differently to bed bug bites. Some people suffer allergic reactions and develop painful swelling (US EPA).
Bed bugs are small but observable and they leave many signs of their presence. They are drawn to the breath and body odors of sleeping people or where people spend most of their time (chairs, couches, etc.). That's why you can often find them near the head of the bed or in cracks, crevices or folds in furniture you use frequently.
The most obvious signs include: