PARENT INFORMATION SHEET Three (3) steps in treating head lice: 1. Kill the lice An FDA approved lice-removal, medicated product is the most effective way to treat head lice. Consult with your doctor if you are unsure of which lice-removal product is best. Follow the directions included with the product exactly. Check the entire family for lice and treat only those found to be effected. Persons with hair longer than shoulderlength may require a second bottle. Do not use regular shampoo or conditioner before using the recommended product. Do not re-wash hair for 1-2 days after treatment. Use a fine-tooth nit comb (a metal one works better) to comb out any dead and remaining live lice out after treating. Have the effected person put on clean clothing after treating. In order to kill any surviving hatched eggs before they reproduce, some lice-removal products recommend re-treatment in 7-10 days after the first treatment. Lice-removal products should only be applied by an adult. Do not apply lice-removal products on a child 2 years or younger without consulting your child’s doctor. If you are pregnant or nursing, consult your doctor before treating yourself. Home remedies, such as petroleum jelly, olive oil, and mayonnaise … have not been scientifically proven to work. Never use dangerous products such as gasoline or kerosene. 2. Remove the nits The comb out (nit-removal only) methods without medicated shampoo often fail. Most products do not kill all of the nits. Surviving eggs will hatch into crawling lice within 7-10 days, creating a cycle of new lice. Remember to retreat with a lice killing product as directed. Removing the nits will help remove uncertainty about new lice or eggs. After initial treatment and then daily, wet the hair, use a fine-tooth or special lice comb to comb out the lice or nits. Comb through hair in small sections. Wipe the comb on a wet paper towel or rinse the comb with hot water after each comb through. Some products are available that claim to loosen the “glue” that attaches the nit to the hair, making removal easier. Vinegar or vinegar-based products are not recommended for use with permethrin (Nix) Check hair daily for nits/lice for several weeks after treatment. Sources: Centers for Disease Control American Academy of Pediatrics 3. Environmental/Preventative Measures Machine wash all washable clothing and bed linens which have been in contact with the effected persons during the last 3 days. Articles should be washed in HOT water and dried in a HOT dryer. Items that cannot be washed should be sealed and stored in a plastic bag for 2 weeks or dry cleaned. Soak combs and brushes in hot water (at least 130o for 5-10 minutes. Vacuum the floor, furniture, car seat where the effected person came in contact. Vacuum and damp wipe interior of cars and infant seats. Do not use fumigant sprays or fogs. They can be toxic if inhaled or absorbed through the skin. Tell your friends, school officials, and all activity site personnel (sports teams, gymnastic teams, etc.) about the infestation so that other parents can be alerted to a possible outbreak. Parental cooperation will help control this problem. To prevent the spread of head lice: Avoid head-to-head contact during play and other activities. Do not share clothing such as hats, scarves, ribbons and barrettes. Do not share combs, brushes or towels. Check children weekly for lice to identify and treat early. 2/10/2015
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