Presentation on theme: "MANAGING HEAD LICE IN THE SCHOOL SETTING"— Presentation transcript:
1 MANAGING HEAD LICE IN THE SCHOOL SETTING A presentation for teachers and parentsCarolyn Genatossio, RN, MPHThis PowerPoint presentation has voice over
2 ObjectivesThe objective of this presentation is to provide current research based information about head lice and how to manage children with lice in the school setting.At the conclusion of this presentation the learner will:Understand what head lice are and how they are transmittedUnderstand the rationale for the recommendations to not exclude children with lice from schoolUnderstand the general principles of prevention and treatment
3 The “Icky Reaction”First and foremost it must be acknowledged that when we hear the word “lice” we immediately have the “icky reaction”.Parents and teachers alike have a tendency to react with great alarm, if not panic, when they hear that they have a child at home or in their classroom who has lice.In the past, children with lice have been banished from school and advised not to return until they are “nit free”.Parents have gone to great lengths to rid their child of lice- even resorting to calling a 24 hour hotline and using untested home remediesSchool nurses have spent precious time doing classroom “lice checks” and subsequently sending children home who are found to have lice.
4 The result is that children miss important learning time, parents are needlessly burdened, and school nurses waste precious time
5 What are head lice?The head louse, or Pediculus humanus capitis, is a parasitic insect that can be found on the head, eyebrows, and eyelashes of peopleHead lice are small, wingless insects which feed on human blood and live close to the scalpThey need human blood in order to surviveHead lice that are off of their human hosts will starveIt is generally believed that a head louse will not survive for more than 24 hours when off of its human hostHead lice are not known to spread diseaseHead lice do not thrive on pets
6 Learning the lice cycle Live lice lay eggs, these are called nits- you can not catch nits- they need to be laid by live lice Nits are small yellowish-white (pearly) and oval shaped and are glued to the hair shaft at an angleOnce laid, it takes 7-10 days for a nit to hatch, and another 7-10 days for the female to mature and begin laying her own eggsHead lice are clear in color when hatched, then quickly develop a reddish-brown color after feedingHead lice are about the size of sesame seedsHead lice have six legs equipped with claws to grasp the hairHead lice live for approximately 30 days on a host and a female louse may lay up to 100 nits (eggs).
7 What are the signs of a lice infestation The presence of lice is usually detected by the presence of adult live lice, or nits (eggs) attached to the hair shaftNits are often at the nape of the neck and behind the ears Complications of infestations are rare and involve bacterial skin infections caused by scratching and subsequent introduction of bacteria normally found on a person’s skinItching is the most common symptom of a lice infestation, along with the following additional symptoms:a tickling feeling or a sensation of something moving in the hair irritability and sleeplessnesssores on the head caused by scratching
9 An age old problemHead lice have been around for thousands of years, evidence of infestations have been found in ancient Egyptian tombsAll children are at risk for head liceHaving lice has nothing to do with hygiene, income, or any other factors except that children are social beings and are therefore at higher risk for getting head lice
10 How are lice spread? Lice spread through direct contact They cannot jump or fly – they crawlThe most common cause of infestation is direct head-head contact with an already infected personLice can survive for short periods on clothing, hats, hairbrushes, scarves, coats, sports uniforms, bedding, couches, carpeting, pillows, stuffed animals etc. so these can be involved in the spreadDogs, cats, and other pets do not play a role in the spread of head lice
11 According to the American Academy of Pediatrics (AAP) Screening for lice has not been proven to have a significant effect on the spread of head lice in a school communityIn addition such screening has not been shown to be cost-effectiveChildren who are found to have lice eggs (nits) or live lice have most likely been infected for days if not weeksThe AAP recommends that healthy child should not be excluded from or miss school because of head lice, and no-nit policies for return to school should be abandoned.See more at:
12 National Association of School Nurses It is the position of the National Association of School Nurses that the management of head lice should not disrupt the educational process. No disease is associated with head lice, and in‐school transmission is considered rareWhen transmission occurs, it is generally found among younger aged children with increased head‐to‐head contact Children found with live head lice should remain in class, but be discouraged from close direct head contact with others
13 From a parent who has been there “Lice are not particularly contagious, they hurt basically no one, and they’re not a public health risk. Lice don’t actually matter”.Dan Kois, senior editor at Slate and a contributing writer to the New York Times Magazine.
14 Treatment- general guidelines It is recommended that you consult a health care provider about treatmentTreatment for head lice is recommended for persons with an active infestationAll household members and other close contacts should be checked; those persons with evidence of an active infestation should be treatedSome experts believe prophylactic treatment is prudent for persons who share the same bed with actively-infested individuals.All infested persons (household members and close contacts) and their bedmates should be treated at the same time
15 TreatmentTreatment for head lice usually consists of shampooing the hair with a medicated shampoo containing one of the following ingredients: permethrin, pyrethrin, malathion, benzyl alcohol, spinosad, or ivermectin.Shampoos containing lindane are no longer recommended.Hair should be checked daily for the 10 days following treatment for newly hatched head lice. If these are present, an additional treatment may be necessary. Many of these agents require a reapplication of the treatment 7-10 days later to kill immature lice that may have hatched from eggs that were not inactivated during the initial treatment
16 TreatmentBefore shampooing remove clothing that can become wet or stained during treatmentApply lice shampoo, also called pediculicide, according to the instructions contained in the box or printed on the label.If the infested person has very long hair (longer than shoulder length), it may be necessary to use a second bottle. Pay special attention to instructions on the label or in the box regarding how long the medication should be left on the hair and how it should be washed out.
17 Treating the environment Machine wash and dry clothing, bed linens, and other items that an infested person wore or used during the 2 days before treatment using the hot water (130°F) laundry cycle and the high heat drying cycle.Clothing and items that are not washable can be dry-cleaned or sealed in a plastic bag and stored for 2 weeksVacuum the floor and furniture, particularly where the infested person sat or layDo not use fumigant sprays or fogs; they are not necessary to control head lice and can be toxic if inhaled or absorbed through the skin
18 Take these steps to help prevent and control the spread of head lice Avoid head-to-head (hair-to-hair) contact during play and other activities at home, school, and elsewhere (sports activities, playground, slumber parties, camp)Do not share clothing such as hats, scarves, coats, sports uniforms, hair ribbons, or barrettesDo not share combs, brushes, or towels. Disinfest combs and brushes used by an infested person by soaking them in hot water (at least 130°F) for 5–10 minutesDo not lie on beds, couches, pillows, carpets, or stuffed animals that have recently been in contact with an infested person
19 The experts agreeRoutine screening is not cost effective and has not proven to have a significant effect on the spread of head lice in a school community over timeNo child should unnecessarily miss time from learningNo healthy child should be excluded from or allowed to miss school time because of head liceA No-nit policy for return to school should be abandoned
20 ReferencesAndresen, K. & McCarthy, A. (2009). A policy change strategy for head lice management. The Journal of School Nursing, 25(6),Gordon, S.(2007). Shared vulnerability: A theory of caring for children with persistent head lice. The Journal of School Nursing, 23(5),Pontius, D. (2011). Hats off to success: Changing head lice policy. NASN School Nurse, 26(6),Weisberg, L. (2009). The goal of evidence-based pediatric guidelines. NASN School Nurse, 24(4),
21 References and Resources to view links right click on the links and click open hyperlink
22 ResourcesThe National Association of School Nurses has many resources including handouts for teachers and parents