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Midwest Dominates the Rankings
While Chicago claimed the top spot, the Midwest featured prominently throughout the rankings. Ohio had the highest number of cities in the top 50, reflecting a broader regional trend of increased bed bug treatment activity.
How the Rankings Are Determined
The annual rankings are based on the number of residential and commercial bed bug treatments performed by Orkin between May 12, 2025, and May 12, 2026. The list measures treatment activity rather than the total number of confirmed infestations, offering a snapshot of where pest control services were most frequently required. ()
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