HEAD LICE Problems with head lice most commonly involve schools. The Department of Education has included a section on Control of Head Lice in Schools in its Health Services Reference Guide. The manual states that control programs should be established within each school district. It grants discretion to each school district to develop a policy that meets their community values. They may or may not decide to have “no nit” policies.
The Health Services Reference Guide does not mandate any involvement of LHDs. Likewise there is no DPH mandate that LHDs be involved in head lice control. LHDs are encouraged to negotiate their role in collaboration with school districts and/or may develop their own policies.
The Division of Epidemiology and Health Planning has recommended the treatment of choice for head lice to be 1% permethrin with the next step, if there appears to be a treatment failure with permethrin, to use a pyrethrin with a piperonyl butoxide. With pyrethrins, a second treatment is needed following directions supplied with the medication. Following drug treatment, daily removal of lice and nits with a nit comb must be performed.
Other alternatives and considerations may be found in Kentucky Epidemiologic Notes and Reports, October 1993, March 1998, and September 2000.