Bed-bugs ordinarily crawl from their hiding places and attack the face and neck or uncovered parts of the legs and arms of their victims. If undisturbed, they will feed to repletion. We have found that the young nymph would glut itself in about six minutes, though some individuals fed continuously for nine minutes, while the adult required ten to fifteen minutes for a full meal. When gorged, it quickly retreats to a crack or crevice to digest its meal, a process which requires two or three days. The effect of the bite depends very greatly on the susceptibility of the individual attacked. Some persons are so little affected that they may be wholly ignorant of the presence of a large number of bugs. Usually the bite produces a small hard swelling, or wheal, whitish in color. It may even be accompanied by an edema and a disagreeable inflammation, and in such susceptible individuals the restlessness and loss of sleep due to the presence of the insects may be a matter of considerable importance. Stiles (1907) records the case of a young man who underwent treatment for neurasthenia, the diagnosis being agreed upon by several prominent physicians; all symptoms promptly disappeared, however, immediately following a thorough fumigation of his rooms, where nearly a pint of bed-bugs were collected. It is natural to suppose that an insect which throughout its whole life is in such intimate relationship with man should play an important rôle in the transmission of disease. Yet comparatively little is definitely known regarding the importance of the bed-bug in this respect. It has been shown that it is capable of transmitting the bubonic plague, and South American trypanosomiasis. Nuttall succeeded in transmitting European relapsing fever from mouse to mouse by its bite. It has been claimed that Oriental sore, tuberculosis, and even syphilis may be so carried. These phases of the subject will be considered later. The sources of infestation are many, and the invasion of a house is not necessarily due to neglect, though the continued presence of the pests is quite another matter. In apartments and closely placed houses they are known to invade new quarters by migration. They are frequently to be met with in boat and sleeper berths, and even the plush seats of day coaches, whence a nucleus may be carried in baggage to residences. They may be brought in the laundry or in clothes of servants. Usually they are a great scourge in frontier settlements and it is generally believed that they live in nature under the bark of trees, in lumber, and under similar conditions. This belief is founded upon the common occurrence of bugs resembling the bed-bug, in such places. As a matter of fact, they are no relation to bed-bugs but belong to plant-feeding forms alone (fig. 19 _c_, _d_).