Body Lice | Disease Outbreak Control Division (2024)

About This Disease

Body lice are small, usually pale- to grey-colored insects that live and reproduce in clothing worn by humans. Body lice feed on human blood and can survive only on people. The oblong eggs (called “nits”) are usually tan- or brown-colored but can appear whitish under bright lights. They are about 1 to 2 mm long. The nits hatch after about 1 week then pass through 3 stages (over 1 to 2 weeks) before becoming full-sized adults that are about 2 to 3 mm long.

  • Body Lice | Disease Outbreak Control Division (1)

    Body lice on skin

  • Body Lice | Disease Outbreak Control Division (2)
  • Body Lice | Disease Outbreak Control Division (3)

Signs and Symptoms

The reactions to or results of louse feedings may be the first symptoms noted. Bites can cause itching at the feeding sites. Scratching may break the skin and lead to skin infections. Feeding sites may look like small, red dots on the skin. Body lice are known to transmit bacterial infections that cause three human diseases: louse-borne typhus (Rickettsia prowazeki), trench fever (Rochalimaea quintana), and louse-borne relapsing fever (Borrelia recurrentis).

  • Body Lice | Disease Outbreak Control Division (4)

    Body lice bites

Transmission

Body lice are spread through direct person-to-person contact with someone who has body lice. It can also be spread through contact of clothing, beds, bed linens, or towels that have been in contact with someone who has body lice.

Diagnosis

There is no laboratory test to confirm body lice. Body lice can be diagnosed by finding eggs and crawling lice in the seams of clothes. Sometimes a body louse can be seen crawling on skin during feeding.

Treatment

Wash clothing, bedding, and towels using hot water and dry with high heat. Improve personal hygiene for the infested person. Medicated lotions can be used on the body as well.

Risk in Hawaii

There are no statistics on how many people have been infected with body lice in Hawaii. In the United States, body lice infestations are only found in homeless or transient populations who do not have access to regular bathing or clean clothes. Infestation is unlikely to persist on anyone who bathes regularly and who has at least weekly access to freshly laundered clothing and bedding.

Prevention

Reduce the risk of catching body lice by bathing regularly, changing and washing clothes, and avoiding potentially infested bedding.

Information for Clinicians

Body Lice | Disease Outbreak Control Division (2024)

FAQs

What is the method of control for lice? ›

Vacuum carpets and padded furniture to remove hairs with attached nits and any lice that crawl off the infested person. Put bed linens, pillows, stuffed animals and similar items in a dryer for 30 minutes on high heat to kill both live lice and nits. Lice do not jump or hop. They do crawl and cling.

How do you control body lice? ›

Body lice are primarily treated by thoroughly washing yourself and any contaminated items with soap and hot water and drying clothing and bedding in a machine dryer using the hot cycle. Dry cleaning and ironing clothing that cannot be washed also is effective.

What is the distribution of body lice? ›

Body lice are ectoparasites that must feed on human blood to survive and have a global distribution. They assume 3 forms across their life cycle, starting with the egg or nit, progressing to the nymph, and finally, the adult stage. As with head lice, nits are oval and appear yellow or white.

What is the best way to eradicate body lice? ›

A person that has body lice should shower and regularly change into clean clothes to get rid of body lice and keep them from coming back. Infested clothing, bedding, and towels should be washed in hot water (at least 130°F) and then placed in a clothes dryer on the hot cycle to kill any lice and nits.

Does vinegar stop lice? ›

Can vinegar kill lice eggs? Vinegar is one of the classic home remedies for lice. However, if you are trying to find out how to get rid of nits using vinegar, you should know that using vinegar to kill nits or lice eggs is totally ineffective. Vinegar has no negative effect on the lice eggs.

How to get rid of lice permanently? ›

Start by wetting the hair and lubricating it with hair conditioner or olive oil. Comb the entire head from the scalp to the end of the hair at least twice during a session. The process typically should be repeated every 3 to 4 days for several weeks — at least two weeks after no more lice are found.

How do you stop a lice outbreak? ›

Machine-wash in hot water items that might be infested, and dry them with hot air. If you can't launder an item, soak it in hot water for five to 10 minutes, dry-clean it, or seal it in a plastic bag for two weeks to kill the lice and nits it might carry.

What smell does body lice hate? ›

Coconut, tea tree oil, lavender, eucalyptus, rosemary, lemon grass, and peppermint are scents popularly believed to repel lice. Using any coconut scented shampoo and conditioner is an easy way to increase your defense. At 1% concentration, tea tree oil killed 100% of head lice after 30 minutes.

What pesticide kills body lice? ›

Insecticidal agents that are neurotoxic to lice include permethrin 1% lotion or shampoo (Nix), pyrethrins 0.3%/piperonyl butoxide 4% shampoo (Rid), malathion 0.5% lotion (Ovide), spinosad 0.9% suspension (Natroba), ivermectin 0.5% lotion (Sklice), and oral ivermectin (Stromectol; off-label use).

Can you feel body lice crawling? ›

Lice, Head and Body Lice (Pediculosis) is are tiny insects that can live on the scalp. They can create a tickling feeling or a sensation of something moving in the hair, irritability, and sleeplessness.

How easy does body lice spread? ›

They can also spread from contact with an infected person's clothes. Body lice bites can spread certain types of diseases and can even cause epidemics. Clothing and bedding that have been infested with body lice should be laundered in hot, soapy water and machine dried using the hot cycle.

What attracts body lice? ›

Body lice usually infest people who aren't able to bathe or change clothes regularly. Good personal hygiene and changing into clean clothes at least once a week should be enough to prevent body lice infestation. You should also make sure not to share clothing, bed linens, or towels with someone who is infested.

What lotion kills body lice? ›

Permethrin lotion,1% (Nix). This lice shampoo is approved for use in babies and children aged 2 months and older. Piperonyl butoxide with pyrethrins (A-200, Pronto, R&C, Rid, Triple X, Xeglyze). You can use this treatment in kids aged 2 years and older.

Does body lice ever go away? ›

Most people successfully get rid of body lice infestations by regularly bathing with soap and warm water and washing their clothes. Try to bathe daily until you no longer see body lice or nits on your body, clothes, bedding or other fabric items, like towels.

What kills 100% of lice? ›

Tea Tree Oil. Though many people are sensitive to tea tree oil, it has been shown to be effective at killing lice. One study showed a 100% mortality rate after 30 minutes of treatment. A tea tree oil-scented spray or shampoo may be useful in preventing reinfestation.

What methods can you use to prevent head lice? ›

However, you can take steps to prevent the spread of lice among children and adults. Here are some tips on how to prevent the spread of lice: Don't share items that touch the head like combs or towels. Avoid activities that lead to head-to-head contact.

What was the preferred method of getting rid of lice? ›

If you have body lice, first bathe with soap and water. After bathing, apply permethrin (Nix) to the affected areas before bedtime and then shower in the morning. Repeat this treatment nine days after the first application. Also take other measures to get rid of body lice.

What are the best solutions for lice? ›

Over-the-Counter (OTC) Products: OTC lice treatments include shampoos, lotions, and creams with insecticides like permethrin or pyrethrin. These kill lice and nits, but some lice strains may resist them. Prescription Medications: Stronger medications may be needed for resistant lice strains.

What kills and repels lice? ›

Treat the lice with essential oils
  • tea tree oil.
  • lavender oil.
  • neem oil.
  • clove oil.
  • eucalyptus oil.
  • aniseed oil.
  • cinnamon leaf oil.
  • red thyme oil.

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