What are lice?
Contents
1. Pillows stuffed animals or non washable items must be either dry cleaned washed sealed in a plastic bag for 7 days or placed in a dryer for 20 minutes of hot air INSTRUCTIONS FOR MAYONNAISE TREATMENT Olive oil or mayonnaise treatment Olive oil or mayonnaise may be helpful as an additional treatment following the use of a lice shampoo because 1t smothers and kills active head lice Cover the entire scalp and hair with olive oil or real mayonnaise do not use low fat or mayonnaise substitute Then cover the head with plastic wrap or shower cap Leave the olive oil or mayonnaise on at least 4 hours or overnight Repeat treatment every 4 days for three weeks This is to coincide with the life cycle of the louse If you choose not to use a pediculicide lice shampoo use the olive oil or mayonnaise treatment for 2 days in a row in addition to all other designated days Leave the olive oil or mayonnaise in the hair for the nit removal Helpful Hints for Nit Removal Removing nits 1s the most important step in preventing the recurrence of head lice For the initial treatment use a pediculicide shampoo or treatment to kill the live lice and then Comb the hair with a regular comb if the hair is thick and or long to remove the tangles Comb the hair into one inch sections and remove the nits in each section by using a metal nit or flea comb A metal nit comb can be reused if washed and boiled Remove remaining nits by hand i2. DSHS la Academia Americana de Pediatr a y la Asociaci n Nacional de En fermeras Escolares entre otros no apoyan una pol tica antiliendres en las escuelas Una pol tica antiliendres es aquella que excluye a estudiantes de la escuela de bido a la presencia de huevos de piojo ya sea que haya piojos vivos o no En tanto nosotros en el DSHS no re comendamos una pol tica antiliendres s reconocemos que los distritos escolares podr an adoptar una como opci n local El DSHS no tiene la autoridad de imponer a los distritos una pol tica establecida tocante a los pio jos de la cabeza Sin embargo el DSHS s insta a los distritos escolares a que se aseguren que su pol tica no cause que los ni os falten a clases innecesariamente ni fomente la verguenza ni el aislamiento de los estudi antes que sufran de infestaciones continuas de piojos de la cabeza La infestaci n de piojos de la cabeza es un problema social no una amenaza de salud Las pol ticas antilien dres ponen un nfasis desproporcionado en el control de los piojos de la cabeza y no en los problemas de salud reales que deber an ser una de las m s altas prioridades Ese sobre nfasis puede llevar al uso poco productivo del tiempo del personal escolar y los padres de familia faltas a clases ausencias innecesarias y faltas de los padres al trabajo XX y Ex ih TEXAS Department of N State Health Services Para informarse al respecto comun quese con el Programa de
3. Guardian Your child has nits in his her hair Removing nits is the most important step in preventing the recurrence of head lice The Helpful Hints attached to this letter may be useful to you in getting the nits out Working together we can meet this challenge I am available to discuss any questions you might have concerning this matter Sincerely School Nurse Telephone Number My child has received treatment for lice in the past 7 days Name of Treatment Shampoo Rinse Date of Treatment It has been longer than 7 days since my child has received treatment for lice References for change in policy Center for Disease Control Division of Parasitic Diseases DPD National Center for Zoonotic Vector Borne and Enteric Diseases ZVED Information for Schools Information for Parents Content Source Page last reviewed May 16 2007 National Association of School Nurses Policy Statement Nit Free Policies in the Management of Pediculosis Adopted November 1999 Revised July 2004 American Academy of Pediatrics Clinical Report Head Lice PEDIATRICS July 26 2010 Immunizations amp Infectious Diseases An Informed Parent s Guide Copyright 2006 Last Updated 6 15 2010 Head Lice PEDIATRICS Vol 110 No 3 September 2002 pp 638 643 A statement of re affirmation for this policy was published on May 1 2009 Pediculosis Capitis Head Lice Red Book 2009 495 497 Committee on School Health and Committee on Inf
4. Old fashion remedies aren t completely effective Vinegar rinses or mayonnaise might kill lice but do not kill nits or detach them from hair The nits will still hatch and your child will be infested again See Fact Sheet 4 for ways to treat head lice 5 Cutting your child s hair or shaving their head to get rid of lice won t keep them away Lice stick to short and just grown in hair too 6 Lice don t hide in building cracks like cockroaches or sand boxes like other tiny insects So treating homes or schools with bug sprays or other pesticides would waste money and may harm children and adults around the treated areas 7 Your pets and other animals dont carry head lice and can t contract head lice from people 8 Always check with your physician or health clinic before using any new treatment or device claiming to get rid of lice and nits In most cases these are not yet proven and not yet approved by the FDA 9 Medications that are FDA approved for head lice treatments whether prescription or over the counter are safe and effective for children over the age of two For children younger than two check with your physician The Centers for Disease control and Prevention s Web site on head lice has more information about the specific medications found in head lice products Go to www cdc gov ncidod dpd parasites lice default htm for this and other information X SNN wt x e lt Q Ex TEXAS For more i
5. and symptoms of head lice are a Persistent itching and scratching of the scalp b Live lice are white and about 1 16 inch long c The lice eggs are called nits and are shiny grayish unlike dandruff they do not come off easily NOTE Nits are shiny grayish and look like dandruff but won t flick off Head lice do not hop jump or fly They crawl from one person to another by direct contact and by use of infested articles To control and avoid lice a Do not share hats coats headgear combs or brushes Inspect hair weekly for presence of lice and nits c Notify your child s school day care center or nursery if you find lice nits d Treat promptly if you find lice nits Children with head lice are not allowed to return to school until they have received the recommended treatment and have been cleared by the school staff or the health team It is important to notify the school if you find that your child has an active case and has received treatment School Nurse Telephone Number If you identify lice on your child please complete information below The following information is required before your student can re enter the class room Please complete and have your child take it to the health office when she he returns to school Child s Name Date of Treatment Parent s Signature Name of Treatment Shampoo Rinse CHILDREN S AISD STUDENT HEALTH SERVICES Teacher Grade DATE RE NITS Dear Parent
6. is a link to the official Texas Department state tx us mamd litcat default asp of State Health Services Communicable Disease e Center for Disease Control and Prevention CDC Chart For Schools and Child Care Centers which will Division of Parasitic Diseases www cdc gov detail the exclusion from and re admission to school ncidod dpd parasites lice default htm DSHS Public Health Regions To find your public health region call Regional Liaison Services requirements Each school district can make their rules tougher if 512 458 7111 ext 7297 or visit they choose And many do Talk to the school nurse or www dshs state tx us regions someone else in charge to find out what your child s e Harvard School of Public Health Head Lice school rules are Information and Frequently Asked Questions www hsph harvard edu headlice html American Academy of Pediatrics No Nit Policy News Release www aap org No Nit Policies The Texas Department of State Health Services DSHS the American Academy of Pediatrics and the National Association of School advocacy archives septlice htm Nurses to name a few do not support a no nit National Association of School Nurses Position policy in schools no nit policy is one that excludes Statement Pediculosis in the School Community students from school based on the presence of lice www nasn org Default aspx tabid 237 eggs whether or not live lice are present While DSHS
7. neck begins and behind the ears But they can live anywhere so look all over the scalp Asecond treatment and then a second combing are necessary Even after thoroughly using the nit comb live lice or nits could still be hiding somewhere on your child s head All products specifically created to treat head lice will recommend a second treatment anywhere from 7 to 10 days after the first treatment in order to kill any remaining or newly hatched lice EALTH O Department of State Health Services School Health Program at www dshs state tx us schoolhealth lice shtm or call 512 458 7279 d q S Ch 9 Services yw DE D F State ne Hoja informativa sobre los piojos de la cabeza N 3 Qu debo hacer si creo que mi hijo tiene piojos en la cabeza 1 Puede resolver el problema de los piojos de la cabeza de su hijo en casa sin ir a consulta con el doctor o a una cl nica El tratamiento debe ser con un champ o una crema de enjuague aprobada por la FDA que se pueda comprar sin receta en tiendas con farmacias en tiendas de abarrotes u otros lugares que tengan productos de farmacia 2 Muchos padres sienten verguenza cuando su hijo tiene piojos veces ayuda hablar con alguien que pueda ofrecer ayuda extra La enfermera de la escuela de su hijo su m dico y hasta su farmac utico pueden ayudar Las cl nicas de salud del vecindario la ciudad o el condado podr an proveer profesionales c
8. si lo lava y hierve Si es necesario quite con los dedos las liendres que queden Recuerde que para el tratamiento para liendres tendr xito si quita completamente TODAS las liendres Para ayudar a quitar las liendres puede usar aceite de oliva y dejarlo reposar en el cabello por 4 horas lo que har m s f cil quitarlas Otros productos que puede comprar para quitar liendres sin receta m dica son Clear Step 1 mayonesa y una soluci n de vinagre y agua una raci n de vinagre por una de agua Sugerencias tiles para limpiar su entorno Remojar cepillos y peines por una hora en un shamp pediculicida para piojos o de cinco a diez minutos en agua caliente 130 Despu s del tratamiento ponerse ropa limpia Cambiar y lavar todas las s banas fundas y colchas en agua caliente y secarlas en la secadora a temperatura caliente Lavar toda la ropa abrigos y sombreros que hayan sido usados Aspirar alfombras tapetes incluyendo la tapiceria del auto Almohadas animals de peluche o art culos que no se pueden lavar deben lavarse en seco lavarse con agua y jab n ponerse en una bolsa de pl stico herm ticamente cerrada por 7 d as o colocarlos en la secadora de ropa por 20 minutos en aire caliente CHILDREN S AISD STUDENT HEALTH SERVICES Teacher Grade DATE RE HEAD LICE Dear Parent Guardian Your child has signs and symptoms of head lice Even though they do not jump or fly they c
9. AISD Lice Prevention Control and Treatment Protocol Updated 2010 Based on recommendations from the American Academy of Pediatrics AAP 2010 Austin ISD has updated its Lice Prevention Control and Treatment Protocol to reflect the most current guidelines in the control of lice Head lice are common for children ages 3 12 Head lice are not a health hazard and are not responsible for the spread of any disease They are the cause of much embarrassment misunderstanding and many unnecessary days lost from work and school No nit policies which keep kids with lice home as long as they have any evidence of an infestation don t benefit these kids or their classmates and should be abandoned American Academy of Pediatrics 2010 Historically in an effort to decrease head lice infestations many US schools adopted no nit policies Subsequently schools report extended student absences Reports found that 12 to 24 million school days are lost annually due to exclusion of students with nits Presence of nits does not indicate active infestation and no evidence have been found that the presence of nits correlates with any disease process National Association of School Nurses 2004 No nit policies that require a child to be free of nits before they can return to school are not recommended Centers for Disease Control 2007 Texas Department of State Health Services is not alone in their stance against strict no ni
10. ANY child can get head lice It doesn t matter where they live or go to school how much money they have or if boy or girl black white or brown 10 A child isn t sick or unclean if they have head lice Taking baths won t kill lice or keep 11 Ex ha children from getting lice And if a child has head lice it certainly doesn t mean they have bad parents Dealing with lice is difficult sometimes embarrassing and can be overwhelming to anyone caring for children See Fact Sheet 3 for how to get rid of lice XX r QMEALTH Peo E TEXAS For more information contact the Department of State Health Services Y e eee School Health Program at www dshs state tx us schoolhealth lice shtm 5 or call 512 458 7279 EN di DSHS publication no E05 12865 Cof State A Hoja informativa sobre los piojos de la cabeza N 2 C mo s si mi hijo tiene piojos en la cabeza Y de ser as c mo se le pegaron 1 La comez n es el primer signo de piojos en la cabeza a menos que su hijo tenga un caso muy leve Rev sele toda la cabeza y el cuero cabelludo a su hijo especialmente detr s de las orejas y en la nuca cuando empiece a rascarse 2 F jese si tiene piojos y sus huevos o liendres Vea la hoja informativa n o 3 para informarse sobre las liendres Es posible que vea liendres antes de que encuentre un piojo porque cada piojo puede tener hasta 150 a la vez 3 Podr a primero encontrar piojos o liendres en el
11. IALES e Pautas recomendadas para el control de la pediculosis en el entorno escolar Programa de Salud Escolar del DSHS n de serie 1 190 recomendado para enfermeras escolares el SHAC directores y dem s administradores e Manual de salud escolar Programa de Salud Escolar del DSHS recomendado para enfermeras escolares administradores de enfermer a y directores www dshs state tx us schoolhealth pgtoc shtm C digo de Salud y Seguridad de Texas t tulo 2 cap tulo 38 Pediculosis infantil www capitol state tx us statutes hs toc htm Gr fico de enfermedades transmisibles para escuelas y guarder as www dshs state tx us idcu health schools_childcare resources ChildCareChart pdf
12. Salud Escolar del Departamento Estatal de Servicios de Salud de Texas en www dshs state tx us schoolhealth lice shtm o llame al 512 458 7279 Visite los siguientes sitios Web y otros recursos del Departamento Estatal de Servicios de Salud de Texas y organizaciones relaciona das para informarse sobre el tema y otros problemas de salud escolares SITIOS WEB e Programa de Salud Escolar del DSHS www dshs state tx us schoolhealth Unidad de Control de Enfermedades Infecciosas del DSHS www dshs state tx us schoolhealth lice shtm Departamento de Publicaciones y Materiales del DSHS para ordenar panfletos folletos y gu as http webds dshs state tx us mamd litcat default asp Centros para el Control y la Prevencion de Enfermedades CDC Division de Enfermedades Parasiticas www cdc gov ncidod dpd parasites lice default htm Regiones de salud publica del DSHS para encontrar su regi n de salud p blica llame a Regional Liaison Services 512 458 7111 ext 7297 o visite www dshs state tx us regions Facultad de Salud Publica de Harvard Informacion sobre los piojos de la cabeza y las preguntas mas frecuentes www hsph harvard edu headlice html Academia Americana de Pediatria Comunicado de prensa sobre la politica antiliendres www aap org advocacy archives septlice htm Asociacion Nacional de Enfermeras Escolares Declaracion de posicion la pediculosis en la comunidad escolar www nasn org Default aspx tabid 237 MATER
13. al information may be shared as requested with Austin s private or parochial schools and with major after school organizations 1 e athletic or recreational facilities Educational materials such as video tapes books and posters are available from Children s AISD Student Health Services Administrative Office at Dell Children s Medical Center and may be checked out to RNs for parents teachers or group education Lice Resource Parent Letter Section Screening Procedure The RN School Health Assistant and trained AISD Quick Care staff will be responsible for screening Classroom teachers are responsible for classroom surveillance Provide as much privacy as possible Do NOT indicate that a student has lice nits in the presence of the other students Use two objects long enough to separate the hair and expose the scalp Non sterile cotton tipped applicators coffee stir sticks etc can be used Check the back of the head and around the ears If the hair 1s short in the back check the area of the head where the hair is longer If the child is itching check the entire head Separate the hair and look for nits and moving lice Nits will not move when the strand of hair is flicked Dandruff hair casts lint and other debris will move when the strand of hair is flicked Dispose of cotton tipped applicators or coffee stir sticks after one use Wash hands or change gloves General Information What are Lice Infe
14. an be spread from one person to another by sharing combs brushes clothing and hats Head lice can happen to anyone It is not a sign of poor health habits or being dirty To control the spread of head lice your child may not return to school until after he she has been treated It is recommended that all household members be checked and treated the same day The student will be checked for lice and upon returning to school by the health team or school office staff Please have your child report to the office before going to class Working together we can meet this challenge I am available to discuss any questions you might have concerning this matter School Nurse Telephone Number The following information is required before your student can re enter the class room Please complete and have your child take it to the health office when she he returns to school Child s Name Date of Treatment Parent s Signature Name of Treatment Shampoo Rinse CHILDREN S AISD STUDENT HEALTH SERVICES TO Parents of class FROM Children s AISD Student Health Services SUBJECT HEAD LICE IN THE CLASSROOM FOR YOUR INFORMATION There was a case of head lice reported in your child s class today We are sending you this letter to inform you of head lice and to encourage you to check your child this evening and at least once a week so we can keep the situation under control Head lice are parasitic insects which live on the scalp The signs
15. apacitados tiles Comun quese con la regi n de salud p blica del Departamento Estatal de Servicios de Salud de Texas de su rea para que le den sugerencias Vea la hoja informativa n o 6 para encontrar las oficinas regionales o vaya a www dshs state tx us regions default shtm donde encontrar el listado 3 Tras el primer tratamiento podr a no ver piojos vivos pero podr a ver liendres Si las liendres o los huevos de los piojos est n pegadas al cabello a 4 de pulgada o menos del cuero cabelludo probablemente no est n muertas Eso significa que podr a todav a haber piojos vivos viviendo en alg n lugar de la cabeza de su hijo o que pronto saldr n de los huevos que quedan huevo 4 Es por eso que tras el tratamiento es importante que quite las liendres de piojo que queden en el cabello de su hijo con un peine para liendres especial disponible donde compre el tratamiento para los piojos 5 Las liendres son muy peque as son casi del tama o de un nudo en un hilo Tienen forma de pelota de f tbol americano larga son entre amarillas y blancas y a menudo se las confunde con caspa o gotas de fijador para el cabello Se pegan al cabello en el cuero cabelludo con una sustancia impermeable que parece cemento Es por eso que puede ser dif cil removerlas 6 Podr a primero encontrar liendres en el cabello de la nuca la parte trasera de la cabeza donde termina el cabello y empieza el cuello y detr s de las orejas Pero pueden
16. cabello de la nuca la parte trasera de la cabeza donde termina el cabello y empieza el cuello y detr s de las orejas Pero pueden vivir en cualquier parte as que f jese en todo el cuero cabelludo 4 Si sabe de alg n otro ni o que tenga piojos en la cabeza est alerta porque a su hijo se le podr an pegar los piojos tambi n No existe periodo de incubaci n Cuando los piojos vivos se van de la cabeza de un ni o a la de otro se sienten como en casa y pueden empezar a poner huevos inmediatamente 5 Alos ni os les salen piojos casi tanto como les da el catarro com n Le salen a millones al menos una vez al a o 6 Alos ni os se les pegan los piojos de otros ni os Se van de un ni o a otro mediante el contacto de sus cabezas 7 Los piojos no pueden saltar brincar ni volar pero pueden subirse de un ni o a otro en cualquier momento que los ni os est n juntos cerca cuando jueguen o hagan deporte y hasta cuando tomen la siesta 8 Compartir peines cepillos cosas para agarrarse el pelo gorros gorras abrigos bufandas y hasta auriculares los propagan tambi n Compartir un locker o un compartimiento reducido con un ni o infestado con piojos es una forma com n en que los piojos se propagan Si alguien deja pio jos en las alfombras y los muebles los piojos se le pueden pegar a su hijo estando sentado en ellos Los piojos hasta se pueden subir a los peluches 9 Alos ni os les salen piojos m s que a los adoles
17. centes o adultos A TODOS los ni os les pueden salir piojos en la cabeza No importa d nde vivan o vayan a la escuela cu nto dinero tengan o si son ni os o ni as negros o blancos o morenos 10 Un ni o no est enfermo ni sucio si tiene piojos en la cabeza Ba arse no mata a los piojos ni evita que le salgan a los ni os Y desde luego que un ni o tenga piojos en la cabeza no significa que sus padres sean malos 11 Es dif cil lidiar con los piojos y a veces causa verguenza y puede ser abrumante para cualquier persona que cuide ni os Vea la hoja informativa n 3 para informarse sobre c mo deshacerse de los piojos WEALTH p oY Ro mn o Para informarse al respecto comun quese con el Programa de Salud Escolar w TEXAS o yw Ej p TC A Deparimental del Departamento Estatal de Servicios de Salud de Texas en State Health Services www dshs state tx us schoolhealth lice shtm o llame al 512 458 7279 A es Services oe F State Head Lice Fact Sheet No 3 What should I do if think my child has head lice 1 2 huevo de piojo Ex TEXAS For more information contact the Department of State Health Services DSHS publication no E05 12866 You can take care of your child s head lice problem at home without a visit to the doctor or clinic Treatment should be with shampoo or cream rinse approved by the FDA that can be purchased without a prescription at the drug store grocery
18. ction and treatment of lice as needed Quick Care AISD staff All staff members should be familiar with the signs and symptoms of lice infestation Detection of lice or nits or suspicion of lice or nits should be promptly reported to the Health Team or designated trained office staff If the RN or School Health Assistant is not on campus the quick care AISD staff will screen students sent by the teacher suspected of having lice Teaching Staff Survey the classroom environment regularly for students displaying signs of lice or items in the classroom that could be contributing to the spread of lice Implement the Checklist for Classroom Lice Control and make appropriate changes See Appendix for Checklist Send students to health room for inspection by the School Health Assistant or RN if lice visible in hair or scratching scalp Parent Guardian Parents Guardians need to make lice screening a part of their family routine Parents should check their children s head at least weekly Parents Guardians should follow the recommendations and or treatment guidelines from Student Health Services Community Education and Cooperation The lice prevention control and treatment protocol will be shared with AISD staff and staff of after school programs for implementation in these programs thus allowing for consistency when children are in school environments The lice prevention control and treatment protocol and education
19. d both conditions may be present at the same time Children rarely get crab lice However if a child has it you may want to suggest an examination for possible signs of inappropriate contact nn m ee ee Tase yy EALTH x ve PRO Ex 4 TEXAS For more information contact the Department of State Health Services Department of School Health Program at www dshs state tx us schoolhealth lice shtm State Health Services or call 512 458 7279 DSHS publication no E05 12864 a o 3 Services yw Lo g a y Hoja informativa sobre los piojos de la cabeza N 1 Piojos Qu son los piojos 1 Los piojos tambi n conocidos como pediculosis pe di cu lo sis son insectos peque os entre color habano y blanco gris ceo casi del tama o de una semilla de ajonjol con seis patas 2 Por lo general no son portadores de enfermedades pero pueden causar a su hijo y a su familia molestia estr s y a veces Irritaci n de la piel 3 Los piojos pueden vivir hasta 30 d as en la cabeza de una persona y ponen de 50 a 150 huevos Para vivir los piojos adultos necesitan alimentarse de sangre cada 3 a 6 horas Si el piojo se cae de la persona muere en los 2 d as siguientes 4 Hay tres tipos de piojos los piojos de la cabeza los del cuerpo y los del pubis No se ha informado de piojos del cuerpo en Texas en a os Los piojos de la cabeza y los piojos del pubis son comunes pero por l
20. d if the cost is to be covered by Medicaid The others Lindane Kwell and Malathion Ovide is available only by prescription They require a prescription because they have a higher rate of neurological toxicity For resistant cases of pediculosis prescription Elimite 5 topically to scalp or Bactrim by mouth has been used All of these pediculicides should be used externally and directions should be followed very carefully Frequent treatment application is discouraged unless medical assessment has been made as to why re infestation is occurring Olive oil and mayonnaise have also been used effectively as an adjunct treatment to treat lice The method of action is thought to be suffocation of the lice Therefore to be effective the oil or mayonnaise must remain on scalp for more than four hours at a time and repeated every 4 days for 3 weeks Checklist for Classroom Lice Control Play items hats wigs dress up clothes etc cleaned after each child s use Sweaters backpacks and coats hung separately on hooks and not touching Sweaters coats and hats can often be placed in each student s backpack Children s personal items combs brushes hats scarves sweaters coats etc are not shared Carpet 1s vacuumed daily No sharing of cloth or upholstered pillows mats etc Nap items pillows blankets towels etc are stored separately in a cubby or plastic bag and taken home at least weekly to be washed Headphones are wiped w
21. does not recommend a no nit policy we do recognize MATERIALS that school districts may adopt one as a local option e Recommended Guidelines for the Management of DSHS does not have authority to impose a set policy Pediculosis in School Settings DSHS School Health regarding head lice on districts DSHS does however Program Stock 1 190 recommended for school urge school districts to ensure that its policy does nurses SHACs principals other administrators not cause children to miss class unnecessarily or School Health Manual DSHS School Health Program encourage the embarrassment and isolation of students recommended for school nurses nurse administrators who suffer from repeated head lice infestations and principals www dshs state tx us schoolhealth a SOR e pgtoc shtm Head lice infestation is a social issue not a health e Texas Health and Safety Code Title 2 Chapter 38 threat No nit policies place a disproportionate amount Pediculosis of Minors of emphasis on head lice management than on real www capitol state tx us statutes hs toc htm health concerns which should be a higher priority This Communicable Disease Chart For Schools and Child over emphasis can lead to unproductive use of time by Care Centers www dshs state tx us idcu health school staff and parents missed classes unnecessary schools_childcare resources ChildCareChart pdf absences and parents missing work Po a Phe Bx y TEX AS For m
22. e unless your child has a very light case Check your child s head and scalp all over and especially behind the ears and near the neckline at the back of the neck when scratching begins Look for lice and their eggs or nits See Fact Sheet 3 to find out about nits You may see the nits before you find a louse because each louse can lay up to 150 at a time of the head where the hair stops and the neck begins and behind the ears But sou can live anywhere so look all over the scalp If you know of another child with head lice be alert that your child may contract lice too There is no incubation period When live lice move from one child s head to another they are home and can begin laying eggs immediately Children get head lice almost as much as the common cold Millions get it at least one time once a year 6 Children get lice from other children They move from child to child through head to head contact 7 Lice cannot hop jump or fly but can crawl from child to child anytime children are close together during play or sports or even nap time 8 Sharing combs brushes hair fasteners hats caps coats neck scarves and even head phones spreads them too Sharing a locker or cubbyhole with a lice infested child is a common way to spread lice If left behind lice can attach to your child while sitting on carpets or furniture Lice can even attach to stuffed toys Children get lice more than teens or adults
23. ectious Diseases Barbara L Frankowski Leonard B Weiner Pediatrics 2002 110 638 643 Lice Nits and School Policy PEDIATRICS Vol 107 No 5 May 2001 pp 1011 1015 TEXAS DEPARTMENT OF STATE HEALTH SERVICES RECOMMENDATIONS ON NO NIT POLICIES IN SCHOOLS September 2007 Head Lice Fact Sheet No 1 What are lice 1 Lice or Pediculosis pe dic u lo sis are small tan to grayish white insects about the size of a sesame seed and have six legs 2 They don t usually carry disease but can cause your child and family discomfort stress and sometimes skin Irritation 3 Lice can live up to 30 days on a person s head and lay from 50 to 150 eggs To live adult lice need to feed on blood every 3 to 6 hours If the louse falls off a person it dies within 2 days 4 There are three types of lice head body and crab lice Body lice haven t been reported in Texas for years Head lice and crab lice are common but not usually found at the same time on a person Here s where they can hide e Head lice live on the head and rarely leave the body e Body lice live in the seams and linings of Nymph clothing blankets and sheets and move to the body when feeding e Crab lice live on the hairy portions of the body They like the pubic and anal areas but only on adults Adults who have pubic lice should be examined for sexually transmitted diseases ey fut STDs Even though crab lice and STDs A2 aren t relate
24. ents infested in a classroom There is no need to send home alert letters for 2 or more students infested as this may cause unnecessary public alarm Students identified with nits only will have their parent guardian contacted to see if treatment has taken place within the last seven days The name of the treatment product must be provided by the parent guardian on the treatment letter See Resource Section If treatment has occurred within the last week the student may stay in school Educational material about nit removal and prevention of lice should be provided to parent guardian If treatment has not occurred in the last seven days the student should be sent home at the end of the day for treatment and removal of lice AAP 2010 Educational materials about treatment and prevention of lice should be provided and explained to parent guardian Once treatment has been completed the student can return to school Requirements for Readmission to School Student must bring proof of treatment or a statement verifying treatment signed by parent guardian If the student has been treated and provides proof of treatment the student may be readmitted to school If live lice are found at re check the RN should be contacted to assess the adequacy of treatment and counsel the family before sending the student home The student may remain in school unless otherwise recommended by the health team Treatment Failures and Frequent Re infe
25. f necessary Remember the key to successful lice treatment is complete removal of ALL nits To aid in the removal of nits you may want to apply olive oil and let it set 4 hours making the nits easier to remove Other over the counter products that you may buy for nit removal are Clear Step 1 and mayonnaise Helpful Hints for Cleaning the Environment Soak combs and brushes for one hour in a pediculicide lice shampoo or five to ten minutes in hot water 130 Change into freshly washed clothes after treatment Change and wash all sheets pillowcases and blankets in hot water and machine dry on hot setting Wash all previously worn clothes coats and hats Vacuum rugs carpets and upholstered furniture including the upholstery in the car Pillows stuffed animals or non washable items must be either dry cleaned washed sealed in a plastic bag for 7 days or placed in a dryer for 20 minutes of hot air Sugerencias tiles para quitar las liendres Quitar las liendres es el paso m s importante para prevenir la recurrencia de piojos en la cabeza Para el tratamiento inicial use un shamp pediculicida o tratamiento para matar las liendres y despu s Peine el cabello con un peine regular si el cabello es grueso o largo para desenredarlo Peine el cabello en secciones de una pulgada y quite las liendres en cada secci n usando un peine de metal para liendres o pulgas Puede volver a usar un peine de metal
26. ith disinfectant after each child s use Observation of children for e Nits lice in hair on nape of neck over ears and within 1 4 inch of scalp e Scratching of head and neck INSTRUCTIONS FOR TREATMENT AND CONTROL OF HEAD LICE AND NITS Use a pediculicide lice shampoo such as Rid non prescription or R amp C non prescription You might want to ask your doctor or pharmacist for recommendations Follow directions on the bottle exactly Nix a non prescription lotion is also effective and does not require a second treatment Do NOT use flea shampoo or gasoline These are very dangerous and not proven to be effective Repeat pediculicide lice shampoo treatment of the hair in 7 to 10 days depending upon the pediculicide used to assure that if any nits have hatched the new lice will be killed before they can lay more eggs Comb out the nits Using a good metal nit comb comb the hair section by section Clean environment To address this problem household cleaning should be done on the same day as the child s treatment Soak combs and brushes for one hour in a pediculicide lice shampoo or five to ten minutes in hot water 130 Change into freshly washed clothes after treatment Change and wash all sheets pillowcases and blankets in hot water and machine dry on hot setting Wash all previously worn clothes coats and hats Vacuum rugs carpets and upholstered furniture including the upholstery in the car
27. l pelo en agua as de caliente Esa temperatura es s lo para lavar la ropa 6 La limpieza en tintorer a tambi n mata a los piojos y a sus liendres en la ropa que no se puede lavar para ver si tiene piojos especialmente si sabe de otro ni o en la escuela que est infestado Encontrar los piojos a tiempo puede reducir el n mero de tratamientos y ahorrar tiempo y dinero PE jara Ex i Para informarse al respecto comuniquese con el Programa de Salud Escolar Y o TEXAS del Departamento Estatal de Servicios de Salud de Texas en g ha State Health Services www dshs state tx us schoolhealth lice shtm o llame al 512 458 7279 3 ei AS D F State w Head Lice Fact Sheet No 5 Myths misconceptions and truths about head lice treatment 1 Using poisons or flammable liquids like gasoline kerosene paint thinner or insect repellant may harm your child more than it would the lice Chemicals should never be used unless they are approved by the FDA for the specific treatment of head lice 2 Do not use hair dryers to kill lice or their eggs The temperature would have to be turned up so high it could easily cause serious burns on the scalp Burns occur when the hot dryer is either held too close to the scalp or pointed on each section too long 3 Hair gels hairspray oils or other non medicated hair products including dandruff shampoo will not kill lice or prevent eggs from hatching or sticking to the hair 4
28. nformation contact the Department of State Health Services A E Department School Health Program at www dshs state tx us schoolhealth lice shtm 3 State Health Services or call 512 458 7279 EA DSHS publication no E05 12868 mr Hoja informativa sobre los piojos de la cabeza N 5 Mitos ideas err neas y verdades sobre el tratamiento de los piojos de la cabeza 1 Usar venenos o l quidos inflamables como la gasolina el queroseno el aguarras y el repelente de insectos podr a da ar m s a su hijo que a los piojos Nunca se deben usar qu micos a menos que sean aprobados por la FDA para el tratamiento espec fico de los piojos de la cabeza 2 No use secadoras de pelo para matar a los piojos o a sus huevos La temperatura se tendr a que subir tanto que f cilmente podr a causar quemaduras graves al cuero cabelludo Las quemaduras ocurren cuando ya sea se sostiene la secadora caliente demasiado cerca al cuero cabelludo o se apunta a cada secci n demasiado tiempo 3 El gel para el pelo el fijador de pelo los aceites y otros productos no medicinales para el cabello incluido el champ para la caspa no matan a los piojos ni impiden que los huevos maduren ni que se peguen al cabello 4 Los remedios anticuados no son del todo efectivos Los enjuagues de vinagre y la mayonesa podr an matar a los piojos pero no matan a las liendres y no las quitan del cabello Aun as las liendres madurar n y su hijo estar infestad
29. o general no se encuentran en la misma persona al mismo tiempo Se pueden esconder en los siguientes lugares e Los piojos de la cabeza viven en la cabeza y raramente se van del cuerpo e Los piojos del cuerpo viven en las bastillas y el forro de la ropa las cobijas y las s banas y se van al cuerpo cuando se alimentan e Los piojos del pubis viven en las partes velludas del cuerpo Les gusta el rea p bica y anal pero s lo en los adultos Se debe examinar a los adultos que tengan piojos del pubis por si tuvieran Adulto enfermedades ven reas No obstante los piojos del pubis y las enfermedades ven reas no est n relacionados ambas enfermedades podr an estar presentes al mismo tiempo Los ni os rara vez tienen piojos del pubis Sin embargo si un ni o los tiene quiz quiera sugerir que lo examinen para ver si tiene signos de contacto inapropiado WEALTH P o Ro o oe www dshs state tx us schoolhealth lice shtm o llame al 512 458 7279 tate Health Services ES D F State ne x Para informarse al respecto comuniquese con el Programa de Salud Escolar E Ex o j TEXAS del Departamento Estatal de Servicios de Salud de Texas en ES Services W How do know if my child has head lice _ and if so how did they get it d 3 You may first find lice or nits on the hairs at the nape of the neck back Head Lice Fact Sheet No 2 Itching is the first sign of head lic
30. o otra vez Vea la hoja informativa n 4 para informarse sobre c mo tratar los piojos de la cabeza 5 Cortarle el cabello a su hijo o rasurarle la cabeza para deshacerse de los piojos no har que no vuelvan Las liendres se pegan al cabello corto reci n nacido tambi n 6 Los piojos no se esconden en las grietas de los edificios como las cucarachas ni en los cajones de arena como los dem s insectos peque os As que tratar casas y escuelas con insecticidas o alg n otro pesticida ser a una p rdida de dinero y podr a da ar a los ni os y adultos cercanos a las reas tratadas 7 Sus mascotas y dem s animales no son portadores de piojos de la cabeza y no se les pegan los piojos de la cabeza de la gente 8 Siempre verifique con su m dico o cl nica de salud antes de usar alg n nuevo tratamiento o dispositivo que asegure eliminar a los piojos y liendres En la mayor a de los casos no se han probado y no los ha aprobado la FDA 9 Los medicamentos aprobados por la FDA para el tratamiento de los piojos de la cabeza ya sean recetados o sin receta son seguros y efectivos para los ni os mayores de dos a os de edad En el caso de los ni os menores de dos a os verifique con su m dico El sitio Web de los Centros para el Control y la Prevenci n de Enfermedades sobre los piojos de la cabeza tiene m s informaci n sobre medicamentos espec ficos que se encuentran en los productos para los piojos de la cabeza Vaya a ww
31. ore information contact the Department of State Health Services Ej Y A Department o School Health Program at www dshs state tx us schoolhealthilice shtm y State Health Services or call 512 458 7279 A j e ge DSHS publication no E05 12869 DA F State yw Hoja informativa sobre los piojos de la cabeza N 6 Recursos sobre los piojos de la cabeza Es la ley Seg n la ley de Texas la escuela mandar a su hijo a la casa si le encuentran piojos vivos en el cabello Sin embargo no lo mandar n a casa si s lo le encuentran liendres La ley tambi n dice que se permite IF que su hijo vuelva a la escuela despu s E de hab rsele dado tratamiento con 2 champ o loci n medicinal Al volver su hijo a la escuela la ley no exige que se le revise la cabeza y no hay ning n requisito de informar de casos de piojos en la cabeza a las autoridades C digo de Seguridad de Texas donde encontrar dicha ley Tambi n est listado un enlace al Gr fico de enfermedades transmisibles para escuelas y guarder as del Departamento Estatal de Servicios de Salud de Texas en el que se detallan los requisitos de exclusi n y readmisi n a la escuela Cada distrito escolar puede endurecer sus reglas si as lo desea Y muchos lo hacen Hable con la enfermera escolar o alguien m s a cargo para saber cu les son las reglas de la escuela de su hijo Pol ticas antiliendres El Departamento Estatal de Servicios de Salud de Texas
32. r using a nit comb Special nit combs are available in the store where you bought the lice treatment 4 Most of the time a second treatment is necessary If you don t kill the nits they will hatch and your child will have lice again this time without any contact with another infested child All products specifically created to treat head lice will recommended a second treatment and a second nit combing anywhere from 7 to 10 days after the i first treatment to kill any left A over lice and nits l OF can t crawl onto lice free just treated heads e Laundry water should be at least 130 degrees Fahrenheit to kill the lice e CAUTION Do not bathe or shampoo in water this hot This temperature is for laundry only 5 Launder clothing and bedding immediately before lice treatment on your child so any live lice living there 6 Dry cleaning kills lice and their nits in clothing that can t be washed XX Bx Sy TEXAS a W Department of State Health Services DSHS publication no E05 12867 For more information contact the Department of State Health Services School Health Program at www dshs state tx us schoolhealth lice shtm 7 Sealing clothing stuffed toys pillows blankets or other small soft items for two weeks in tightly closed plastic bags will kill both lice and nits It s low cost too 8 Safe effective FDA approved chemical sprays made to kill head lice are available over the co
33. s posible que necesite usar una segunda botella Ponga atenci n especial a las instrucciones en la botella sobre c mo aplicar bien el medicamento al cabello cu nto tiempo se debe dejar y si se recomienda enjuagar el cabello tras el tratamiento 3 Quite las liendres con el peine tras los tratamientos Vea la hoja informativa n 3 para informarse sobre las liendres H galo deslizando la liendre hacia arriba por el tallo capilar con los dedos o 7 Meter la ropa peluches almohadas cobijas y otros objetos blandos peque os por dos semanas en bolsas pl sticas fuertemente selladas mata tanto a los piojos como a las liendres Y tambi n es econ mico 8 Hay aerosoles qu micos efectivos y seguros aprobados por la FDA hechos para matar a los piojos de la cabeza que se pueden comprar sin receta Puede usarlos en cosas que no se puedan lavar llevar a la tintorer a ni meterse en bolsas pl sticas selladas como muebles alfombras asientos de auto o cualquier otro art culo grande e inm vil no lavable 9 Pase la aspiradora o barra usando un peine para liendres Hay peines para las bras oe muebles liendres especiales en las tiendas donde compr i o y las cortinas para recoger el tratamiento para piojos _ todos los piojos y las liendres 4 La mayor a del tiempo es necesario un segundo vivas que pudieron haberse tratamiento Si no mata a las liendres estas ca do o subido ah saldr n del huevo y s
34. station by head lice also known as pediculiosis capitis is a common problem that crosses all geographic and socioeconomic boundaries in this country Lice depend on their hosts for food blood and warmth Lice are found specifically on the scalp because this area is warm and dark Lice cannot live long separated from this source of food and warmth The adult head louse is a wingless insect about 2 1 to 3 3 mm about the size of a sesame seed The living insects can be difficult to see because they run quickly from the light Females lay 6 10 eggs per day that are incrusted in pearly white egg cases called nits Live nits are usually found 1 4 inch or less from the scalp where they are fixed firmly to the hair shaft with a glue like substance that makes them difficult to remove This characteristic helps distinguishing nits from other hair debris like dirt and dandruff After 5 10 days the nits hatch to produce juvenile lice called nymphs The nymphs mature fully able to lay eggs in about two weeks The entire cycle takes about 21 days Treatment Options Currently there are four different compounds commercially available in the U S for treatment of lice infestation All pediculicides chemical formulation that kill lice work by interfering with the nervous system of the louse The first two are available over the counter without a prescription Pyrethrin RID A200 etc and permethrin NIX creme rinse However a prescription 1s require
35. stations If live lice are found following treatment the RN should be notified She will investigate and make further recommendations to the family Classroom Control Measures The Health Team will provide teachers with the Checklist for Classroom Lice Control Contact the RN for any questions regarding classroom lice control Teachers are expected to follow the guidelines to prevent the spread of lice At all times schools are encouraged to discontinue fabric covered items 1 e pillows blankets used by more than one child Teachers may request storage bags to separate all coats sweaters Teachers Assistants and Monitors should not allow piling of coats Responsibilities Student Health Services Screening students sent to health room displaying symptoms Screening will be done on an individual basis for students reporting or demonstrating symptoms 1e lice visible in hair scratching scalp Current evidence does not support the efficacy and cost effectiveness of classroom or school wide screening for decreasing the incidence of head lice among school children Centers for Disease Control 2007 American Academy of Pediatrics 2010 The health team has educational materials about lice available in the health room for students staff and parents The RN will submit newsletter articles to educate parents and staff regarding lice The RN will provide health teaching to students staff and parents regarding prevention dete
36. store or other places that carry drug store products Many parents feel embarrassed when their child has lice Sometimes it helps to talk to someone who can offer extra help The nurse at your child s school your physician and even the pharmacist can help Neighborhood city or county health clinics may provide trained helpful professionals Contact your area Department of State Health Services Public Health Region for suggestions See Fact Sheet 6 for Regional offices or go to www dshs state tx us regions default shtm for the listing 3 After the first treatment you may not see live lice but you might see nits If the nits or lice eggs are attached to strands of hair a inch or less from the scalp they are probably not dead This means live lice could still be living somewhere on your child s head or soon will hatch from the remaining eggs 4 That s why after treatment it is important to comb out the nits left in your child s hair with a special nit comb available to pick up where you buy lice treatment Nits are very tiny about the size of a knot in a thread They are shaped like a long football yellow to white in color and are often mistaken for dandruff or hair spray droplets They attach to a hair at the scalp with a waterproof cement like substance That s why they can be difficult to remove You may find nits first on the hairs at the nape of the neck back of the head where the hair stops and the
37. t policies A panel of scientist and public health officials convened at the Harvard School of Public Health to discuss these issues In regards to no nit policies the report shows that there is little evidence that exclusion from school reduces the transmission of head lice Texas Department of State Health Human Services 2007 The goal of lice prevention control and treatment in schools is to prevent the spread of lice from one student to another student Lice control takes teamwork among home school after school programs and events in private or public locations including student visits in each other s homes Live Lice and Nit Prevention Control and Treatment Protocol Initial Identification of Infestation Cases of lice should be confirmed by the RN School Health Assistant or trained AISD staff Live Lice Nits All students identified with live lice will be sent home at the end of the school day after contacting parent guardian by phone Parents Guardians will be advised to treat their child for head lice The name of the treatment product must be provided by the parent guardian on the treatment letter See Resource Section After treatment has been completed the student can return to school Educational materials about treatment and prevention should be given and explained to parent guardian Based on the AAP 2010 recommendations alert letters will only be sent home in the event of a high percentage of stud
38. u hijo tendr piojos otra vez jesta vez sin tener contacto con ning n 10 Meta peines cepillos y otro ni o infestado Todos los productos creados dem s art culos lavables espec ficamente para tratar los piojos de la cabeza por 1 hora en uno de los recomiendan un segundo tratamiento y un segundo champ s para piojos aprobados o m talos de 5 a pase del peine para liendres 7 a 10 d as despu s 10 minutos en una cacerola con agua caliente a del primer tratamiento para una temperatura de 130 grados matar a los piojos y liendres g o que queden 11 Ense e a toda su familia c mo se pegan y se Y tratan los piojos Ense e a sus hijos a no e 9 Lave la ropa de vestir y compartir peines cepillos ni ning n otro art culo E de cama Justo antes del personal con los dem s ni os _ tratamiento para los piojos o UE de su hijo para que ning n 12 Pregunte al maestro de la escuela de su hijo si piojo vivo que viva ah pueda hay espacio para tener las chaquetas los gorros lt z 7 e os subirse a su cabeza sin piojos y los dem s art culos personales de cada ni o reci n tratada separados Pregunte qu puede hacer para ayudar e El agua para lavar la ropa debe tener una a la escuela a educar a los ni os y a los padres de temperatura de al menos 130 grados Fahrenheit familia para detener la propagaci n de los piojos para matar a los piojos 13 Revise el cabello de su hijo de vez en cuando e PRECAUCI N no se ba e o se lave e
39. unter These are OK to use on things that can t be washed dry cleaned or sealed in plastic bags like furniture carpets car seats or other large immobile or non washable items 9 Vacuum or sweep carpets furniture and curtains to pick up any live lice or nits that my have fallen or crawled there 10 Soak combs brushes and some other washable items for one hour in one of the approved lice shampoos or soak them for 5 to10 minutes in a pan of 130 degree hot water 11 Teach your whole family about how lice is spread and treated Teach your children not to share combs brushes and other personal items with other children 12 Ask the teacher at your child s school if there is space to keep jackets hats and other personal items separate for each child Ask what you can do to help the school educate children and parents to stop the spread of lice 13 Check your child s hair from time to time for signs of lice especially if you know of another child at school that is infested Catching it early can cut down the number of treatments save time and money EALTH an PR Lo aq SCy ed ES Services yw or call 512 458 7279 3 D F State ye C mo evito que vuelvan los piojos 1 Siga con cuidado el modo de empleo del paquete de tratamiento para piojos No seguir el modo de empleo es la raz n principal de que no funcione 2 Si su hijo tiene extra largo el cabello m s abajo del hombro e
40. vivir en cualquier parte as que revise todo el cuero cabelludo 7 Es necesario un segundo tratamiento seguido de un segundo pase del peine Aun despu s de usar el peine para las liendres rigurosamente todav a podr a haber piojos o liendres vivas escondidas en alg n lugar de la cabeza de su hijo Todos los productos creados espec ficamente para tratar los piojos de la cabeza recomiendan un segundo tratamiento 7 a 10 d as despu s del primer tratamiento para matar las liendres restantes o las que acaban de salir del huevo Bx TEXAS Para informarse al respecto comun quese con el Programa de Salud Escolar o f a del Departamento Estatal de Servicios de Salud de Texas en g State Health Services www dshs state tx us schoolhealth lice shtm o llame al 512 458 7279 3 ki N OF State Y How do I keep lice from coming back 1 Carefully follow the directions on the lice treatment package Not following directions is the biggest reason why it doesn t work 2 If your child has extra long hair longer than shoulder length you may need to use a second bottle Pay special attention to instructions on the bottle about how to thoroughly work it into the hair how long the medication should be left on and whether rinsing the hair is recommended after treatment 3 Comb out the nits left after treatments See Fact Sheet 3 to learn about nits Do this by sliding a nit up the hair shaft with your fingers o
41. w cdc gov ncidod dpd parasites lice default htm para consultar esa y otra informaci n pile A A Para informarse al respecto comun quese con el Programa de Salud Escolar Y Ex Y TEXAS del Departamento Estatal de Servicios de Salud de Texas en E T A www dshs state tx us schoolhealth lice shtm o llame al 512 458 7279 A amp D F State we Head Lice Fact Sheet No 6 Head Lice Resources It s A Law According to Texas law your child will Visit the following Web sites and other resources from be sent home from school if live lice are found in their the Department of State Health Services and hair However they won t be sent home if only nits are related organizations for more found The law also states that your child is allowed to information about this subject and IR return to school after one medicated other school health issues Bee shampoo or lotion treatment has been a 2 given When your child returns to WEB SITES e DSHS School Health Program www dshs state tx us schoolhealth DSHS Infectious Disease Control Unit www dshs state tx us schoolhealth lice shtm school a head check is not required by law and there is no requirement to report cases of head lice to officials e Y Le Listed below is the Texas Safety Code link DSHS Publications and Materials Department to order Y 4 where you can find this law Also listed pamphlets booklets and guides http webds dshs o
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