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Head Lice

Pediculus humanus capitis
Updated Jul 08, 2022
 
1

Make a Positive Identification

Species: Head Lice
Adult lice compared to ruler

Jim Occi, BugPics, Bugwood.org

Adult head lice are wingless insects about the size of a sesame seed. Their color ranges from tan to gray. They have claws that enable them to grasp hair shafts while they feed through needle-like mouthparts.

Species: Head Lice
Head lice on fabric

Dani Barchana, Bugwood.org

Head lice crawl relatively slowly. They can’t fly, hop, or jump. People become infested with head lice through direct contact with an infested object or person. Lice move between hosts through person-to-person contact.

Species: Head Lice
Adult checking child’s hair for lice

freemixer, iStock

Head lice also move between people on shared objects such as combs, brushes, headphones, and hats. School-age children are at higher risk. They are more likely to share such items.

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2

Head Lice Benefits

  • Head lice are an annoying human health pest. They don’t have any benefit for people or the environment.
 

Head Lice Risks

  • Head lice are specialized insects that live only on humans.
  • They cause itching, irritation, and embarrassment.
  • Head lice don’t transmit disease.
  • Scratching can lead to secondary infections.
  • Head lice are often found behind the ears and at the nape of the neck. Severe infestations form scabby crusts on the skin where lice gather.
Risk Card
Does it cause harm?
Adults & Children
Very High
Property
High
Pets
None
Annoyance
Very High
Environment
None
Action Highly Recommended
 
3

Take Action


If you discover head lice on a person in your household, take action to get rid of them.

Do I need to take action?
Yes, take action for head lice infestations.

What if I do nothing?
Head lice won’t go away without action. The longer you wait to take action, the more difficult it becomes to get rid of head lice.

 
4

Prevent Head Lice

Adult checking child’s hair for lice

freemixer, iStock

Weekly Lice Check
  • After you have successfully treated a lice infestation, perform weekly head checks in a well-lit area.
  • Use a metal lice comb to part and comb the hair according to the instructions above.
 
5
Solutions for Head Lice
  • Daily combing with a nit comb to remove nits and adult lice can be highly effective if done correctly.
  • However, these actions might not work on their own.
  • You might have to use medication available at stores. Other products are available with a doctor’s prescription.

Understand the Head Lice Life Cycle

  • Head lice require human blood to survive and reproduce.
  • After feeding, a female louse lays her eggs (nits) at the base of a hair shaft. Eggs are attached securely in place.
  • Nits are resistant to many treatment strategies. Nit removal and/or multiple treatments are required for effective control of an infestation.
  • The nits typically hatch into nymphs within 7–11 days. They have three immature stages before they become an adult.
  • Female head lice lay an average of 6–10 eggs per day. They lay up to 300 eggs in their lifetime.
  • The head lice life cycle takes about 3 weeks. After you discover head lice, plan to treat them for at least 3 weeks to get rid of the infestation.

NEED HELP?

Consider a licensed pest control company. Learn How to Hire a Pest Control Company.
Your local Extension Specialist in Oregon  and other states  can suggest other methods.

Jump to

Method Does it work? Is it safe? Recommendation
A
Daily Nit Combing & Cleaning Bedding / Personal Items
Effective
Low risk
B
Head Lice Treatments Available at Stores
Effective
Moderate risk
C
Prescription Head Lice Treatments
Effective
Moderate risk
D
If Using Insecticides, Protect Yourself & Minimize Risks
 
A

Daily Nit Combing & Cleaning Bedding / Personal Items

Non-Chemical Method

KevinDyer, iStock

Daily Nit Combing & Cleaning Bedding / Personal Items

Daily nit combing and cleaning bedding / personal items are required steps to get rid of head lice.

Does it work?
Effective

Use preventive measures for best results.

How much effort?
High effort
  • Nit combing requires daily effort until you get rid of the infestation.
  • Cleaning bedding and personal items requires signification effort.
What's the risk?
Low risk
Possible risk of exposure or harm from chemicals
NONE

Daily combing with a nit comb to remove nits and adult lice effectively controls lice.

Metal comb with lice

KevinDyer, iStock

The most effective nit combs are made of metal and are specially designed for removing head lice and their eggs.

Person’s hair with numerous nits

kozorog, iStock

Combing out nits is easier and more successful when hair is wet.

nit-Combing Details

  • Perform lice removal in a well-lighted area.
  • Use a metal lice comb to part and comb the hair.
  • Inspect the scalp (especially at the nape of the neck and behind and around the ears). Look for crawling tan insects or tiny eggs cemented to hair shafts.
  • It’s easy to mistake dandruff, hair product residue, and other debris for head lice. Look carefully for nits and tan insects.

Cleaning Bedding / Personal Hair Items & Vacuuming

  • Clean bedding and clothing used by the infested individual. Wash items in hot water (at least 140° F) and place them in the dryer for at least 30 minutes on high heat.
  • Dry-clean non-washable fabric items. Or place items in a sealable plastic bag in a freezer. Lice and eggs should be killed within 10 hours if items are held at 5° F or lower.
  • Clean hair-care items such as combs and brushes in warm, soapy water. Soak items in hot water (140° F) for 10 minutes. Don’t soak plug-in items such as hair dryers, curling irons, etc.
  • Vacuum carpets and upholstery to remove fallen hairs that may carry nits.
 
B

Head Lice Treatments Available at Stores

Chemical Method: Use with caution

Whitney Cranshaw, Bugwood.org

Head Lice Treatments Available at Stores

  • Head lice treatments available from stores contain active ingredients pyrethrins or permethrin.

 

Does it work?
Effective

These products kill adult lice. However, they don’t control nits.

How much effort?
Moderate effort
  • Treatments require repeat application.
  • You must also perform daily nit combing.
What's the risk?
Moderate risk

Insecticides come with real risks. ALWAYS read the entire label front to back. Review instructions even for brands you know.

Possible risk of exposure or harm from chemicals
Using insecticides includes some amount of risk. The lowest risk comes with using alternative methods.

You may be exposed to an insecticide if you:

  • Get it on your skin
  • Breathe it in
  • Eat or smoke afterward without washing hands
  • Touch surfaces that are wet with spray (you, pets, or children)

Follow directions closely to reduce risk.

  • Over-the-counter products for head lice control contain pyrethrins or permethrin. They only control adult lice.
  • Carefully read and follow label instructions when using lice treatment products.
 
C

Prescription Head Lice Treatments

Chemical Method: Use with caution

Comeback Images, iStock

Prescription Head Lice Treatments

Prescription-only head lice products include benzyl alcohol (Ulesfia®), spinosad (Natroba™), and ivermectin (Sklice®).

Does it work?
Effective

They are reported to be very effective. However, prescription products are expensive.

How much effort?
Moderate effort

Nit combing is also recommended when using prescription products.

What's the risk?
Moderate risk

Follow the instructions from your doctor to minimize risks.

Possible risk of exposure or harm from chemicals
Using medication includes some amount of risk.

Follow the instructions from your doctor to minimize risks.

 

If Using Insecticides, Protect Yourself & Minimize Risks

Chemical Method: Use with Caution
Family on bed

fizkes, iStock

Why Is It Important to Read Insecticide Labels?

  • They have detailed information on how to use the product correctly and legally.
  • They contain information on potential hazards of the product.
  • The provide instructions you should follow for poisonings and spills.

Key Safety Tips for Insecticides

  • Read the entire label front to back. Follow the instructions.
  • Review the instructions even for brands you know.
  • Only apply the product where the label says it may be applied.

The Label is the Law

ALWAYS read the label before using insecticide products. The label is a legal document that provides information on how to safely use the insecticide. This helps avoid harm to human health and the environment. Using an insecticide in off-label ways is illegal. It can result in legal enforcement actions.

READ THE LABEL & Follow Instructions
It has instructions to protect you and the environment.

  • Labels are different for every product and they often change over time.
  • Use a magnifying glass for small print.
  • Pay attention to CAUTION, WARNING, and DANGER statements.
  • Pay attention to the PRECAUTIONARY STATEMENTS.
  • The law states you must read and follow insecticide instructions.

Protect Yourself
Eye, skin & lung irritants

  • Wear gloves, safety glasses, a long-sleeve shirt, pants, socks, and shoes.
  • Avoid contact with eyes, skin, or clothing.
  • Wash hands after mixing or applying, and before eating or smoking.

Protect Children & Pets
Keep out of the reach of children.

  • Keep children and pets away from the application area.
  • Remove toys and pet dishes from the area before applying insecticides. Wait until spray has dried or dust has settled.

Storage & Disposal

  • Store out of the reach of children and pets.
  • Store in a cool and dry place.
  • Never pour down any drain.
  • If you mix too much, apply it rather than storing it.
  • Don’t put pesticide containers in the trash unless instructed by the label.
  • Take unused insecticides to a hazardous waste facility.

Call  1-800-CLEANUP (1-800-253-2687) to find out where to dispose of pesticides.

For the Portland metro region in Oregon, contact Metro’s Recycling Information. Call  503-234-3000, email   or visit Metro’s website  

More about:

About Using Pesticides on School Grounds in Oregon

If using pesticides on school grounds, there are special rules in Oregon. See School Integrated Pest Management  (Oregon Department of Agriculture).

NEED HELP?

The National Pesticide Information Center (NPIC)  can answer questions about pest control chemicals.
 1-800-858-7378 or npic@ace.orst.edu  

Consider using a licensed pest or weed control company. Learn How to Hire a Pest Control Company.

Your local Extension Specialist in Oregon  and other states  can suggest other methods.


Content provided by editor Weston Miller and writer J. Jeremiah Mann. Pesticide safety information edited by Kaci Buhl.

Information sourced courtesy of Elizabeth Dykstra, Washington State Department of Health, and developed jointly by WSU and the OSU School IPM Program  with grant funding from the US Environmental Protection Agency.

 Reviewed by OSU Department of Horticulture.

Photo of Weston Miller

Weston Miller

Project Founder and Content Writer

Weston Miller served as Community and Urban Horticulture faculty for Oregon State University Extension Service for Clackamas, Multnomah, and Washington Counties. Weston is an author for content for this website. He developed funding partnerships with Portland area agencies to initiate and build out the Solve Pest Problems website focused on this goals:

J. Jeremiah Mann

J. Jeremiah Mann

J. Jeremiah Mann completed a Physical Science undergraduate degree at Humboldt State University, and M.S, Ph.D focusing on plant science topics at UC Davis. He went on to work for the Natural Resources Conservation Service and in a leadership position serving a private agricultural technology company. He currently lives in Sacramento California where he consults on pest and property management topics.

Photo of Kaci Buhl

Kaci Buhl

At the state level, I lead the Pesticide Safety Education Program (PSEP). The program hosts live recertification events around the state, serving over 1,000 licensed pesticide applicators each year. We also produce web-based training modules and license-preparation study manuals. Special training for unlicensed pesticide applicators is also available through a grant from the USDA Specialty Crop Block Grant Program. The PSEP at OSU works closely with the Oregon Department of Agriculture's Pesticides Division.