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These Are the Cities With the Most Bed Bugs

TIME Health
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The cities with the most cases of bed bugs in the United States are Chicago, Detroit and Columbus, Ohio, according to a recent promotional study released by the pest control company Orkin.

Orkin calculated the number of bed bug treatments it performed between January to December 2014, and ranked the cities based on how often they were called in. Having bed bugs doesn't mean a living place is especially dirty, and any home or workplace is susceptible if bed bugs travel on clothing or in luggage.

Citing data maintained by the pest control industry, Orkin says Americans spent around $446 million getting rid of bed bugs in 2013. The bed bug business increased 18% last year, Orkin says.

Here's the full list of cities ranked from most to least cases of bed bugs:

  1. Chicago
  2. Detroit
  3. Columbus, Ohio
  4. Los Angeles
  5. Cleveland – Akron – Canton, Ohio
  6. Dallas – Ft. Worth
  7. Cincinnati
  8. Denver
  9. Richmond – Petersburg, Va.
  10. Dayton, Ohio
  11. Indianapolis
  12. Houston
  13. Seattle – Tacoma
  14. Washington , District of Columbia – Hagerstown, Md.
  15. Milwaukee
  16. San Francisco – Oakland – San Jose
  17. Raleigh – Durham – Fayetteville, N.C.
  18. New York
  19. Charleston – Huntington, W.Va.
  20. Grand Rapids – Kalamazoo – Battle Creek, Mich.
  21. Omaha, Neb.
  22. Louisville, Ky.
  23. Nashville, Tenn.
  24. Lexington, Ky.
  25. Atlanta
  26. Buffalo, N.Y.
  27. Sacramento – Stockton – Modesto, Calif.
  28. Syracuse, N.Y.
  29. Boston – Manchester
  30. Charlotte, N.C.
  31. Baltimore
  32. Phoenix – Prescott
  33. Miami – Ft. Lauderdale
  34. Knoxville, Tenn.
  35. Cedar Rapids – Waterloo – Dubuque, Iowa
  36. Minneapolis – St. Paul
  37. Hartford – New Haven, Conn.
  38. Champaign – Springfield – Decatur , Ill.
  39. San Diego
  40. Lincoln – Hastings – Kearney, Neb.
  41. Kansas City, Mo.
  42. Honolulu
  43. Albany – Schenectady – Troy, N.Y.
  44. Colorado Springs – Pueblo, Colo.
  45. Myrtle Beach – Florence, S.C.
  46. St. Louis
  47. Greenville – Spartanburg, S.C. – Asheville, N.C.
  48. Bowling Green, Ky.
  49. Ft. Wayne, Ind.
  50. Toledo, Ohio
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