Pediculosis (Head Lice) Parent Presentation
H EAD LICE G UIDELINES A RE C HANGING In response to revisions and recommendations ¥ from health authorities and professional organizations, and in an effort to ensure there are no disruptions to the educational process, RISD will be adopting changes to its Head Lice Guidelines beginning in the 2015-2016 school year.
W HY THE CHANGE ? The Texas Department of State Health ¥ Services (DSHS) updated its regulations and removed Pediculosis as an excludable condition DSHS states that: ¥ Head lice do not carry or spread disease ¤ Children found with live lice should stay in school ¤ Head lice are not a public threat and are therefore ¤ not monitored
W HY THE CHANGE ? According the American Academy of Pediatrics (AAP): Lice are not a health hazard or carrier of disease ¥ No healthy child should be excluded from, or allowed to ¥ miss school, because of lice. Lice infestations have low contagion in classroom ¥ Routine classroom or school wide screenings have shown ¥ lack of efficacy and should be discouraged/abandoned Parents should be educated in diagnosing and managing ¥ head lice.
W HY THE CHANGE ? According to the National Association of School Nurses (NASN): The management of Pediculosis should not disrupt the ¥ educational process. Staff should take steps to prevent the stigmatizing of a ¥ student with head lice Mass classroom screenings are disruptive ¥ In-school transmission of lice is rare ¥
2015-2016 H EAD L ICE G UIDELINES The new Guidelines have: been reviewed by the members of the SHAC ¥ committee been presented to RISD Administration and ¥ Campus Principals
2015-2016 H EAD L ICE G UIDELINES
2015-2016 H EAD L ICE G UIDELINES All parents will be given information at the ¥ beginning of the school year about RISD’s new lice policy, including information about how to detect lice in their own child’s hair. Information/training will be provided to ¥ campus staff. Let’s talk about Lice
M ANAGEMENT OF L ICE AT S CHOOL ¥ If lice are reported or suspected in a student’s hair, that student will be sent to the clinic for screening by the school nurse or clinic aide. ¥ If the nurse/clinic aide finds live lice, and/or nits in close proximity to the scalp, that student’s parent will be notified, an and the student will re return rn to cl class until the end of the day.
M ANAGEMENT OF L ICE AT S CHOOL The parent is contacted and informed that ¥ the student is to be appropriately treated for head lice prior to returning to school. Information about treatment options will be ¥ provided The parent will be encouraged to contact ¥ their pharmacist or Health Care Provider for treatment options
M ANAGEMENT OF L ICE AT S CHOOL The student is screened upon his/her return ¥ to school, or as soon as the nurse or nurse aide is available. If live lice are still noted, the parent will be ¥ notified and th the stu student t will ill again in retu turn to to cl class until the end of the day.
M ANAGEMENT OF L ICE AT S CHOOL Parent is again instructed that the student ¥ needs to be treated with a safe and effective lice killing method before returning to school. (carefully following all instructions) Parent may want to contact their provider or ¥ pharmacist for treatment alternatives.
M ANAGEMENT OF L ICE AT S CHOOL Student is once again screened for lice upon ¥ his/her return to school. If live lice continue to be noted, at this time ¥ the student will be excluded from school until an effective lice killing treatment method is in place. The School Nurse will continue to work with ¥ the family with the management of the head lice.
M ANAGEMENT OF L ICE AT S CHOOL Notification letters for every active case will ¥ not be sent home. Parents will be provided information and ¥ access to the New Lice Guidelines at the start of the school year.
REVIEW OF THE BASICS
LICE THE BASICS Pediculosis is an infestation of head lice. ¥ Head lice are wingless insects that spend ¥ their entire life on the human scalp. They feed on human blood to live. Lice have been spreading from person to ¥ person for at least as long as recorded history.
H EAD L ICE Lice can be acquired anywhere ¥ that head to head contact is common, such as during play at home, preschools, friend’s house, sport activities, playground, slumber parties, camp, etc. It is possible that by the time head lice can be ¥ seen/identified their life cycle indicates they have been present for 3 weeks to one month or longer after initial infestation. Th Therefore, re regular r head ch check cks by the pare rent are re en encou ouraged. ed.
H EAD L ICE Can affect children and adults of all ¥ ethnicities and socio-economic status. Personal hygiene and cleanliness in the home ¥ have nothing to do with getting lice.
H EAD L ICE They only crawl- they do not jump or fly ¥ (wingless) Spread most commonly by head to head ¥ contact with already infested person. Survive for less than a day off the human ¥ scalp, so indirect spread through contact with personal items is less likely, but may occur.
H EAD L ICE Are grayish-brown ¥ (if engorged w/ blood they may become reddish) Usually found around ¥ nape of neck, behind the ears, and or the crown of the head
NITS Nits are lice eggs ¥ Brown to grayish-white ¥ tear-drop shaped Hatch in 5 to 10 days with ¥ new lice reaching maturity in about 2 weeks Nits do NOT flake off. ¥ They are attached to the hair w/ a cement -like substance.
NITS They cannot hatch at temperatures lower than ¥ that found near human scalp. Nits less than 1/4 inch from the scalp indicate ¥ the presence of an active head lice infestation. Nits farther than 1/4 inch are either : ¥ hatched or… ¤ infertile and most likely ¤ will not hatch
T RANSMISSION OF H EAD L ICE ¥ From close personal ¥ Dress-up parties, contact with a person sleepovers, visiting with a lice infestation relatives/friends and other ¥ Sharing combs, extracurricular brushes, hair activities may play accessories, caps, a part in the hats, helmets, spread scarves, coats, etc.
WHAT TO LOOK FOR Itching is common, but may not always be ¥ present Nits which are brown to grayish white ¥ Live lice ¥ an adult louse is about the size of a sesame seed ¤ (1/8 inch long) can be difficult to locate because they move quickly ¤ and do not like bright light
WHAT A PARENT CAN DO ¥ Teach your child not to ¥ Inform the school share personal items nurse if you are treating your child for ¥ Check your child head lice. regularly for head lice. ¥ If lice infestation, ¥ Check and treat all treat your home by family members following instructions affected. given to you by your school nurse, ¥ Medicated shampoo will physician, and or not prevent an pharmacist . infestation so do not use it as a preventative measure
WHAT A PARENT CAN DO Inform day care ¥ provider (or other extra curricular groups) Inform other family ¥ members so they can be treated if necessary. Screen all household ¥ members and treat if needed.
TREATMENT Treatment to kill lice is required : Tr With a medicated lice killing shampoo (recommended by ¥ the Centers for Disease Control (CDC) and the American Academy of Pediatrics (AAP) With another effective lice killing product. ¥ Make sure you follow the instructions on the package. ¥ (For example: place on dry hair). Wash hair in sink to ¥ avoid getting any medicated shampoo on entire body.
TREATMENT Remove nits. ¥ Over-the-counter lice-killing ¥ shampoo does not usually kill nits. Those must be manually removed from the hair. Purchase a fine-tooth metal comb ¥ to remove nits (if not included with the shampoo). Work under good light ¤ Use tissue to remove nits ¤ from comb between each section of hair. All nits may not come out, so ¥ re-inspect hair and remove remaining nits by hand .
TREATING THE ENVIRONMENT Vacuum the entire house and upholstered furniture. ¥ Dispose of vacuum cleaner bag. Wash all personal items in hot water, or dry 30 minutes on ¥ high heat .(clothing, towel, bed linens, scrunches, etc.) Store other exposed items in plastic bags for 2 weeks ¥ (pillows, stuffed animals) Disinfect combs, brushes, hair clips, etc. by soaking in hot ¥ water (140 °F. for 10 minutes). Repeat the cleaning after each treatment ¥ not recommend using fumigant sprays CDC does no ¥
RE-TREATING Many lice shampoos require a 2nd treatment ¥ 7 -10 days later. Check the box for directions. Re-clean environment. ¥ Monitor frequently for reoccurrence of ¥ infestation by continuing to check child’s hair on a regular basis every few weeks for any signs of head lice If crawling lice are still seen after a full ¥ course of treatment, contact your health care professional.
THINK PREVENTION! ¥ Check your child’s hair often (especially after sleep-overs and overnight camps) ¥ Talk to your children about head lice. ¥ Discuss ways your child can prevent getting head lice (Avoid sharing combs/brushes, hats, coats) ¥ Notify appropriate people if there is an infestation of head lice to prevent its spread. ¤ Daycare, Scouts, close friends, cousins, school nurse
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