LICE FACTS VS. FICTION

Head lice continue to be a problem in homes, schools, and day care centers, wherever children cluster--sports, church activities, school, birthday parties, slumber parties. Lice infestation (pediculosis) is a nuisance but does not cause disease. Peak seasons are August through October and January.

Some common myths and truths about head lice: Myth: Lice are easy to get Fact: They are spread only by head to head contact —harder to get than a cold, flu, pink eye, strep throat. Myth: Poor hygiene contributes to lice Fact: Lice prefer clean hair. Myth: Lice can jump or fly Fact: Lice only crawl from person to person Myth: Lice live a long time Fact: Lice live only 1 or 2 days off the head Myth: You can get lice from animals/pets Fact: They are species specific—you can only get human lice from another human.

Managing this sometimes frustrating problem centers on 3 steps:

PREVENTION--Head-to-head contact or an exchange of hairbrushes, pillows, sheets, (rarely but possibly hats, clothing, combs, brushes, helmets, scarves, headphones, or other personal items) can transmit live lice from an infected child to others. Teach your children not to share these items.

TREATMENT OF THE INDIVIDUAL—2 major steps:  Lice shampoo (pediculocide), crème rinse, or gel. Both prescription and over- the-counter remedies are designed to kill the lice and nits (if they are mature enough to have a nervous system). There are many on the market, usually containing permethrin or pyrethrins. Most are insecticides, so follow label directions carefully, especially regarding length of time shampoo stays on the hair and how soon to treat again.  Remove nits with a special comb with fine metal tines. Nits (eggs) are cemented to the hair shafts with a glue-like substance produced by the female louse. Enzymatic lice egg removers, olive oil, or crème rinse may help in this process.

ENVIRONMENTAL CLEANUP  Wash bed linens, pillows, towels, and clothing that have been recently used in hot water and dried in a hot dryer to destroy lice and nits. Soak combs, brushes, barrettes, hats, etc. in very hot water (130° F) for at least 15 minutes. Seal stuffed animals and other non washable items in plastic bags and store them in a garage or porch for 2 weeks. Vacuum carpets, upholstered furniture, car interiors and seats, and the throw the vacuum bag in the garbage. USING PESTICIDES OR SPRAYS is an unnecessary expense and increases toxicity.

If you have questions or need further help, contact the school nurse through your child’s school.