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I worked at a Goodwill here in Ohio for a number of years. We sterilize all our dolls/textiles/etc with wicked powerful cleaner to prevent any possible germ or parasite contamination. Bed bugs are not small though, you would likely see them on a doll or notice damage to the fabric for some other insects. Extreme heat does well killing them. Not sure about cold if it kills them or just sends them into a dormant state. Always better safe though!
You're more likely to bring one home on your clothes when you go to the store. They aren't deadly though, just creepy. I see those infested shows on tv and everybody treats them wrong and stupidly. An exterminator spraying around the perameter of the room won't do anything. Here's my attack plan. If you have them, first start going to bed camping style (with mosquito spray on). Then buy lots of diatomaceous earth and bug spray. Start with one room and remove everything but big furniture. Start drying clothing and textiles you can in dryer. Put diatomaceous earth on entire floor and leave it sit for as long as you like before you vacuum, although you should wear a mask to avoid breathing it in if you let it sit while you do the rest of the work. This stuff scratches the exoskeleton on bugs and allows them to dehydrate or take in pesticides faster, but its harmless to mammals. Then once the room is clear spray down couches or matresses fully with bug spray and let dry. Spray walls top to bottom left to right. Put bug spray in bucket and take a rag and gloves and start wiping down dresser pulling out each drawer and wiping all around them. Throw some diatomaceous earth in the drawers if you want, it won't hurt your clothes except to get powder on them. As you bring stuff back into the room, wipe whatever you can top to bottom with the bug spray. Even most paper can be wiped with a lightly damp cloth without ruining it. Got a bucket of legos or something like that, throw them in bleach water. Mix them all around so there are no air pockets in them where a bug could hide. Go room to room and go through everything with a fine tooth comb, or more like a bucket and a few spray bottles of bug spray and diatomaceous earth. I'd win, I'm persistant.
What I don't understand is how homes are getting infested from people supposedly picking them up on their clothes or bags from other locations. Wouldn't this require multiple bugs hitchhiking on you? Unless they are trashy/dirty, how does someone not notice that?
*shivers* I hate being in a line of work that sometimes has to deal with bed bugs. I remember lice as a child, and I have a psychosis against crawly parasite bugs.
How long would it take to just starve them out? I know they can survive in bedding for a while, but not indefinitely, so maybe the most gentle way to get rid of them is to put the toy in a sealed plastic bag for a month or two to quarantine it and make sure any potential bugs die. This works for lice anyway