Abstract:In the 1970s Donaldson applied the principles of infectious disease surveillance to pediculosis capitis infestation with head lice. This provided a lasting insight into an effective strategy for prevention. Research in Teesside, UK, proved that the first step in breaking the chain of transmission is the engagement of parents in an intensive detection/treatment campaign. United action halved the infestation rate, even though failing lindane treatments were in use. Subsequently although effective malathion treat… Show more
“…The Bug Busting program in the UK is a good example of the positive impact of national campaigns [17]. In Norway in the period 2006–2009 national lice-checking campaigns were launched twice a year by a voluntary organization, ‘Lusfri Norge’.…”
Introduction
Head lice infestations cause distress in many families. A well-founded strategy to reduce head lice prevalence must shorten the infectious period of individual hosts. To develop such a strategy, information about the actions taken (inspection, treatment and informing others about own infestations), level of knowledge and costs is needed. The present study is the first to consider all these elements combined.
Materials and Methods
A questionnaire was answered by 6203 households from five geographically separated municipalities in Norway.
Results
94% of the households treated members with pediculicides when head lice were discovered. Nearly half of the households checked biannually or not at all. Previous occurrence of head lice and multiple children in a household improved both checking frequency and method. More than 90% of the households informed close contacts about their own pediculosis. Direct costs of pediculosis were low (less than €6.25 yearly) for 70% of the households, but the ability to pay for pediculicides decreased with the number of head lice infestations experienced. One in three households kept children from school because of pediculosis. Other widespread misconceptions, such as that excessive cleaning is necessary to fight head lice, may also add unnecessary burden to households. School affiliation had a significant effect on checking frequency and method, knowledge and willingness to inform others about own pediculosis.
Conclusions
Increased checking frequencies appear to be the most important element to reduce head lice prevalence in Norway and should be a primary focus of future strategies. National campaigns directed through schools to individual households, might be an important tool to achieve this goal. In addition to improving actions taken, such campaigns should also provide accurate information to reduce costs and enhance the level of knowledge about head lice in households.
“…The Bug Busting program in the UK is a good example of the positive impact of national campaigns [17]. In Norway in the period 2006–2009 national lice-checking campaigns were launched twice a year by a voluntary organization, ‘Lusfri Norge’.…”
Introduction
Head lice infestations cause distress in many families. A well-founded strategy to reduce head lice prevalence must shorten the infectious period of individual hosts. To develop such a strategy, information about the actions taken (inspection, treatment and informing others about own infestations), level of knowledge and costs is needed. The present study is the first to consider all these elements combined.
Materials and Methods
A questionnaire was answered by 6203 households from five geographically separated municipalities in Norway.
Results
94% of the households treated members with pediculicides when head lice were discovered. Nearly half of the households checked biannually or not at all. Previous occurrence of head lice and multiple children in a household improved both checking frequency and method. More than 90% of the households informed close contacts about their own pediculosis. Direct costs of pediculosis were low (less than €6.25 yearly) for 70% of the households, but the ability to pay for pediculicides decreased with the number of head lice infestations experienced. One in three households kept children from school because of pediculosis. Other widespread misconceptions, such as that excessive cleaning is necessary to fight head lice, may also add unnecessary burden to households. School affiliation had a significant effect on checking frequency and method, knowledge and willingness to inform others about own pediculosis.
Conclusions
Increased checking frequencies appear to be the most important element to reduce head lice prevalence in Norway and should be a primary focus of future strategies. National campaigns directed through schools to individual households, might be an important tool to achieve this goal. In addition to improving actions taken, such campaigns should also provide accurate information to reduce costs and enhance the level of knowledge about head lice in households.
“…Re-colonization is not unexpected if a child is part of a group of interacting children in which simultaneously detecting and eradicating head lice are difficult. An infestation can persist for a long time if inspection and treatment are not synchronized (Ibarra et al 2009). …”
SUMMARYHead lice prevalence varies greatly between and within countries, and more knowledge is needed to approach causes of this variation. In the present study, we investigated head lice prevalence among elementary school students and their households in relation to individual and household characteristics as well as spatial variables. The investigation included households from 5 geographically separated municipalities. Present infestations among household members as well as previous infestations in the household were reported in a questionnaire. In elementary school students prevalence was low (1·63%), but more than one-third of the households (36·43%) had previously experienced pediculosis. Prevalence was higher in elementary school students than in other household members, and highest in third-grade children. Prevalence was also influenced by the school attended, which suggested that interactions between children in the same school are important for head lice transmission. Previous occurrence of head lice in homes also increased the risk of present infestation. Prevalence of previous infestations was higher in households with more children and in more densely populated municipalities, indicating that the density of hosts or groups of hosts influences transmission rates. These results demonstrate that information of hosts’ spatial distribution as well as household and individual characteristics is needed to better understand head lice population dynamics.
“…The earliest public awareness campaign pertaining to Pediculosis capitis treatment was recorded by Ibarra (2009). The Donaldson Teesside Legacy 1970Legacy -1978 was referred to as a successful mass treatment of Pediculosis capitis in a community.…”
Background: Pediculosis capitis is a common infestation among the school-aged group. Necessary intervention must be taken to prevent and manage the problem. A full study using cluster randomized control trial is proposed to assess the effectiveness of a health education module on the knowledge, attitude and practices on Pediculosis capitis among government primary school students. If the intervention is effective, it can be generalized to the whole primary schools across the country. Therefore, this paper will discuss on the development of a school-based health education intervention to improve the knowledge, attitude and practices on Pediculosis capitisamong the government primary school students. Materials and Methods: Literature review was done to examine the prevalence of Pediculosis capitis and its determinants. Based on the findings, a health education intervention module based on KAP Model was developed for the implementation at a school level. Contribution by the panel of experts was attained for the development of the module. Validation of the module was carried out to ensure it is suitable to be implemented and will be effective in preventing and managing Pediculosis capitis. Expected Result: The health education intervention is effective to improve the knowledge, attitude and practices on Pediculosis capitis of the respondents as compared to baseline. Conclusion:Preventing Pediculosis capitis and controlling its risk factors by a well-developed health education module will help to obtain the desired outcome which is the reduction of Pediculosis capitis and improvement of knowledge, attitude and practice on Pediculosis capitis among the respondents.
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