Knowledge, Attitudes, Psychosocial Perspectives and Applied Epidemiology in the Control of Head Lice (pediculosis capitis) in Croatian Preschool Children: A Qualitative Study on Childcare Professionals and Health Coordinators

This study aimed to concurrently determine the perceived knowledge, attitudes and perspectives of childcare professionals working in kindergartens towards pediculosis capitis, a common ectoparasitic disease also known as head lice, as well as gain insights into procedures and control measures that are implemented in an outbreak setting. We used a qualitative approach with a problem-centered, semi-structured and three-part interview technique conducted in selected kindergartens of Varaždin and Međimurje counties of the Republic of Croatia. Based on a purposive (deliberate) sampling method, the study included both childcare professionals and on-site health coordinators aged between 21 and 56 years of age. Five main themes were put forth as a result of the conducted thematic analysis: prevention and control measures for managing head lice, information and knowledge, social issues, psychological issues and disease perception. Each of these themes also had specific emerging categories based on participants’ responses. Even though all respondents confirmed that the disease is continuously monitored only a few of them mentioned that a scalp examination was an inherent part of disease surveillance within the kindergarten community. Moreover, we found that information on pediculosis capitis is available to both parents and childcare professionals, but with a questionable uptake. Additionally, the majority of the respondents reported that parents tend to hide the infestation in their children due to shame and/or to avoid social stigma, and thus often fail to inform kindergarten teachers and health coordinators about the problem. In conclusion, our findings have implications for further practice and the introduction of tailored public health measures for the most vulnerable populations, most notably kindergarten children.

Prevalence and Associated Factors of Head Lice (Pediculosis capitis) Among Primary School Students in Varzaqan Villages, Northwest of Iran

Background: Pediculosis capitis or head lice infestation is one of the most critical public health problems, primarily involving primary school children. Objectives: This study aimed to determine the prevalence of Pediculus capitis contamination among primary school students in the villages of Varzaqan city, East Azerbaijan province, Iran, in 2020. Methods: Overall, 400 primary school students aged 7 - 12 were selected through convenience sampling. First, a demographic checklist was filled out for each participant, and then hair examination was carried out individually and privately to detect head lice or eggs/nits. The data analysis was performed using descriptive (frequency and percentage) and analytical methods, including chi-square and t-tests (SPSS, version 16). A P-value of less than 0.05 was considered significant. Results: Of 400 students, 41 (10.3%) were infested with P. capitis. The prevalence rate significantly differed between boys (6.2%) and girls (14.8%). There was a significant association between pediculosis and mother’s education, father’s job, family income, history of infestation, number of combs per day, and frequency of hair washing per week. Conclusions: According to the prevalence of head lice in primary school children, we need to increase the awareness and train children, parents, and teachers through further cross-sectoral cooperation between education and health centers. Also, the presence of a hygiene teacher at school to improve the health status of students can significantly reduce the prevalence of pediculosis.

Evaluation of a Potential Association between Head Lice (Pediculus capitis) Infestation and Anemia among Female Primary School Students in Holy Makkah, Saudi Arabia

Aims: This study aimed to determine if there was an association between head lice infestation and anemia among female primary schools students. Study Design: Case-control study. Place and Duration of Study: Holy Makkah, Saudi Arabia between August 2020 and November 2020. Methodology: We conducted a case-control study by comparing hemoglobin levels among study subjects with and without head lice infestation. Female students at 6 randomly selected primary schools were examined for the presence of head lice. Hemoglobin levels were obtained from each study subject; both those with and without head lice. Selected characteristics of study subjects were recorded and examined to determine associations between those factors and anemia. Results: A total of 82 subjects were included in the study; 44 subjects with head lice. The average (± standard deviation) age of subjects was 11 (± 2) (range: 6-11) years. We found a significant (p<0.028) association between the presence of head lice and hemoglobin level, the OR= 2.036 at 95% confidence interval 0.23 to 18.009. The mean of hemoglobin in subjects with lice was 13(±2) while the level in subjects without lice was 14.8(±2). Other factors significantly associated with the level of hemoglobin were being aged 10-11 years (p<0.05) and having a non-working mother (p<0.05). Conclusion: In our study we found a significant association between head lice and level of hemoglobin among study subjects. Further studies are needed to determine the reason of this association in order to determine the appropriate management and prevention of this problem.

Evaluation of anti-lice topical lotion of ozonated olive oil and comparison of its effect with permethrin shampoo

Background: Pediculosis is an infestation of lice affecting mostly children and spreads by direct contact with the hair of someone infected. Although topical application of a pediculicide such as permethrin shampoo is the most common cure for head lice, the addition of alternative treatments is necessary due to permethrin resistance and some safety concerns, including irritation, burning sensation, tingling, and breathing problems. Recent studies have indicated that ozone, which is an allotropic form of oxygen, may have anti-pediculosis effects. Objective: This study focused on the evaluation of an ozonated olive oil topical lotion for the treatment of pediculosis and the comparison of its effects with permethrin shampoo. Methods: 121 patients with proven head pediculosis were divided into two groups. They were treated with either topical ozonated olive oil lotion or permethrin shampoo for one week. Results: It was shown that the ozonation process enormously improved the physico-chemical properties of olive oil. Specifically, acid and peroxide values increased 60 fold and 200 fold, respectively, while there was a sharp decline for the iodine index (81.8±1.28 to 0 g iodine per 100 g). Additionally, all patients who received the ozonated olive oil lotion were entirely cured after one week of treatment, while those who were treated with permethrin, required to receive more. Statistical analysis of the data also proved this claim. Conclusion: The prepared lotion has shown significant effects in controlling head lice. Thus, it can be prescribed as an effective anti-pediculosis medicine which is biocompatible and has high potential.

Activity Test of Durian Peels Essential Oil (Durio zibethinus) as an Antipediculosis Against Pediculus humanus capitis Linn. (Anoplura: Pediculidae)

<p class="Judul1"><span lang="EN-US">Pediculosis is a disease caused by infestation of head lice (<em>Pediculus humanus capitis</em>) which is a blood-sucking obligate ectoparasite. The essential oil of durian fruit peel has active compounds that have the potential as vegetable pediculosides that can kill head lice. This study aimed to find the best concentration <span>of </span>essential oil from durian fruit peels that can kill head lice. The research design used with an essential oil concentration of 100%, 75%, 50%, 25%, distilled water as negative control and permethrin 1% as positive control, three repetitions and each concentration consisting of 10 flea tails. The parameters observed were the condition of lice morphologically based on the activity of limb movement, antenna movement and digestion, then the calculation of mortality was observed based on the time of the test. The results showed that the concentration of durian peel essential oil as an antipediculosis had a significant effect on the time of death of head lice, limb movement and digestion. The test result showed that the concentration is 100%, has a death time of 12 minutes <span>32 </span>seconds, 75% concentration was 16 minutes 28 seconds, 50% concentration was 21 minutes 11 seconds, 25% concentration was 32 minutes 23 seconds, negative control was 61 minutes 15 seconds. The fastest time of death in positive control for chemical pediculosides was 10 minutes 15 seconds. The conclusion in this study was that essential oils the dominan one is 1,5-naphthyridin-2-amine were proven to kill head lice and the best concentration was close to positive control, namely at a concentration of 100%.</span></p>

Molecular analysis of mitochrondrial cytb of Pediculus humanus capitis in Thailand revealed potential historical connection with South Asia

Background Pediculus humanus capitis or head louse is an obligate ectoparasite and its infestation remains a major public health issue worldwide. Molecular analysis divides head lice into six clades and intra-clade genetic differences have been identified. Several hypotheses have been formulated to elucidate the discrepancies of the variety of head lice among different regions of the world. It is currently concluded that head lice distribution might be associated with human migration history. This study aims to investigate genetic data of human head lice in Thailand. We believe that the analysis could help establish the correlation between local and global head lice populations. Method We investigated mitochondrial cytochrome b (cytb) gene of the collected 214 head lice to evaluate genetic diversity from 15 provinces among 6 regions of Thailand. The head lice genes were added to the global pool for the phylogenetic tree, Bayesian tree, Skyline plot, and median joining network construction. The biodiversity, neutrality tests, and population genetic differentiation among the 6 Thailand geographic regions were analyzed by DNAsp version 6. Results The phylogenetic tree analysis of 214 collected head lice are of clade A and clade C accounting for roughly 65% and 35% respectively. The Bayesian tree revealed a correlation of clade diversification and ancient human dispersal timeline. In Thailand, clade A is widespread in the country. Clade C is confined to only the Central, Southern, and Northeastern regions. We identified 50 novel haplotypes. Statistical analysis showed congruent results between genetic differentiation and population migration especially with South Asia. Conclusions Pediculosis remains problematic among children in the rural areas in Thailand. Cytb gene analysis of human head lice illustrated clade distribution and intra-clade diversity of different areas. Our study reported novel haplotypes of head lice in Thailand. Moreover, the statistic calculation provided a better understanding of their relationship with human, as an obligate human parasite and might help provide a better insight into the history of human population migration. Determination of the correlation between phylogenetic data and pediculicide resistance gene as well as residing bacteria are of interest for future studies.