1. THE FACTS OF LICE

2. INTRODUCTION WORLDWIDE PHENOMENON SINCE PRE-HISTORIC TIMES
NOT KNOWN TO CAUSE DISEASE

3. RISK FACTORS
PRE-SCHOOL AND ELEMENTARY-AGE CHILDREN, 3-11 AND THEIR FAMILIES
FEMALES MORE THAN MALES
CLOSE HEAD-TO-HEAD CONTACT (during sport activities, slumber parties, at camp, etc)
RARE IN AFRICAN-AMERICANS
HYGIENE, HOME CLEANLINESS NOT A FACTOR

4. OTHER RISK FACTORS
CONTACT WITH HATS, SCARVES, COATS, BRUSHES ,TOWELS, LINENS, PILLOWS LESS COMMONLY CAUSES INFESTATION
MORE COMMON IN GIRLS THAN BOYS, CHILDREN AGES 3-12

5. THE LIFE-CYCLE OF LICE
Nits (the eggs of the head louse) are small yellowish-white, oval-shaped eggs that are "to the side of a hair shaft glued" at an angle
Nits must be laid by live lice. You cannot "catch nits."
Once 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 eggs.

6. Head lice are about the size of sesame seeds.
Head lice are clear in color when hatched, then quickly develop a reddish-brown color after feeding.
Head lice are about the size of sesame seeds.
Head lice have six legs equipped with claws to grasp the hair.
Head lice are crawling insects. They cannot hop, jump, or fly.
Head lice do not thrive on pets.

7. Head lice live for approximately 30 days on a host and a female louse may lay up to 100 nits (eggs).
Head lice off their human hosts will starve. The NPA suggests that, in most cases, a head louse will not survive for more than 24 hours off of its human host.
Head lice are small, wingless insects which feed on human blood. They need human blood in order to survive.

10. SYMPTOMS NITS OR LIVE BUGS( MORE RARE) ON HAIR, SCALP.
ITCHY SCALP (OCCURS LATER)
MAY HAVE RED, IRRITATED SCALP

11. WHERE ARE HEAD LICE FOUND?
MOST COMMONLY ON THE SCALP, BEHIND THE EARS AND NEAR THE NAPE OF THE NECK.
RARELY ON BODY, EYELASHES OR EYEBROWS.
HOLD ON TO HAIR WITH HOOK-LIKE CLAWS.

12. HOME TREATMENT
WASH ALL BED LINENS, CLOTHING, THAT AFFECTED CHILD HAS USED IN VERY HOT WATER (130 DEGREES)
PUT THEM IN HOT CYCLE OF DRYER FOR AT LEAST 20 MINUTES
BAG ITEMS THAT CAN’T BE WASHED FOR 2 WEEKS

13. HOME TREATMENT
VACUUM CARPETS AND ULPHOLSTERED FURNITURE IN HOME AND CAR
SOAK HAIR-CARE ITEMS IN ALCOHOL AND SHAMPOO FOR 1 HOUR OR WASH IN HOT WATER.

14. HOME TREATMENT
SHAMPOO AFFECTED CHILD IN PEDICULOCIDIC SHAMPOO (NIX, RID) AND AGAIN IN 7 – 10 DAYS.
BRING CHILD TO SCHOOL AFTER FIRST SHAMPOO FOR NURSE TO CHECK PRIOR TO RE-ADMISSION TO SCHOOL. BRING EMPTY SHAMPOO BOX
COMB WITH FINE-TOOTH COMB NIGHTLY FOR AT LEAST 2 WEEKS

15. HOME TREATMENT
DO NOT TREAT UNAFFECTED FAMILY MEMBERS BUT KEEP CHECKING THEIR HEADS
COMB, COMB, COMB AND MANUALLY REMOVE ALL NITS!
MAY SNIP HAIR WITH NIT ATTACHED

16. HOW TO INSPECT HAIR USE A GOOD LIGHT SOURCE-OVER HEAD LAMP
OR SIT BY A WINDOW
USING A COMB WITH A POINTED END,
SEPARATE EACH SECTION OF HAIR
(AS IF YOU ARE “TOUCHING” UP ROOTS)
GO THROUGH THE TOP RIGHT SECTION,
THEN TOP LEFT SIDE
AND BACK OF HEAD DOWN TO THE NAPE
START AT THE SCALP AND LOOK DOWN
THE LENGTH OF THE HAIR SHAFTS

17. /

21. RESISTANT CASES MEDICATION NOT WORKING MEDICATION KILLS CRAWLING BUGS,
BUT IS NOT ABLE TO PENETRATE THE EGGS.
NEW INFECTION-
YOU CAN INFESTED MORE THAN ONCE.
NOT FOLLOWING TREATMENT
INSTRUCTIONS FULLY.
CONTACT YOUR PHYSICIAN
MD MAY PRESCRIBE MEDICATED SHAMPOO

22. RESISTANT CASES
INADEQUATE AMOUNT OF MEDICATION-(LONGER HAIR MAY REQUIRE 2 BOTTLES)
SHAMPOOING THE HAIR TOO CLOSE TO APPLICATION OF PEDICULICIDE
NOT COMBING OUT THOROUGHLY!
DON’T RE-WASH HAIR FOR 1-2 DAYS AFTER TREATMENT
MEDICATION ALONE IS NOT ENOUGH-MUST COMB ALL NITS OUT.

23. ALTERNATIVE TREATMENTS
MAYONAISSE
CETAPHIL LOTION
OLIVE OIL, DAWN DISH SOAP, VINEGAR
DO NOT USE KEROSENE!
DOES NOT REPLACE USING
PEDICULOCIDE SHAMPOO
COAT HAIR, LEAVE UNDER PLASTIC CAP FOR A FEW HOURS; THEN WASH AND COMB OUT
SOME SUGGEST THAT SHAPOOING WITH TEA TREE OIL; GREEN APPLE SHAMPOO MAY ACT AS REPELLENT

24. WHAT CAN PARENTS DO?
CHECK YOUR CHILDREN’S HEADS WEEKLY THROUGHOUT THE YEAR.
CALL THE HEALTH ROOM IF YOU SUSPECT OR KNOW THAT YOUR CHILD HAS LICE.
RESEARCH SHOWS THE MOST EFFECTIVE TREATMENT OCCURS WHEN PARENTS CHECK THEIR OWN CHILDREN AT HOME, TREAT AND REMOVE THE NITS.

25. SCHOOL DISTRICT POLICY
CHILDREN MAY RETURN TO SCHOOL THE DAY AFTER TREATMENT (WITH THE BOXTOP AND PARENT)
SCHOOL OR STAFF NURSE MUST CHECK THE STUDENT’S HAIR
THERE MAY BE NO NITS LEFT WITHIN ½ INCH OF THE SCALP TO BE ALLOWED BACK IN CLASS.
2ND SHAMPOO, 7-10 DAYS AFTER THE FIRST ONE; CHILD MAY COME TO HEALTH ROOM ON OWN WITH BOXTOP.
CLASSMATES OF AFFECTED CHILDREN ARE CHECKED ONCE.
COATS, BACKPACKS DO NOT HAVE TO BE BAGGED OR SEPARATED.