Metropolitan Nashville (Tenn.) Public Schools implemented a no nit policy because few school nurses were available to assess children with presumed head lice.
The American Academy of Pediatrics (AAP), Harvard University School of Public Health (HUSPH), and the National Association of School Nurses (NASN) do not endorse a no nit policy (3,7,8) based on evidence of low risk for active transmission following appropriate treatment with pediculocides.
The Metro No Nit policy was followed: all children with lice or nits were sent home.
All staff members agreed no evidence existed to justify a no nit policy. The principal at Fall-Hamilton was willing to work with practitioners to modify the policy.
Teachers, who were initially hesitant, reported that children chronically absent with the no nit policy had improved attendance and grades since implementation of the Nit Rating Scale.
For example, Medford is one of the schools that continues to have a no nit policy. Parents in the town are mixed; some are not sure whether that is actually a deterrent to their children getting head lice.
Other districts such as the Boston public schools have eliminated their no nit policy. Their policy is simply,”Children found to have nits are allowed to come to school, although children with adult lice should receive treatment before they return to school.”