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Understanding and managing head lice in early childhood settings

Charlotte Hendricks, PhD

April 15, 2024

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Question

How can early childhood educators effectively identify and manage head lice infestations among children in their care?

Answer

Managing head lice, or pediculosis, in early childhood settings, begins with recognizing the signs of infestation and understanding the lifecycle and behavior of lice. Head lice are tiny parasites feeding on human blood, primarily from the scalp, and are identified not by the lice themselves but by their eggs or nits attached close to the scalp on hair shafts. Effective identification involves looking for these nits, as live lice are hard to spot due to their size and speed.

Treatment focuses on using over-the-counter products containing pyrethrum or permethrin, which are pesticides derived from chrysanthemum flowers or synthetic equivalents, respectively. These products are applied following specific package instructions, and their effectiveness varies, often requiring a second treatment to ensure complete eradication of lice and nits.

Preventing transmission within the setting involves minimizing direct head-to-head contact and not sharing personal items like hats or earphones. Moreover, integrating environmental cleaning practices and educating families about home treatment and prevention strategies are crucial. The goal is to manage the infestation effectively without necessarily excluding children from the program, as lice are not known to spread disease but are instead a nuisance that requires prompt and proper treatment.

This Ask the Expert is an edited excerpt from the course Bed Bugs, Pinworms, and Others, Oh My!presented by Charlotte Hendricks, PhD.


charlotte hendricks

Charlotte Hendricks, PhD

Dr. Charlotte Hendricks has promoted health education for young children, families, and teachers for over 40 years and pioneered curriculum development and evaluation for early childhood health education. Nationally recognized as a leader in her field, she presents at state and national conferences, delivering high-energy presentations to illustrate practical and cost-effective approaches to best practice, national standards, and issues facing today’s early childhood staff and families. Charlotte has published extensively, and her book, Redleaf Quick Guide to Disaster Planning and Preparedness in Early Childhood and Schoolage Care Settings exemplifies her ability to present essential information in an easy-to-follow format.


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