Head lice are a fairly common occurrence and the infestation is very contagious. The lice can be identified in the following manner:   


     1. Brownish-gray (lice) 1/18 inch long, they move very quickly and are difficult to see.


     2. Nits (tan/white eggs) firmly attached to the hair shaft.


     3. Nits are commonly found on the back of the neck area or above the ears.


     4. The scalp itches and may or may not have a rash.


Keaukaha Elementary believes that all children should attend school on a daily basis. We understand that head lice can be difficult to treat and we will work with our community, parents and students to help to control the problem.


Keaukaha Elementary will attempt to vacuum classroom carpets daily and give special attention to vacuuming rugs and fabric covered furniture.






1st and 2nd occurrence                                 Children suspected with infestation will see the School Health Aide (SHA)

                                                                           and/or volunteers and they will check scalp and hair of student referred.


                                                                           Family members must also make sure that cleaning of the car, bedding, etc.                                                                              take place to stop the reoccurrence of ‘uku.


                                                                           If there is sign of infestation, students may be sent home or an alternate

                                                                           learning setting be provided. Determination of “infestation” will be made

                                                                           by School Health Aide with approval by Principal.


                                                                           In all cases above, parents will be informed through phone call or will be                                                                                     sent a letter (35-A form) regarding the finding of ‘uku.


3rd occurrence                                                 Principal will contact parents/‘ohana.


                                                                            Principal will consult with PHN (Public Health Nurse) to assist with families                                                                                 with chronic infestations.    



Pediculosis (head lice or ‘uku) is a concern of the Department of Education (DOE), the Department of Health (DOH) and the families of our community.  DOE and DOH works together with families to keep students free from head lice.


POLICY STATEMENT – The primary responsibility of the School Health Aide (SHA) is to provide basic first aid to the school-aged population.  The SHA will provide care to students with suspected active head lice infestation following DOH procedure.  Pediculosis screening will be done as time and manpower is available in the school.




School Health Aide

  1. Check student referred for head lice infestation.  Follow “Request for ‘Uku Check” procedure flow sheet.

  2. Refer those who have chronic infestation (3 or more consecutive positive head checks) to the school Public Health Nurse (PHN).

  3. Provide information to families and DOE staff   re: control and treatment of ‘uku.


School PHN

  1. Train and support SHA in ‘uku and nit identification, prevention and treatment.

  2. Follow-up on referrals (assessment, caregiver education) of students with chronic infestation.



  1. Provide information re: ‘uku control at staff orientation at beginning of school year.

  2. Facilitate collaboration between DOE/DOH.

  3. Assure that proper attention is given to cleaning JPO helmets, headsets and other protective headgear.



  1. Refer students suspected of having ‘uku to SHA.

  2. Educate students re: control and prevention of ‘uku in the school setting (e.g. Minimizing close head contact, avoid sharing hairbrushes and caps.)


School Housekeeping Routines

  1. Complete routine daily cleaning of rooms.  (See Business Office Handbook for School Custodial Guidelines).

  2. Give special attention to vacuuming rugs and fabric-covered furniture.

  3. Caution:  Use of insecticides is not recommended and may be hazardous to health.



  1. Screen children and other family members weekly for ‘uku and nits.

  2. Educate family members about reducing head-to-head contact with others and not sharing combs/hats with others.

  3. Treat students with live infestation and remove all nits before returning them to school.

  4. Treat other family members as needed.

  5. Upon return to school after treatment, have student checked by Health Aide before returning to class.