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20 May
Head lice (nits) are a common issue in primary schools and are not a sign of poor hygiene. They spread easily through close head-to-head contact, which is why outbreaks often occur among young children. NHS guidance recommends regular checking and prompt treatment to limit their spread.
Parents and carers should check their child’s hair weekly using a fine-toothed detection comb, especially if there are known cases in the school. Wet combing with conditioner is the most effective way to identify live lice. It is important to look for moving lice rather than just eggs, as eggs alone do not always indicate an active infestation.
If live lice are found, treatment should begin promptly. The NHS suggests either wet combing every few days for at least two weeks or using a medicated lotion or spray from a pharmacy. These treatments should be used according to instructions, and a second treatment is often required after 7 days to ensure all lice are removed.
Children should not be excluded from school if they have head lice, as this does not significantly prevent spread. Instead, schools should encourage families to check and treat at the same time. This “community approach” is the most effective way to control outbreaks.
To reduce transmission:
Children should avoid sharing hats, hairbrushes, or accessories
Long hair can be tied back during school hours. However, routine cleaning of bedding and clothing is not usually necessary beyond normal washing.
Clear communication between school staff and parents is essential. Sending reminders about regular checks and correct treatment methods can help manage outbreaks effectively while reducing stigma and unnecessary worry.