Father concerned about lice at daughter’s school
Apr 13, 2012 | 2911 views | 2 2 comments | 5 5 recommendations | email to a friend | print

By JULIA ROBERTS GOAD

Staff Writer

A Red Jacket father has concerns about the prevalence of head lice at his daughter’s school.

James Meade’s daughter is a second-grade student at Matewan Elementary School. He says the school is not doing enough to stop the spread of head lice at the school.

“She has had lice three or four times in the last three weeks,” Meade said.

Bernice Johnson is a registered nurse with the Mingo County Health Department. She said Mingo County Schools used to have a “no nit” policy, but that policy was changed.

The Daily News obtained a copy of the Mingo BOE’s policy concerning pediculosis, or lice.

Mingo County schools, in accordance with the American Academy of Pediatrics and the National Association of School Nurses, has determined that “no nit” policies are ineffective in controlling outbreaks of head lice. If a student is found to have more than 5 nits within 1cm. or a quarter of an inch from the scalp and/or live lice, the parent or guardian shall be called and made aware of the situation.

If a student is determined to have lice, parents are notified of need to treat infestation.

The parents are responsible for appropriately treating the student and accompanying their child when they return to school to verify with school personnel the student is free of live lice.

According to the policy, schools are to have at least two persons in the building trained by the school nurse to check for students for lice.

After the student has returned to school, parents and school personnel should make periodic checks to assure that the student does not have continued infestation, while ensuring confidentiality of the student and notify the school health nurse of continued problems.

After a student has been referred or sent home due to the presence of live lice six times within a three-month period, the student will be referred to Child Protective Services, the policy states.

Bernice Johnson said the MCHD can write prescriptions for lice medication, and that the cost is covered by West Virginia Medicaid. Those medications, including one called Quale, are toxic, and should not be used excessively.

However, she said there are other, less toxic ways of dealing with head lice.

“You can cover their hair in mineral oil or olive oil and wear a shower cap, and it smothers the lice,” she said. “It also makes the nits, or eggs, come off the hair easier.”

Randy Keathley, Superintendent for Mingo County Schools, said he was unaware of any lice problems in Matewan Middle, or any other school in the system.



Comments
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RichardPollack
|
April 14, 2012
There are three main reasons why a child may be deemed infested by head lice several times during a span of weeks or months. 1) The child has a bona fide case that has not been eliminated. This can happen if treatments are not appropriately selected or applied. 2) The child may be successfully treated, but is repeatedly exposed to other infested persons (most usually in the home). 3) The child is presenting with nits or nit-like objects, and not with live (crawling) lice. The finding of live lice should be the basis for concluding that a child is infested. Nits, by themselves, should not be the sole basis for such a conclusion.

Excluding children because of head lice (or their eggs) is unjustified and counterproductive. It unfairly punishes the child and his/her parents, and it does little, if anything, to reduce the overall prevalence or incidence of head lice.

What is the rationale for involving CPS? What expertise or resources would they possibly provide? If the child was beaten or unfed, then CPS should, indeed, be involved. But, a child with head lice neither is necessarily neglected nor abused.

Children at school should not be subjected to mass inspections, particularly by folks who are not medically trained. It is not done for other far more significant conditions. Why for head lice?

Finally, claimed 'outbreaks' of head lice almost invariably are merely outbreaks of misdiagnosis and misinformation. Educational and public health based information is provided at no cost at https://identify.us.com.

Richard Pollack, PhD (IdentifyUS LLC)
SchoolNursingRN
|
April 14, 2012
As a past Health Services Coordinator for an urban school district with > 45,000 students and over 100 schools as well as a senior public health nurse and currently coordinator of a CA School Nurse Credential Program, I was disappointed to see an article about head lice that does not reflect the evidence that is readily available. The change in the district policy to allow students to remain in school was a sound one (though I am concerned about automatic referrals to CPS). Head lice do not cause harm, they do not cause disease. They do not jump, fly or swim. They can only live close to the scalp and nits are difficult to remove, as parents who have tried will know. They are not easily spread except by head to head contact which occurs more outside of school than in school. Educating children about avoiding head to head contact is a good way to prevent lice, especially on sleepovers or at camp. When our distract changed to a no-exclusion policy, many parents and teachers were concerned but there was no increase in the incidence of lice. To put this all in perspective, nurses don't go into classrooms to screen for signs of flu, which is potentially fatal to the over 10% of students with asthma. Their time is much more effectively used when they don't have to 'nit-pick.' Lice and nits are often misdiagnosed. Students with dandruff are sent home with the belief they have lice. Evidence shows that students with head lice are bullied more; it's extremely difficult to maintain confidentiality when letters go home to class parents for no reason and it is easy to identify the student who is kept out of school. Houses don't have to be cleaned for lice and toys needn't be bagged. Please get the facts before feeding into community frenzy about lice. Much information is at identify.us.com (I have no financial relationship with the site). The NPR story by Elaine Korry covering our change in the lice policy may be found at http://www.npr.org/templates/story/story.php?storyId=7176549.
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