I think it’s safe to say that most folks have had experiences with lice. Every entomologist I’ve ever met (including myself… buy me a few beers and I’ll tell you) has at least one entertaining pubic louse story. Head lice are a childhood rite of passage, with most kids being infested at one point or another. They’re generally harmless with the occasional secondary infection, but infested kids are prone to teasing and other forms of exclusion by classmates. Distraction due to constant itching can also be a problem. Since schools don’t want children being infested for obvious reasons, kids are sent home because of infestation, resulting in parents missing work. Even though lice are mainly nuisance pests, they’re still a pretty big economic pest and account for billions of dollars per year in lost productivity.
When lice strike
Head lice are something almost everyone has to deal with, and head lice treatments are something someone buys every once and awhile. These are big business in and of themselves. Because they’re big business, many firms have started popping up offering louse treatments with varying degrees of effectiveness.
A while back, I went through my own head louse ordeal with my daughter. Treatment was complicated by a family member who didn’t realize they were infested. We originally thought the lice were resistant to treatment, so I had to get a second treatment. Since then, I’ve become curious about what is for sale in stores for Over The Counter (OTC) head louse treatments and generally take a look at whatever treatments I can when I get the chance. Over the years, I’ve become surprised at how many dubious treatments are offered for sale (although perhaps I shouldn’t be) and how many of these use questionable advertising techniques mostly built upon fear rather than science. Many treatments offered for sale over the counter are either unproven, or have been proven not to work.
First, let’s discuss some headlouse biology. Then, let’s discuss how the treatments currently FDA approved work. In Do OTC Head Louse Treatments Work? Part 2: Questionable treatments, I’ll discuss the dubious treatments.
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Do OTC Head Louse Treatments Work? Part 2: Questionable treatments
Editor’s note: Thanks to Joe for Biofortified’s first post of 2012! Here’s to a great year of science blogging!
I like to think of myself as a skeptical blogger. I like to engage in critical thinking about scientific issues because this is an important aspect of my job as a graduate assistant. When I move into the workforce, I’ll still need some basic skills to parse evidence because this is my job as a scientist. Mythbusting is a great opportunity to do this, and I enjoy discussing things which may help people who read my posts whenever I can. Being an entomologist gives me some rather interesting opportunities to do this, which is leading me to discuss head lice of all things.
In my last post, Do OTC Head Louse Treatments Work? Part 1: Mechanisms, I explained how the most commonly used FDA-approved treatments worked. In addition to those science-based products, there are many products that have no evidence of efficacy behind their claims, and that rely on fear to make a sale. What I’ve seen deeply concerns me not only as a scientist trying to make the world a better place, but as a parent trying to raise my daughter the best that I can. In this post, I’ve taken a few commonly sold products and listed some ways in which I think they play fast and loose with their claims.
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