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Michigan
Head Lice Manual
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A comprehensive guide to identify, treat, manage and prevent head lice
Kathleen N. Straus, President State Board of Education Thomas D. Watkins, Jr. Superintendent of Public Instruction
July 2004 – Version 1.0
Michigan Head Lice Manual
Table of Contents
1) Introduction................................................................................................................... 4 2) Medical Impact .............................................................................................................. 5 3) Michigan School Head Lice Prevention and Control Policy......................................... 6 Policy Recommendations........................................................................................ 6 Procedures ............................................................................................................... 7 Roles and Responsibilities ...................................................................................... 7 4) Head Lice Biology ......................................................................................................... 9 General Information ................................................................................................ 9 Feeding.................................................................................................................. 10 Life Cycle.............................................................................................................. 11 Transmission ......................................................................................................... 12 5) Identification of Head Lice .......................................................................................... 14 Suggested Equipment and Supplies ...................................................................... 14 Methods................................................................................................................. 14 6) Treatment ..................................................................................................................... 16 Mechanical Removal............................................................................................. 16 Over The Counter Methods................................................................................... 17 Pediculicides ................................................................................................... 17 Permethrin (1%) .............................................................................................. 17 Pyrethrins plus Piperonyl Butoxide ................................................................ 18 Pediculicide Resistance................................................................................... 19 Nit Removal after Treatment with a Pediculicide................................................. 19 Prescription Methods ............................................................................................ 20 Malathion ........................................................................................................ 20 Lindane............................................................................................................ 20 Topical Reactions.................................................................................................. 21 Alternative Methods.............................................................................................. 21

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