Baltimore is known for many things: water views, historic neighborhoods, crab cakes. But now, it seems we may have to add bed bug infestations to that list. Pest control company Orkin released its annual list of the Top 50 Bed Bug Cities today, and Baltimore nabbed the number one spot—for the second year in a row. Washington, D.C. follows in second place (also for the second year in a row), just ahead of Chicago in third.

The ranking is based on the number of bed bug treatments Orkin performed from December 1, 2016 through November 30, 2017, and includes both residential and commercial buildings. The seed-sized critters seem to prefer East Coast and Midwest living, with those areas taking up the majority of the list. Brand new to the top 50 this year are New Orleans and Flint, Michigan. One shining glimmer of good news? New York City fell a whopping four spots from number four to number eight (hey, we'll take it), and Orlando fell off the list completely.

Here are the 10 cities topping off the list this year:

Baltimore Washington, D.C. Chicago Los Angeles Columbus, Ohio Cincinnati Detroit New York San Francisco-Oakland-San Jose Dallas-Fort Worth

We understand it's not exactly pleasant to think about a city crawling with bed bugs (tiny insects that feed on human blood, in case you didn't know), but don't let this list prevent you from visiting the cities at the top—or staying in their hotels. Although infestations in hotels and resorts are on the rise, there are preventative measures you can take. The first thing you should do when entering a hotel room is place your luggage in the bathtub, as the bugs can't cling to that slippery surface. From there, inspect your bed and surrounding furniture for any signs of life (we even have a handy guide for you). And make sure you don't leave your dirty laundry lying on the floor, as bed bugs are known to crawl into the folds and get transported back to your home.

Or in a bind, just remember to S.L.E.E.P. Orkin was kind enough to supplement their terrifying list with this handy room-inspecting acronym, which goes as follows:

S urvey the hotel room for signs of an infestation. Be on the lookout for tiny, ink-colored stains on mattress seams, in soft furniture, and behind headboards.

L ift and look in bed bug hiding spots: the mattress, box spring, and other furniture, as well as behind baseboards, pictures and even torn wallpaper.

E levate luggage away from the bed and wall. The safest places are in the bathroom or on counters.

E xamine your luggage carefully while repacking and once you return home from a trip. Always store luggage away from the bed.

P lace all dryer-safe clothing from your luggage in the dryer for at least 15 minutes at the highest setting after you return home.

So have a good night, sleep tight, and... well, you know the rest.