Head lice are very common. School age children can get lice from school friends, neighbors or relatives. These are nuisance pests rather than serious health problems. They usually cause severe itching of the scalp and neck. They are transferred from person to person by direct contact or by sharing brushes or combs. They can only live for a few hours when removed from the human body. Over-the-counter preparations are effective. Nix Cream Rinse and some other treatments are over-the-counter and recommended for killing eggs and adult lice. You may have difficulty differentiating the eggs (nits) from dandruff. If the problem persists or you are not sure if your child has lice, call my office for an appointment.