Don't panic - at least don't panic too much. Lice is a part of life that, according to the CDC, an estimated 6 to 12 million kids in the US experience each year. Of those millions, it has been reported that a small percentage are African American children. The prevailing theory is that the claws of the head louse in the US are adapted to a rounder hair shaft and don't as easily grasp the more ovoid hair shaft that comes with tightly curled hair.
There are a lot of alarming myths about lice. Many people fear lice and are embarrassed by an infestation. I'd like to encourage each of us to be brave and really learn about lice so we can deal with them effectively. First off, let's dispel some myths. Lice have nothing to do with personal hygiene, they don't "prefer" clean hair - or dirty hair for that matter. What they do like is human blood, and we all have that. A louse is a parasitic insect that doesn't fly or jump. While lice are annoying and irritating, the good news is they really don't cause harm. They aren't dangerous and they don't spread disease.
There are a few things you can do to help prevent the spread of lice to your child. If there is an outbreak at school or daycare, tell your child not to share hats, combs, brushes, play with another child's hair, or let another child play with hers. It's also a good idea try to teach her to avoid hair-to-hair contact with other children. Lice don't jump or fly from head to head; there has to be direct contact for lice to spread. Although many believe a heavy application of hair products, or using coconut shampoo or coconut oil, prevent lice, I could find no science to back it up.

If you suspect your child has lice, check with your child's doctor to confirm the diagnosis before using a chemical treatment. Sometimes dandruff, product residue, debris, or other insects that may have flown into the hair, can be mistaken for a lice infestation. If the presence of an active lice infestation is confirmed, you can use an over-the-counter lice treatment. Please remember OTC and prescription lice treatments are insecticides. It is critical to use these precisely as directed. Don't treat infants or anyone who does not have an active infestation.
Folk remedies abound on the internet and are also passed by word of mouth. While there are many web sites reporting anecdotal evidence of lice being smothered by olive oil, Vaseline, or mayonnaise, or being killed by Listerine, I could not find a formal study proving the efficacy of any these methods. Even if they do smother or kill the adult lice, they probably will not kill the live nits which may be days away from hatching. Tea tree oil is widely recommended too. However, I could not find any large studies proving its efficacy, confirming exactly how it should be used and in what concentration. It's always important to remember that natural is not synonymous with safe, especially when working with potent substances like essential oils.
If you prefer a non insecticidal method of removal, or a chemical treatment hasn't worked, you can try manual removal. Although the thought of a lice comb can be scary for those with tightly coiled hair, it may be the safest, if most time-consuming, option available. Try detangling the hair, dividing it in very small sections and using either a good quality lice comb or fingers to remove the nits (egg casings of unhatched lice) and lice. Doing this under a strong light is helpful. Although there may seem to be many, many eggs on the hair, few of them will be active. As explained by Dr. Pollack at the Harvard School of Public Health,
Adult female lice usually cement each egg to the base of a hair shaft near the skin. As the hair grows (from the base), these attached eggs are transported away from the scalp. Eggs more than one-half of one inch away from the scalp are nearly always hatched and do not, by themselves, indicate an active infestation.Manual removal of lice and nits must be repeated several times until all lice and live nits are completely removed. During treatment and after the final treatment, wash hair tools in very hot water and let them soak for at least five minutes. Use a washer and dryer to clean bedding, hats, stuffed animals, and towels several times throughout treatment and again when the child is clear of the infestation.
There is no need to spray the house with a lice spray. Lice don't live long away from the warmth and blood provided by a human body. The sprays available are insecticides that are unnecessary and could be toxic to inhale. A simple vacuuming will do. It's a good idea to vacuum the child's car seat too.
For excellent information on head lice, images of lice, a FAQ, and a flowchart detailing what to do if you suspect your child has lice, visit Dr. Pollock's site IndetifyUS. They also have helpful information on bed bugs!
Just for the record, we have not had a lice warning yet, but I'm sure it's coming. I think I'll be able to meet it calmly and competantly, and I hope you are too.













