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Pediatric Scalp Care Specialists. Head Lice: The Impact on Students, Schools, and Families A Research Report developed by Pediatric Scalp Care Specialists. $3,725,052 ?. The amount of money LAUSD loses every year due to head lice among grammar school students alone. Mission

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pediatric scalp care specialists

Pediatric Scalp Care Specialists

Head Lice: The Impact on Students, Schools, and Families

A Research Report developed by Pediatric Scalp Care Specialists

slide2
$3,725,052 ?

The amount of money LAUSD loses every year due to head lice among grammar school students alone

Head Lice: The Impact on Students, Schools and Families

pediatric scalp care specialists1
Mission

To provide under-served children and their families with free, safe, and effective head lice screening and treatment services – keeping kids in school, taking the burden off parents, school nurses and administrators.

Pediatric Scalp Care Specialists

Head Lice: The Impact on Students, Schools and Families

pediatric scalp care services overview
Nonprofit, charitable organization established in Los Angeles by Hair Fairies’

founder in order to serve lower-income families

Providing free head lice screening and treatment services – primarily to

children – with an emphasis on under-served areas

Educating parents, school officials, community leaders, policymakers and

the general public about head lice including treatment and prevention methods

Treatment regimen based upon the research and information provided by

the Harvard School of Public Health, the American Academy of

Pediatrics, the Center for Health and Health Care in Schools, and the

National Pediculosis Association (NPA)

Developed a unique partnership with Harvard’s School of Public Health

Advocates of regulations and professional standards for providers of head lice treatment and comprehensive, and affordable health insurance coverage

Affiliated with well-established head lice treatment center Hair Fairies of

Los Angeles, now with a treatment center in Manhattan

Pediatric Scalp Care Services – Overview

Head Lice: The Impact on Students, Schools and Families

pediatric scalp care specialists objectives
Services: Free screening and treatment for head lice

Education: Programs to educate parents, school nurses,

pediatricians, school administrators, and the

general public

Research:Support scientific and clinical research efforts

to identify effective head lice treatment and

prevention methodologies, and track head lice

outbreak trends

Advocacy:Promote and lobby for policy changes

regarding insurance coverage, regulation of

head lice treatment professionals, and toxic

chemicals used in head lice removal

Pediatric Scalp Care Specialists - Objectives

Head Lice: The Impact on Students, Schools and Families

background on head lice
Background on Head Lice
  • Transmission occurs through person-to-person contact, and sharing of

clothing, combs, and towels and from contact with bedding and furniture

used by someone with an infestation

  • No head lice product is completely ovicidal according to a toxicology

report by the University of Massachusetts at Amherst, with 50 – 90% of

parasites surviving

  • A 1998 Harvard University study found that most strains of head lice are

resistant to permethrin, the active ingredient in leading over-the-counter

anti-lice products

  • The previously widely-used product, lindane, has been banned in

California and in other places around the U.S.

  • The Harvard study found families spending up to $1,200 on ineffective

treatments

  • Health insurers do not typically cover head lice treatment costs

Head Lice: The Impact on Students, Schools and Families

background on head lice survey data
Background on Head Lice – Survey Data

PSCS’ partner, Hair Fairies, began surveying patrons in September 2004. Below and in

the following slides are the aggregate results†

  • CONCLUSION #1: Head lice is a burden on students and parents

† Based on a total 247 respondents

Head Lice: The Impact on Students, Schools and Families

background on head lice survey data1
Background on Head Lice – Survey Data
  • CONCLUSION #2: Head lice affects the whole family as transmission often occurs between siblings and even to parents, creating a cyclical process of transmission if not properly treated†

† Dr. Richard Pollack, Interview, March 17, 2005

Head Lice: The Impact on Students, Schools and Families

background on head lice survey data2
Background on Head Lice – Survey Data
  • CONCLUSION #3: Hair Fairies patrons preferred not to make a visit to the doctor’s office even when leading treatments proved ineffective.

Head Lice: The Impact on Students, Schools and Families

background on head lice survey data3
Background on Head Lice – Survey Data
  • CONCLUSION #4: Head lice has financial costs and can possibly result in harmful exposure to toxins

Head Lice: The Impact on Students, Schools and Families

a national problem and beyond
“No one safe from head lice,” Ottumwa Currier, 11/15/04 (Iowa)

“Sequim: School district deals with head lice in children,” Pennsylvania

News, 12/08/04 (Pennsylvania)

“Paying the price for lice,” Bristol Herald Courier, 12/15/04 (Tennessee)

“Staffers battle to keep kids in class,” Rapid City Journal, 12/16/04

(South Dakota)

“Health Matters: If head lice goes untreated, it’s an itchy situation,”

Billings Gazette, 1/19/2005 (Montana)

“Lice Outbreak Hits Schools, Angers Parents,” Local Channel 6,

3/2/05, Brevard County (Florida)

“Head lice problem frustrating parent,” The Roanoke Times, 3/30/05 (Virginia)

“Head lice ‘defy common lotions’, BBC News, 3/21/05 (United Kingdom)

A National Problem…and beyond

Head Lice: The Impact on Students, Schools and Families

background on head lice in school
Background on Head Lice in School
  • Head lice infestations result in U.S. public schools losing roughly $500

million in funding every year (L.A. Times, August 22, 2001)

  • Head lice is the number one public health problem in U.S. schools,

according to principals (National PTA study, 1998)

  • According to the National Pediculosis Association, 6 million school-age

children contract head lice every year

  • 80% of public schools in the U.S. report at least one outbreak of head lice

during the school year

  • Students from low-income households are not more likely to become

infected, but when they are, the burden of treatment is much greater

  • Head lice is the most contagious condition after chickenpox among

school-aged children

Head Lice: The Impact on Students, Schools and Families

lausd s head lice problem
LAUSD’s Head Lice Problem
  • Louse infestations are the number one reason for school absences

in LAUSD, according to Karen Maiorca, Director of Nursing

  • A study by Cheryl Fayson, District 7 PSA Field Coordinator, found

that 92% (34 out of 37) of absences due to exclusion factors at a

grammar school in her District were due to head lice

  • An estimated 10% of LAUSD grammar school students will contract

head lice during the school year (Sue Rue, CDC District Nurse for LAUSD )

  • Each case of head lice results in an estimated four-day absence

from school (Sue Rue)

  • Grammar student enrollment in 2004-05 is 358,082
  • LAUSD is provided $26 per student, per day they attend school (Sue Rue)
  • 10% of students with head lice (35,808) x number of days absent

per case (4), x the amount LAUSD loses per day, per absence

($26) = the estimated amount LAUSD loses per school year due to

head lice among grammar school students only: $3,725,052

Head Lice: The Impact on Students, Schools and Families

lausd constituent information
LAUSD Constituent Information
  • 61% (1999) of school-age children live below the poverty line1
  • 28% (2002) of children in LA County face “General Neglect”2
  • Los Angeles County's poverty rate is 22% - the U.S. poverty rate is 13%3
  • There are 115,000 households headed by single mothers in LA county4
  • 75% of AFDC recipients are minority women5
  • In LA County, an estimated 350,000 children 18 and under lack health

insurance coverage

  • 36% of children are on Medical, but Medical does not cover head lice
  • The number of working uninsured is projected to grow by 300,000 to 3

million in 2005

  • 72% of LAUSD students qualify for free or reduced fare lunches (Esther

Wong, LAUSD Records Department)

1– 3, 5 LA County Department of Children’s & Family Services

4. U.S. Census (2000)

Head Lice: The Impact on Students, Schools and Families

lausd constituent scenario
LAUSD Constituent Scenario
  • An uninsured student living under the poverty line is

determined to have head lice and sent home from school

  • The student’s single parent working an hourly-wage job without

sick or vacation time leaves work to stay at home with their child,

forgoing the household’s only source of income

  • Over the course of the next 4 days, the parent misses work and

spends time and money on ineffective over-the-counter

treatments

  • The student misses valuable school time, the parent loses

income, and the school loses revenue

  • PSCS’ solution of bringing free treatment to kids

solves all these problems.

Head Lice: The Impact on Students, Schools and Families

proposal
Proposal
  • Provide free screening and treatment to a pilot group of LAUSD

elementary schools via a mobile unit/van that will travel to their location

  • Document and track screening results and cases treated, providing

monthly reports to LAUSD administration and Harvard researchers

  • Provide educational material and prevention training to parents

throughout the LAUSD and LA County

  • Throughout the pilot project, work closely with school nurses, LAUSD

administrators, other health service providers and advocates to refine it for

wider implementation at private schools, community centers, summer

camps and other places where children interact in large numbers.

  • PSCS provides an outbreak response team available to be called in on

short notice to conduct in-school screenings and treatment throughout

the district upon request

Head Lice: The Impact on Students, Schools and Families

goals
Reduce the average length of student absenteeism due to

head lice by 75%, from four days to zero

Reduce LAUSD’s overall financial losses due to head lice

(average absence of 4 days x $26 per day is $104 per

case.)

Protect children from exposure to toxic chemicals often used in a

fruitless effort to solve the problem

Eliminate the need for parents to stay home from work to

care for and treat a child diagnosed with head lice

Reduce the burden on school nurses by working with them

to screen and treat students

Goals

Head Lice: The Impact on Students, Schools and Families

head lice identification and removal process
Initial screening takes 2 – 3 minutes, with emphasis on

making an accurate assessment

Nits and live lice are removed manually from the scalp with

special combs and non-toxic rinses, with each treatment

taking up to an hour

A non-toxic, organic shampoo is then applied as a breeding

inhibitor to reduce the likelihood of the re-emergence of lice

before the next treatment

To ensure complete removal, up to three separate manual

removals are conducted over the course of 10 days

Head Lice Identification and Removal Process

Head Lice: The Impact on Students, Schools and Families

principles s a f e scalp care
S-Safe products for children and the environment

A - Affordable services so that income and access to

health care are no longer barriers to treatment

F - Friendly health services professionals who will

screen and treat kids in school

E - Effective, patent-pending process for eliminating

head lice that is guaranteed to work

Principles - S.A.F.E. Scalp Care®

Head Lice: The Impact on Students, Schools and Families

personnel
All staff receive extensive training and are certified providers

of head lice treatment services

Our service providers and staff are carefully screened and

undergo law-enforcement background checks

The policies and practices of PSCS are overseen by an

advisory board that includes pediatricians, school nurses, and

parents of children who have been successfully treated

PSCS is led by an experienced management team committed

to the mission of helping kids stay in school

Personnel

Head Lice: The Impact on Students, Schools and Families

track record
Hair Fairies has served over 10,000 clients since it was

founded in 1999

Hair Fairies has worked with 18 LAUSD charter schools

(7,200 students) and 60 private schools (15,000 students) in

the LA area

Hair Fairies has developed relationships with more than

3,000 pediatricians in the Los Angeles area, which represents

a primary source of client referrals

Accurate identification: 20% of walk-in clients are determined

not to have head lice

Track Record

Head Lice: The Impact on Students, Schools and Families

what others say about us
“A huge thank you for donating your time to our school. You were so

productive and helpful.” – Stephanie Schulman, Principal, Westwood

Charter Public School, Los Angeles

“After unsuccessfully trying to get rid of head lice – 8 hours trying and

about $300 in over the counter products – we finally found Hair

Fairies. It didn’t cost as much as I thought. Hair Fairies are quick,

thorough and efficient. I love the parent and kid friendly environment.

I’m extremely happy with the results. Hair Fairies, you are God sent! –

Gloria Soble, North Hollywood

“We refer many of our patients to Hair Fairies for head lice removal.

We always receive positive feed back from our patients regarding their

work.” – Pediatricians Jay Gordon and Linda Nussbaum, Santa

Monica

What Others Say About Us

Head Lice: The Impact on Students, Schools and Families

research partnership
Research Partnership
  • Established a partnership between Pediatric Scalp Care

Specialists, Hair Fairies and researchers at the Harvard School

of Public Health

  • Three ongoing research projects:

1) identification and collection of head lice samples

2) socio-economic study on the impact of head lice on families

3) epidemiological study on prevalence of head lice

  • Assist in creation of efficacious head lice identification and collection protocols
  • Consult in development of model regulations for head lice removal professionals

Head Lice: The Impact on Students, Schools and Families

the bottom line
Keep kids in school and treat the head lice problem

Ease the burden on parents and school nurses

Prevent further cases through education programs

Reduce LAUSD’s estimated $3.5 million in lost

revenue due to head lice among grammar students

Treatment is 100% guaranteed

The Bottom Line

Head Lice: The Impact on Students, Schools and Families

pilot project overview
Pilot Project - Overview
  • Between January and June of 2006
  • Select, with LAUSD administrators, 50 schools to be screened on two separate occasions and provide treatment to all affected students
  • At the end of the project, assess the results with LAUSD and decide on next steps
  • LAUSD administrators receive periodic reports
  • Data is collected regarding the extent of the problem in target schools
  • Educational material is distributed, raising awareness

Head Lice: The Impact on Students, Schools and Families

pilot project pathway to success
Pilot Project – Pathway to Success
  • Sign a Memorandum of Understanding with the LAUSD
  • Obtain an Operating License from the LA County Health

Department

  • Gain the endorsement of key stakeholder groups such as the

California School Nurses Association, California School Board

Association, Parent Teacher Association, and California

Teachers’ Association

  • Engage local political and community leaders to gain their

support of the project

Head Lice: The Impact on Students, Schools and Families

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