Head Lice Prevention and Treatment Ruth-Anne Morris Public Health - - PowerPoint PPT Presentation

Ruth-Anne Morris Public Health Nurse

September 2013

Head Lice

Prevention and Treatment

How Is Head Lice Spread?

Head lice spread through direct contact among children (head-to-head),or indirectly on items such as : hats, combs, hairbrushes, headbands, helmets, and toques.

The cycle of head lice

How do I check for head lice?

To confirm a case of head lice, you need to find live lice. Good lighting is important when you are checking. Head lice move fast and are hard to see. They are usually found very close to the scalp, at the bottom of the neck and behind the ears. To look for nits, part hair in small sections, moving from

• ne side of the head to the other. Check carefully,

looking close to the scalp.

Head lice eggs on hair and head louse on fingernail

Description of Lice Eggs (Nits)

• oval, white-gray-tan-dark brown

cylinders about 1/16 inch long.

• glued to the side of the hair ¼ inch

(6mm) from the scalp.

• Older nits are found further from the

scalp due to hair growth. Nits found ½ inch (12mm) from scalp are considered nonviable.

Nit Removal

Expert opinion is that removal of nits is not necessary for adequate treatment, and prevention of the spread of head lice. This opinion is based on knowledge of the life cycle of head lice.

Keys to Controlling Head Lice

• Two treatments, 9 days apart, for every

family member who has lice.

• Daily lice combing between treatments.
• Careful checking of everyone who has been

in close contact with someone who has head

• lice. Only treat those with lice.
• Cleaning personal and household items

family members with lice may have used.

Treatment Rational

• The first treatment will kill most lice and some nits
• Daily lice combing will remove adult lice who have

survived.

• Residual viable nits will hatch into immature lice

within 7 -10 days post first treatment. Daily lice combing and the second treatment will remove/kill these immature lice before they are able to lay a second generation of nits.

• The time and energies for treatment need to be

focused on two adequate treatments 9-10 days apart and daily follow-up in between (rather than on nit removal).

How can head lice be treated?

• Comb hair with regular comb to remove tangles
• Apply treatment as package describes on dry hair.
• Rinse out the treatment over the sink, dry hair with

clean towel.

• Comb hair with regular comb to remove tangles
• Comb for lice daily.
• Apply 2nd treatment 9 days post 1st treatment
• Continue checking family members regularly for at

least 3 weeks post second treatment.

Combing for lice

• Pick a place to start, top of head or behind ears.
• Part hair into thin, narrow sections, comb one

section at a time.

• Place lice comb against the scalp and pull it to the

end of the hair.

• Check the teeth of comb after each pull through hair.

Rinse off any lice or nits under running water or wipe them away with a tissue, bag tissue.

• Repeat combing until head is done several times.

Combing con’t

When completed wash the lice comb under the tap, use a nailbrush or toothbrush to get between the teeth of the comb. Any discarded tissue should be placed in a plastic bag, tied and trashed.

Household Clean-up

• Wash all items used by infected people in

the last 3 days (hair accessories, clothing, sheets, towels, pillowcases, stuffed toys etc.

• Wash in very hot soapy water for at least 10

minutes.

• Larger items that can’t be washed can either

be placed in a plastic bag for 10 days, put in a hot dryer for 20 minutes, or place in the freezer for 24 hours, or ironed.

Do Not Treat Your Home

• Lice live their entire life cycle on the human body.
• Lice die within 2-3 days after falling off the host.
• Treatment of homes with insecticidal sprays is

unnecessary and may be hazardous.

• Vacuum mattresses, carpets and furniture.

• .

How to prevent the spread of Head Lice

Check your child’s head regularly:

• 1. once a week as part of your

routine

• 2. after every sleepover
• 3. every day during lice outbreaks at

school

• Keep long hair tied back or braided.

Teach your child not to share personal items that are used on their head:

things like brushes, combs, barrettes, headbands, elastics, towels, hats, helmets, toques, and scarves.

Web Links

• The provincial Head Lice pamphlet ‘How to Find, Treat

and Prevent Head Lice’: http://www.goc.ns.ca/hpp.publications/07135headlicepam phleten.pdf.

• The Provincial guidelines for Head Lice:

http;//www.gov.ns.ca/hpp/publications.headliceguidelinesf

• r treatment.
• HRSB policy:

http://www.hrsb.ns.ca/files/downloads/pdf/board/policy/se ctionb/b.005-head-lice.pdf.

More Great Websites…

• The Canadian Pediatric Society:

http://www.caringforkids.cps.ca/whensick/headlice.htm.

• Pollack, Richard. Harvard School of Public Health:

https://identify.us.co./idmybug/head-lice/index.html.

• Rick Speare. James Cook University:

www.jcu.edu.au/school/phtm/PHTM/hlice/hlinfo1.htm.

• Center of Disease Control and Prevention:

www.cdc.gov/ncidod/dpd/parasites/headlice/factsht_head _lice.htm.