The Lowdown on Lice

Did you find some lice combing your child’s hair or get the dreaded phone call from the school nurse? You are not alone. Anne Arundel County Public Schools average 500 cases of lice a year.

 

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Anne Arundel County Schools no longer have a “No Nit Policy.” Instead, the school system has a "No Live Lice Policy" in keeping with recommendations from the American Academy of Pediatrics and the National Association of School Nurses, according to Karen Siska-Creel, a nurse and director of the School Health and Support Bureau of the Anne Arundel County Department of Health. The change is meant to limit the number of students excluded from school and the duration of school missed, she says.

"Lice are a nuisance, not a health hazard or a sign of poor hygiene, and they do not spread any diseases," Siska-Creel says. "By the time we find them, lice have been on a head for days, weeks, even months. It's not worth freaking out about and sending kids home. Unless there's direct head to head contact, other students won't get them."

If students in Anne Arundel County schools are found to have lice, they can stay through the end of the day but parents are notified and the students cannot return until they have been treated with an over-the-counter or prescription insecticide shampoo, according to the policy.

Nits—lice eggs attached to the shaft of the hair—are often misdiagnosed or do not necessarily mean the presence of live lice, especially if they are more than a quarter of an inch from the scalp, Siska-Creel says. "It's unfair to exclude children for this," she says.

Instead of alerting the whole school when a case of lice is detected, both school systems work on their own form of triage. Siblings are checked. Nurses at other schools are notified if a sibling attends another school. And anyone who has been in close contact with the student is also alerted and checked.

"School is not where this happens most of the time," Siska-Creel says of contracting lice. "It happens at home, at sleepovers or when sports helmets are shared."

Tips to avoid lice

Want to avoid this nuisance in your house this school year? Here are some precautions to take from Siska and Nichols.
Don't share combs, brushes, hats, hair ties or any other personal items.
Avoid dress-ups or costumes at school or anywhere else. "Dress-up clothing in kindergarten is just not a good idea," Siska warns.
If your child has used a helmet or been somewhere with dress-ups, be conscientious. Check periodically for lice.
Don't rely on sprays that imply they help prevent lice. They are not effective, Siska says.
It is not necessary to routinely screen your children for lice unless they have been exposed or they have been itching and you suspect they might have lice.

There is no time of year when lice are more prevalent. "They are not seasonal, they are just here," Siska-Creel says. "I can't believe they can't just eradicate them."

For tips on getting rid of head lice visit the Anne Arundel County Health Department website, aahealth.org.


Help!

lice combSo your child has head lice. Now you are jumping at every little itch wondering if everyone in the family has them. Some parents have concerns that the chemical treatments may be harmful to more than just the lice, which others have just found them to be ineffective. Before turning to folk-remedies and covering your child’s head with mayonnaise or olive oil, there are professional “nitpickers” available to help.

Picking the nits (lice eggs) from the hair is where the phrase nitpicker originated from centuries ago—and can be found in literature from as early as the 1400s. Fast forward to today—we may have found the cure for polio and can look up just about any trivia fact on a thousand dollar iPhone, but nitpicking is still the tried and true way to get rid of lice. If you don’t feel up to the task yourself, there are local companies who will do it for you—discreetly in the comfort of your own home.

M.J. Eckert, R.N has served families in Annapolis and the surrounding areas with her business, Lice Happens, since 2009 and offers same-day service. A trained member of the team will come to your home and screen each family member for lice, thoroughly combing through the hair to remove lice and nits with a metal, professional grade nit comb. “The bugs have become resistant to most over-the-counter products,” says Eckert. “It all boils down to meticulous combing. Most families just don’t have time, and that's where we come in.”

In addition to the treatment, the technician will train and educate you on how to comb out the lice as well as what to do to reduce the likelihood of re-infestation. According to Eckert, a typical service takes a couple of hours and costs approximately $300; licehappens.com.