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    Texas School Health Program
    P.O. BOX 149347, MC1925
    Austin, TX 78714-9347
    1100 West 49th
    Austin, Texas 78756

    Phone: 512-776-7279
    Fax: 512-776-7555


    SchoolHealth@dshs.texas.gov

Managing Head Lice in School Settings and at Home

Head Lice (Pediculosis) Fact Sheets

Materials:

The following Fact Sheets provided in English and Spanish are copyright free and can be downloaded and printed off in black and white or color to be distributed to parents, caregivers, and school staff to help educate and inform about head lice. 

Lice Fact Sheets - English

  • What Are Lice? (Publication # E05-12864) (Color | B&W) (PDF)
  • How Do I Know if My Child Has Lice and How Did They Get It?  (Publication # E05-12865) (Color | B&W) (PDF)
  • What Should I Do If My Child Has Lice?  (Publication # E05-12866) (Color | B&W) (PDF)
  • How Do I Keep Lice From Coming Back?  (Publication # E05-12867) (Color | B&W) (PDF)
  • Misconceptions and Truths about Lice Treatment  (Publication # E05-12868) (Color | B&W) (PDF)
  • Lice Resources  (Publication # E05-12869) (Color | BW) (PDF)

Hoja informativa sobre los piojos de la cabeza - En Español

  • ¿Qué son los piojos?  (Publication # E05-12864) (Color | B&W) (PDF)
  • ¿Cómo sé si mi hijo tiene piojos en la cabeza? Y, de ser así, ¿cómo se le pegaron?  (Publication # E05-12865) (Color | B&W) (PDF)
  • ¿Qué debo hacer si creo que mi hijo tiene piojos en la cabeza?  (Publication # E05-12866) (Color | B&W) (PDF)
  • ¿Cómo evito que vuelvan los piojos?  (Publication # E05-12867) (Color | B&W) (PDF)
  • Mitos, ideas erróneas y verdades sobre el tratamiento de los piojos de la cabeza  (Publication # E05-12868 (Color | B&W) (PDF)
  • Recursos sobre los piojos de la cabeza  (Publication # E05-12869) (Color | B/W) (PDF)

State Law and School Policies Addressing Head Lice

Laws, Rules, and Policies

There is no law in Texas that addresses excluding children with head lice from school. DSHS does not have authority to impose a set policy on the exclusion or inclusion of students with head lice in school districts.  However, DSHS does urge school districts to ensure that its policies and procedures do not cause children to miss class unnecessarily. In addition, school districts’ policies and procedures should not encourage the embarrassment and isolation of students who suffer from repeated cases of head lice.

Lice are not a public health threat. They do not carry disease. Therefore, the Department of State Health Services does not monitor or track cases of head lice. It is up to each school district to create head lice policies and procedures, if they so choose…and some do. Talk to the school nurse or someone else in charge to find out what the school policy and procedures are in your school district. Refer to the topic "Setting Policies for School Districts" that appears on this page for policy suggestions.

According to a research article published by the American Academy of Pediatrics (AAP) in 2015, "No healthy child should be excluded from or allowed to miss school time because of head lice or nits.  Pediatricians may educate school communities that no-nit policies for return to school should be abandoned." Information for schools is located at the end of the research article.

Source: Head Lice - Pediatrics May 2015, 135 (5) e1355 - e1365  http://pediatrics.aappublications.org/content/135/5/e1355

Notice to Parents 

During the 2017 Legislative Session, Senate Bill 1566 passed into law and states the following: "The board of trustees of an independent school district shall adopt a policy requiring a school nurse of a public elementary school who determines or otherwise becomes aware that a child enrolled in the school has lice shall provide written or electronic notice of that fact to:

            (1)  the parent of the child with lice as soon as practicable but not later than 48 hours after the administrator or nurse, as applicable, determines or becomes aware of that fact; and

            (2)  the parent of each child assigned to the same classroom as the child with lice not later than the fifth school day after the date on which the administrator or nurse, as applicable, determines or becomes aware of that fact.”

Additional information about confidentiality is included within the law.

“No-Nit” Policies

A “no-nit” policy is one that excludes students from school based on the presence of lice eggs, whether or not live lice are present. The Department of State Health Services (DSHS) does not recommend a “no-nit” policy. We do recognize, however, that school districts may adopt one as a local option.

Head lice infestation is a social issue not a health threat. “No-nit” policies place a disproportionate amount of emphasis on head lice management than on real health concerns, which should be a higher priority. This over-emphasis can lead to unproductive use of time by school staff and parents, missed classes, unnecessary absences, and parents missing work.

The complete DSHS “no-nit” policy is here:
(Microsoft Word document, 130kb)
(Adobe PDF, 40kb

Additional information on “no-nit” policies for schools can be found through the American Academy of Pediatrics and the National Association of School Nurses

Setting Policies for School Districts

Creating school district policies and procedures should be a joint effort with the district’s school health advisory council, local health care providers, district administrators, school nurses, parents, and other stakeholders. Remember, there is no law in Texas that addresses excluding a child with head lice from school. School districts and campuses can create their own guidelines by developing written policies that:

  • Facilitate efficient and consistent implementation by all campuses,
  • Protect school nurses, teachers, and other school staff,
  • Create peace of mind for administrators and parents, and
  • Ensure all children are treated in a fair and equitable manner.

Considerations for Policy Development

When developing a policy, consider the following:

  1. Screening procedures – staying away from unwarranted mass screenings that disrupt student and teacher class time and take away from the nurses’ ability to address the needs of children who are sick and those with special healthcare considerations. Check the AAP study on head lice for guidance:  http://pediatrics.aappublications.org/content/135/5/e1355
  2. Parent/Guardian Notification – including a lice information fact sheet or brochure with the student handbook at the beginning of the year and notification when there is an infestation confined to a specific classroom.  Review Senate Bill 1566 for more information on head lice notification.  Check the AAP study on head lice for Management on the Day of Diagnosis for guidance:  http://pediatrics.aappublications.org/content/135/5/e1355
  3. Exclusion Protocol – including what happens if the parent is not home. Check the AAP study on head lice for Management on the Day of Diagnosis for guidance: http://pediatrics.aappublications.org/content/135/5/e1355 
  4. Readmission criteria – consider stating that they should use an FDA-approved, medicated treatment. Check the readmission criteria stated in the AAP study on head lice for guidance:  http://pediatrics.aappublications.org/content/135/5/e1355
  5. Definition of and district response to excessive absences – may help address the issue of parents who cannot keep their children free of lice. Texas Education Agency has criteria for excessive absences.

Additional Considerations

You may also want to address the following:

1. How the school/district may want to address those families that cannot afford to pay for the treatment to rid their child of lice.
2. Care in the classroom to prevent the spread of head lice.
3. In-service training for school staff.

Additional Resources


Last updated September 14, 2017