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HEAD LICE GUIDELINES

Based on documented studies and national best practices, the following guidelines have been developed for the Madison Public School District. The goals of the school nurse are to contain infestation, provide appropriate health information for treatment and prevention, prevent overexposure to potentially hazardous chemicals, and minimize school absence. (National Association of School Nurses)

1.Any child with live lice will be sent home from school for treatment. The nurse will check all siblings.

2.Prior to returning to school, the child and siblings will report to the nurse’s office and will be checked by the school nurse. This will occur each day at the nurse’s discretion until the child is lice and nit free.

3.Those children with significant improvement will return to class. If significant improvement has not occurred the parent/guardian will be notified and the child will be sent home. The child will be re-checked prior to returning to school. Siblings will be checked until the infested child is nit free.

4.Class/group screening will occur at the discretion of the school nurse. Head lice screening programs have not had a significant effect on the incidence of head lice in the school setting over time and have not proven to be cost effective. (American Academy of Pediatrics)

5. Insecticidal treatments targeted at de-lousing of the classroom furnishings, contents, etc. will not be done since this is not a proven effective means of eliminating infestations and unnecessarily exposes occupants to insecticidal residues. (Harvard School of Public Health).

6.When a case of head lice is discovered in an elementary class, the parents/guardians of all the students in that class will be notified.

7.Parents are requested to notify the nurse when the 2nd treatment has been completed.

For additional information and complete articles refer to the following websites:

www.hsph.harvard.edu/headlice.html

www.nasn.org see Pediculosis

www.schoolnurse.commed_info/lice_scientific.html

www.headlice.org/downloads/nonitpolicy.htm

http://aappolicy.acppublications.org/cgi/content/abstract/pediatrics