Head Lice (Pediculosis) Management Procedure

The goal of this procedure is to support the health and academic success of students by minimizing school absences due to head lice while providing evidence-based education to families.

1. Screening and Identification

   • Routine Screening: Universal classroom screenings are not recommended. Research shows they are ineffective at controlling the spread and often lead to unnecessary stigma.
   • Individual Assessment: The school nurse will conduct a private head check if a student is symptomatic (e.g., frequent head scratching or a report of a crawling louse).
   • Confidentiality: All cases of head lice will be handled with discretion to protect the student’s privacy and prevent bullying.

2. Management of Infestation

   • Attendance: In accordance with CDC and IDPH guidelines, students diagnosed with live head lice do not need to be sent home early. They may remain in class until the end of the school day.
   • Parent Notification: The school nurse will contact the parent/guardian to discuss treatment options. The student may return to school the following day after the first treatment has been administered.
   • Classroom Notices: General "lice letters" sent home to entire classrooms are no longer standard practice. These often cause unnecessary alarm. Instead, the nurse will provide targeted education to the family of the infested student.

3. Treatment and Nit Removal

   • First-Line Treatment: Parents are encouraged to use an FDA-approved pediculicide (lice shampoo) or a treatment recommended by their healthcare provider.
   • The "Nit" Policy: Illinois schools are encouraged to retire "No-Nit" policies. Students will not be excluded from school solely for the presence of nits (eggs), as nits are not contagious. Parents are, however, encouraged to continue manual removal of nits to monitor the effectiveness of treatment.
   • Re-Treatment: A second treatment is usually required 7–9 days after the first to kill any newly hatched lice.

4. Environmental Measures

   • School Environment: Lice do not hop or fly; they spread primarily through direct head-to-head contact. The risk of spread via school furniture or carpets is extremely low.
   • Classroom Cleanup: Special "lice sprays" for furniture are not recommended as they can be toxic. Standard vacuuming and the storage of personal items (hats/coats) in individual cubbies or bags is sufficient.
   • Home Measures: Parents should focus on washing bedding and clothing used by the child in the 48 hours prior to treatment using hot water and high heat drying.