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AT-HOME LICETREATMENT
Presented byNitwit Lice RemovalRobin Wise Lofstromowner/operatorSeattle, Washington© 2012
The Cetaphil MethodLice lifecycle   FAQs             How-to                                     Be persistent.            ...
The lice lifecycle                            from adult                                 to egg                           ...
Adults lay 4-5                     eggs daily.And then mature adult begins to                   Adults                    ...
adult head licepediculis humanus capitispest, not pestilence                            • condition is called pediculosis ...
reproductionsource: Wikipedia                    • virgin females do not reproduce                    • males’ front 2 leg...
eggssource: Centers for Disease Control                                      • often found in clusters | look all         ...
nitsDon’t be so nitpicky!                        • nits are not eggs                        • nits are:                   ...
nymphs• emerge from their eggs within 7-  10 days• much smaller than mature lice• as compared to an adult finger,  100 nym...
FAQs       answers to the 8 most common questions
•   How come I didn’t know I had lice until just now?•   How thoroughly do I need to clean my house?•   Is it true that he...
Symptomscan I have head lice and   not even know?             The itching that sometimes accompanies lice is caused by an ...
2000 US research study, reported in the Pediatric Infection Disease Journal.are head lice ever   misdiagnosed?       In a ...
what informs my   healthcare provider?             Healthcare professionals may rely more on past practices and           ...
Simple common sensehow do I   clean my house?           Housekeeping tasks should be simple to do and take little time.   ...
Simple common sensedo I have to   bag everything?                   If you choose to bag things up, 48-72 hours is suffici...
Pesticides can be very unsafe!are head lice   resistant to pesticides?                    Many families use pesticides one...
Lindane requires a prescription from your doctor.what about   lindane (Kwell)?         Lindane should only be used if all ...
Like all commercial products, Nix is only partially effective at killing eggs.what about   permethrin (Nix)?              ...
Pesticides can be very unsafe!what about   malathion?                               Malathion requires a doctor’s prescrip...
Pesticides can be very unsafe!what about   Natroba?                            Natroba was recently approved by the FDA.  ...
These include LiceMeister, RobiComb, Terminator, and more.is   combing sufficient?         Combing may be sufficient, depe...
Demonstration           How to perform a head check.
Head checks
These are commonly called “suffocants.”how about   olive oil or mayonnaise?   These products act as suffocants, and are in...
See the research paper by Deon Canyon, University of Hawaii.how about   tea tree oil, mint, etc.?   There is no scientific...
Also called the “Nuvo method.”what is the   Cetaphil treatment?   Cetaphil is a gentle liquid soap, recommended as a daily...
Cetaphil acts as a suffocant.how does the   Cetaphil work?         Cetaphil is applied liberally to the hair, and then com...
Cetaphil acts as a suffocant.Why do you need to repeat      repeat Cetaphil?           Cetaphil re-application is intended...
Demonstration        How to perform a Cetaphil treatment.
Cetaphil treatment
And when is a guarantee not a guarantee?what should i ask a   treatment provider?                           Lice treatment...
what is the   Shepherd method?     The Shepherd method is a wet-head combing, followed by a headcheck.                    ...
who will treat you and your family?                  If you hire a salon, consider how they conduct business.     Salons w...
how does your   guarantee work?         If you are expected to return in order to validate their guarantee,               ...
how   long is their guarantee?      If their guarantee is valid for one or two weeks only, remember that two              ...
what if they were notsuccessful?    Find out what happens if you discover you still have lice after their                 ...
how much   will it cost?                                       Plan on at least 90 minutes per head.                      ...
can I   prevent head lice?     Encourage your children to never share hats, headwear, headbands, etc.   The most effective...
Nitwit Lice Removal206-327-5782www.nitwitseattle.combecause someone’s gotta do it!                          Seattle’s only...
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Lice education & training

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This comprehensive video includes:
Lice education and training
Effectiveness of lice treatments
Questions to ask a lice treatment professional

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Lice education & training

  1. 1. AT-HOME LICETREATMENT
  2. 2. Presented byNitwit Lice RemovalRobin Wise Lofstromowner/operatorSeattle, Washington© 2012
  3. 3. The Cetaphil MethodLice lifecycle FAQs How-to Be persistent. Be patient. And learn through practice.
  4. 4. The lice lifecycle from adult to egg to nymph and to adult again
  5. 5. Adults lay 4-5 eggs daily.And then mature adult begins to Adults Nymphs emerge eggs, whereasthe older adults live for within 7-10 days die. 30 days Nymphs mature within 9-12 days.
  6. 6. adult head licepediculis humanus capitispest, not pestilence • condition is called pediculosis • live for 30 days • feed 5 times/day on blood | pierce your scalp | inject special saliva • about the size of a sesame seed | very light brown or grey • close to the scalp | along the hairline, at the crown, and behind the ears • repelled by light • lice move by crawling only • males slightly smaller
  7. 7. reproductionsource: Wikipedia • virgin females do not reproduce • males’ front 2 legs used for holding the female during copulation • pairing within first 10 hours | within 24 hours, copulation occurs frequently • hazards of copulation: mating lasts more than 1 hour | may die within a few days | older females frequently die after copulation
  8. 8. eggssource: Centers for Disease Control • often found in clusters | look all along the scalp • adult female secretes a glue, which quickly hardens into a sheath (similar to keratin) • .8 cm | oval shaped | tan to coffee colored when embryo is inside • eggs within ¼” to ½” inch {1 cm} are viable • require constant body heat for incubation
  9. 9. nitsDon’t be so nitpicky! • nits are not eggs • nits are: – hatched egg shells, still attached to hair – eggs containing dead embryos, still attached to hair • no-nit policies are misleading • nits do not indicate a current infestation • proper identification of head lice should be presence of live eggs and live lice
  10. 10. nymphs• emerge from their eggs within 7- 10 days• much smaller than mature lice• as compared to an adult finger, 100 nymphs could be lined up end-to-end• mature within 9-12 days• shed their exoskeleton 3 times before maturity• discarded exoskeletons are often improperly identified as live lice• combs rarely get nymphs
  11. 11. FAQs answers to the 8 most common questions
  12. 12. • How come I didn’t know I had lice until just now?• How thoroughly do I need to clean my house?• Is it true that head lice are becoming resistant to pesticides?• What’s the best comb to use?• What about natural remedies?• What is the Cetaphil treatment?• What questions should I ask of a professional head lice treatment provider?• How do I prevent subsequent lice infestations?
  13. 13. Symptomscan I have head lice and not even know? The itching that sometimes accompanies lice is caused by an allergic reaction to their saliva, and it can take weeks for it to develop.
  14. 14. 2000 US research study, reported in the Pediatric Infection Disease Journal.are head lice ever misdiagnosed? In a 2000 study, only 31% of the specimens submitted for a research study by physicians, parents, and teachers were actually lice. 35% were simple debris, such as dandruff, scabs, or dirt.
  15. 15. what informs my healthcare provider? Healthcare professionals may rely more on past practices and norms. As professionals, they may distrust clinical research trials solicited by manufacturers, which are clearly driven by profit
  16. 16. Simple common sensehow do I clean my house? Housekeeping tasks should be simple to do and take little time. Lice do not live longer than 48 hours off their host. It is far more important to treat heads—not beds.
  17. 17. Simple common sensedo I have to bag everything? If you choose to bag things up, 48-72 hours is sufficient. One cycle in the dryer is enough for washable and dryable fabrics. Lay sheets over upholstered items, and swap out for 3 days.
  18. 18. Pesticides can be very unsafe!are head lice resistant to pesticides? Many families use pesticides one, even twice, to no avail. In addition to their health risks and bothersome side effects, pesticides require multiple re-treatments. Follow the instructions exactly, and consult your doctor.
  19. 19. Lindane requires a prescription from your doctor.what about lindane (Kwell)? Lindane should only be used if all other treatments have failed. While the patient needs to keep it on for 8 hours, you must wear disposable gloves to apply. Not good.
  20. 20. Like all commercial products, Nix is only partially effective at killing eggs.what about permethrin (Nix)? Nix is an over-the-counter product, which attacks the nervous system of lice. Lice become paralyzed and eventually die.
  21. 21. Pesticides can be very unsafe!what about malathion? Malathion requires a doctor’s prescription. Besides side effects and inherent risks, it is also highly flammable.
  22. 22. Pesticides can be very unsafe!what about Natroba? Natroba was recently approved by the FDA. Like malathion, Natroba is highly flammable. It is not recommended for children younger than 4 years of age.
  23. 23. These include LiceMeister, RobiComb, Terminator, and more.is combing sufficient? Combing may be sufficient, depending upon severity of infestation. Beyond the amount of time it takes to comb through the hair (which is extensive, to be repeated almost daily), the fact is that any comb—even those with the finest teeth—rarely get every nymph and egg.
  24. 24. Demonstration How to perform a head check.
  25. 25. Head checks
  26. 26. These are commonly called “suffocants.”how about olive oil or mayonnaise? These products act as suffocants, and are intended to plug the breathing holes of lice. Any movement of the head, however, can dislodge them. And lice are known to hold their breath for up to 6 hours.
  27. 27. See the research paper by Deon Canyon, University of Hawaii.how about tea tree oil, mint, etc.? There is no scientific research which proves the effectiveness of repellents They can’t hurt – but they are not a reliable means of prevention. The most effective way to treat head lice is through education, training, and practice—yours.
  28. 28. Also called the “Nuvo method.”what is the Cetaphil treatment? Cetaphil is a gentle liquid soap, recommended as a daily facial cleanser by dermatologists for people with sensitive skin.
  29. 29. Cetaphil acts as a suffocant.how does the Cetaphil work? Cetaphil is applied liberally to the hair, and then completely dried. Any live lice become trapped between soap and strand. The lice become entombed, and suffocate 8 hours later.
  30. 30. Cetaphil acts as a suffocant.Why do you need to repeat repeat Cetaphil? Cetaphil re-application is intended to interrupt the lice lifecycle. Both reapplications are spaced 7 days apart, allowing nymphs a chance to grow large enough to trap.
  31. 31. Demonstration How to perform a Cetaphil treatment.
  32. 32. Cetaphil treatment
  33. 33. And when is a guarantee not a guarantee?what should i ask a treatment provider? Lice treatment is a booming and lucrative business. There are many providers to choose from, including smaller operators, large salons, and those who rely on commercial products and equipment.
  34. 34. what is the Shepherd method? The Shepherd method is a wet-head combing, followed by a headcheck. Providers who claim to be certified in this method. The certifying body is Lice Solutions Resource Network, based in Florida, which is structured as a 501( c)3.
  35. 35. who will treat you and your family? If you hire a salon, consider how they conduct business. Salons who operate on a high volume may not offer you a great value. Employees without a good wage and regular hours may not be invested in their work—or you.
  36. 36. how does your guarantee work? If you are expected to return in order to validate their guarantee, calculate the cost of a return visit in terms of time. If you cannot return on time, what happens then?
  37. 37. how long is their guarantee? If their guarantee is valid for one or two weeks only, remember that two nymphs left behind will have already been reproducing. And new nymphs will still be emerging.
  38. 38. what if they were notsuccessful? Find out what happens if you discover you still have lice after their guarantee has ended. This may represent a hidden cost to you.
  39. 39. how much will it cost? Plan on at least 90 minutes per head. Calculate the cost of travel in your total cost. If they cannot treat you at your convenience, calculate how long you or your family will be absent from work and school.
  40. 40. can I prevent head lice? Encourage your children to never share hats, headwear, headbands, etc. The most effective way to prevent head lice is to be vigilant by performing regular head checks.
  41. 41. Nitwit Lice Removal206-327-5782www.nitwitseattle.combecause someone’s gotta do it! Seattle’s only at-home lice treatment provider. Independently owned and operated, with 7 years of experience. Offering a unique 30-day guarantee that pays you to be lice-free. Really.

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