Head Lice (Pediculosis Capitis)
Cause
Pediculosis Capitis, the head louse which infests the hair on the head.
Signs and Symptoms
- Tickling feeling of something moving in the hair.
- Itching, caused by an allergic reaction to the bites of the head louse.
- Irritability and difficulty sleeping; head lice are most active in the dark.
- Sores on the head caused by scratching. These sores can sometimes become infected with bacteria found on the person's skin.
Transmission
- Head lice move by crawling; they cannot hop or fly.
- Head-to-head contact with an already infested person.
- Dogs, cats, and other pets do not play a role in the spread of head lice.
Period of Communicability
- Head Lice cannot survive long without a HUMAN host.
- To live, adult lice need to feed on blood several times daily.
- Without blood meals, the louse will die within 1 to 2 days off the host.
Helpful Hints
- The life cycle of the head louse has three stages: egg, nymph, and adult.
- Nits are head lice eggs. Nits take about 1 week to hatch (range 6 to 9 days).
- The egg hatches to release a nymph, they become adults in about 7 days after hatching.
- The adult louse is about the size of a sesame seed, has 6 legs (each with claws), and is tan to grayish-white in
Preventive Measures
- See "Administrative Guidelines for Dealing with Pediculosis Capitis (Head Lice) for School Personnel".
- Conduct periodic head lice screening throughout the school as indicated and examine siblings, close friends and playmates of the infested student.
Implications for School
NO NITs or LIVE LICE
- Exclude any student with live lice or nits.
- Student must be accompanied by parent/guardian for a follow-u p head check by school personnel for clearance to return to school.
- If Head Lice becomes chronic or persistent, a referral to the school social worker is needed.
UPON RETURN TO SCHOOL
Parents are expected to accompany students to school for re-inspection by school staff/nurse before a student may re-enter school. You must continue to remove nits or in 7 to 10 days they will hatch and live lice will be present again. Students are allowed a total of 5 excused absences for the treatment of head lice. The principal will make a referral to the school Social Worker if the problem persists or becomes chronic. The school social worker will make an assessment of the situation and follow-up as appropriate.