Lice: Treatment and Prevention

Parents and Guardians have an important role in the treatment and prevention of lice.

Parent or Guardian Responsibilities in the Treatment and Prevention of Lice

  • Your child was observed to have live lice.  Parents or guardians have an important role in treating the lice and from preventing the lice from coming back. See the Health Department brochure for a description of what parents need to know about treating lice:  English | Chinese | Farsi | Korean | Spanish | Urdu | Vietnamese
  • Check the hair of everyone in the household, even if they don’t show signs of having lice, such as itching. Have someone check you!
  • Treatment with a federal Food and Drug Administration (FDA)-approved anti-lice treatment should be only used on those people who have live lice. For children under two years of age and women who are pregnant or breastfeeding, please consult your healthcare provider for treatment advice. 
  • After the first treatment, complete a Lice Treatment Verification form from the school health room.  Return the form to your child’s school health room the day after you have used the anti-lice treatment.
  • Notify the parents of your child’s close contacts that your child has lice.
  • Clean clothing, bedding, and soft toys using hot water and hot dryers (for at least 20 minutes). Items that cannot be washed should be sealed in a plastic bag for 14 days. 
  • Vacuum carpeting, upholstery, and car seats.  Do not use any pesticides inside your home.
  • Disinfect all combs and brushes from your household and then wash in hot water daily.  Disinfecting is done by soaking combs and brushes in FDA approved anti-lice shampoo for four (4) minutes or boiling them in water for ten (10) minutes. 
  • Retreat your child seven to ten days after the first treatment. Return the second Lice Treatment Verification Form to your child’s school health room.
  • Check and comb your child’s hair with a lice egg (nit) comb to remove nits, every day for 14 days after the first treatment. 
  • Continue to check your child’s head every week for four weeks.
  • Contact your healthcare provider for advice if you followed all the steps and your child still has live lice.
  • Use the Lice Treatment Calendar (below) to help you follow all the treatment steps.

 

Lice Treatment Calendar

Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7

Use an FDA approved anti-lice treatment. Follow directions EXACTLY as on product label.

Wash clothing, bedding and soft toys. Bag items that can’t be washed in a tightly sealed plastic bag for 14 days.Notify close contacts.

4. Obtain lice verification form from your child’s school health room.

Return the Lice Verification Form to your child’s school health room.

DO NOT wash your child’s hair with any kind of shampoo.

Wet your child’s hair and divide hair into small sections. Use a lice egg (nit) comb and, comb your child’s entire head.

Use regular shampoo to wash your child’s hair.

Follow yesterday’s instructions and comb through child’s hair with a nit comb.

Use regular shampoo to wash your child’s hair.

Comb through child’s hair with nit comb.

Use regular shampoo to wash your child’s hair.

Comb through child’s hair with nit comb.

Use regular shampoo to wash your child’s hair.

Comb through child’s hair with nit comb.

Treat your child for a second time with a FDA approved anti-lice treatment, 7-10 days after the first treatment, or as directed on the product label.

Comb through child’s hair with nit comb.

Day 8 Day 9 Day 10 Day 11 Day 12 Day 13 Day 14

Return the Lice Verification form to your child’s school.

DO NOT wash your child’s hair with any kind of shampoo.

Comb through child’s hair with nit comb.

Use regular shampoo to wash your child’s hair.

Comb through child’s hair with nit comb.

Comb through child’s hair with nit comb.

Use regular shampoo to wash your child’s hair.

 

Comb through child’s hair with nit comb.

Use regular shampoo to wash your child’s hair.

Comb through child’s hair with nit comb.

Use regular shampoo to wash your child’s hair.

Comb through child’s hair with nit comb.

Use regular shampoo to wash your child’s hair.

Comb through child’s hair with nit comb.

If you still see live lice or lice eggs after you have followed all these steps, you must contact your healthcare provider.