Ermones^® Pest Management
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Head Lice - Pediculus Humanus Capitis

The head louse (Pediculus humanus capitis) is gray in color but tends to take on the hair color of the host. This insect pest is usually found on the lower back of the head and behind the ears. The female is about 1/16" to 1/8" long and flattened in shape; the male is a bit smaller. Hook-like claws are at the end of each of six legs to help anchor the louse to the hair shaft. Head lice do not jump or fly.

A female head louse will live about 30 days on a host. During this period, she will deposit about 90 eggs, three a day. The grayish white, 1/16" long eggs are cemented to hair shafts next to the scalp. The eggs are called "nits" and hatch in about one week. The newly hatched lice (called "nymphs") molt three times in eight or nine days before becoming adults. The life cycle is completed in about 15 days. During this time, the nymphs, as well as the adults, feed with piercing and sucking mouthparts, injecting saliva to keep blood from clotting. If the lice are not disturbed, feeding may continue for extended periods, and the insects may excrete dark red feces onto the scalp.

The first major symptom of a louse infestation can be intense itching caused by the louse's feeding, although certain individuals may not experience itching at all. Breaks in the skin caused by the louse and resultant scratching can cause secondary bacterial skin infection, especially in the absence of good hygiene.

Anyone is susceptible to headlice which can be spread by personal contact or by touching any surface or item that has been in contact with an infested person, including bedding, hats, combs, etc. Human lice do not usually infest pets or other animals. Head lice are not known to transmit disease.

Detection

To check for infestation, someone must examine the scalp for nits. Examination of children at school requires cooperation and support from pupils and parents. Examiners should use wooden applicator sticks or something similar to part the children’s hair in search of parasites or nits. Wipe sticks between exams to lower the remote possibility of transmitting head lice from person to person. Nits within 1/4 of an inch of the scalp are a sign of an active infestation. Nits more than 1/4 inch from the scalp are either infertile or hatched.

When nits are found within 1/4" of of the scalp and no recent treatment can be substantiated, the child should be kept out of school until evidence of treatment is shown. If one pupil is found to be infested, the entire class should be checked for lice. Currently we know of no safe solvent for removing nits from the hair.

Management

Many pediculicides are available to control head lice. They are formulated as creams, shampoos, and lotions. Some require prescriptions, which generally are available from doctors. Many school nurses have an open prescription for lice medicine. Over the counter pediculicides can be just as effective as prescription pediculicides (e.g. the permethrin based product, Nix, which kills eggs and offers two weeks residual protection). Follow directions. Consult a doctor before using the Kwell on infants or during pregnancy. Many pediculicides come with special combs for nit removal.

An infested person is treated by removing all clothing, then applying the pediculicide according to directions, then putting on clean clothes. Clothes, bedding, and other items contacted by the infested person within 48 hours should be washed in hot water with a detergent and dried in a clothes dryer. Alternate means of disinfecting articles include dry cleaning, isolation in a plastic bag for 10 days, or placing items in a freezer. Freezing is lethal to eggs, nymphs, and adults, and so is a temperature of 125F for 30 minutes or more.