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School-aged children sharing hats, hugs and hair bands risk catching head lice. Millions of school-age children face this problem each year, at the cost of more than $100 million. Head lice live off blood. Their bites itch and can cause irritation and infection. Sometimes lice are hard to see. However, their egg sacks, or nits, can typically be seen attached to the bottom of hairs, especially at the nape of the neck. Experts say the best prescription is education. Children should be taught never to share hats, combs, brushes or pillows. Care also is indicated around surfaces that have been in contact with other heads, such as movie seats, other people’s carseats and plane seats. “Families have always been reactive, but it’s more effective to be proactive,” says Dr. Janet Squires, director of the clinical service of general pediatrics at Children’s Medical Center of Dallas. “Treatment usually involves using rinses or shampoos. Nits are not killed by these measures and are best removed using a fine-toothed comb and a lot of patience.”
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