Pediculosis capitis, or head lice, are small parasitic insects that infest the hair on the head. Unlike body lice, head lice do not pose any immediate health hazards though they do present problems secondary to their presence. Most individuals with head lice suffer from intense itching of the scalp and may also suffer from a rash or irritated scalp as a result. Contrary to popular belief, head lice do not affect animals, but rather, are like the human version of fleas. Head lice do not jump or fly, but crawl.

Head lice are a common problem amongst school-aged children. This is mostly due to many children being in close contact with one another, enabling the continued spread of the lice. However, the presence of head lice is not an indicator of poor hygiene. It can be difficult to spot head lice and often, it is not noticed until severe itching prompts close inspection. Treatment is essential to relieve the host from the secondary symptoms of itching and irritated scalp as well as to prevent the continued spread of head lice.

Head lice are more easily located at the nape of the neck and in the hair behind and just above the ears, however the entire scalp should be thoroughly inspected. To thoroughly inspect for head lice in children or adults, another person must part the suspected host’s hair into small sections and check the scalp and the hair shafts. Adult lice can be found crawling about the scalp, but nits, or lice eggs, will be attached to the hair shaft close to the scalp. Adult lice are about the size of a sesame seed and nits are oval shaped, off-white to tan in color, and if present, will be attached to one side of the hair shaft. They will not flake off like dandruff, but rather can only be removed by sliding them down and off the end of the hair with the force of fingernails or a comb.

If either live head lice or nits are found on inspection, the host should be treated. Medicated shampoo and scalp treatment that kills head lice and their eggs is available over the counter at most any pharmacy. In most cases, if the directions are followed to the letter, the treatment will be successful. In some cases, a prescription strength pesticide scalp treatment may be recommended. An infested person’s bedding and clothing should all be washed thoroughly in hot water at the time of treatment to avoid immediate reinfestation. In the home, carpets should be thoroughly vacuumed.

With careful attention, head lice can be eliminated without too much difficulty. If head lice are a recurring problem, the source has likely not been treated. If your child or someone in your home is having a recurring problem, check with their school, daycare, or office. Call your doctor if the problem is persistent or unusual symptoms such as fever or redness are present.