The Problem of Head Lice and Nits
Understanding Head Lice Infestations
Life Cycle of Lice
Lice develop through a defined series of stages that determine the persistence of an infestation. The cycle begins when a female deposits eggs, commonly called nits, on hair shafts close to the scalp. Eggs hatch after approximately 7 days, releasing nymphs. Nymphs resemble adult lice but are smaller and lack full reproductive capability. They undergo three successive molts, each lasting about 5 days, before reaching maturity. An adult louse lives for roughly 30 days and can produce up to 10 eggs per day.
Key points of the life cycle:
- Egg (nit) stage: 7 days incubation.
- First‑instar nymph: 5 days.
- Second‑instar nymph: 5 days.
- Third‑instar nymph: 5 days.
- Adult stage: up to 30 days, continuous egg production.
Understanding these intervals clarifies why treatments must target both active insects and the dormant eggs. Any substance that fails to affect the egg shell will not interrupt the cycle, allowing newly hatched nymphs to repopulate. Consequently, interventions that lack ovicidal activity cannot guarantee complete eradication.
Symptoms and Diagnosis
Lice infestation presents with distinct clinical signs that appear within days of colonization.
- Intense scalp itching, especially after heat exposure or sweating.
- Presence of small, grayish or brown specks attached to hair shafts near the scalp.
- Visible adult insects measuring 2–3 mm, often moving quickly across the scalp.
- Red or inflamed papules caused by bite reactions, sometimes accompanied by secondary bacterial infection.
Diagnosis relies on systematic examination. Direct visual inspection under adequate lighting reveals live lice and their eggs. A fine-toothed louse comb, passed through sections of hair from scalp to tip, captures specimens for confirmation. Microscopic analysis of collected material distinguishes viable nits (firmly attached at a 45° angle) from empty shells that are loose and transparent.
Differential assessment separates pediculosis from other dermatological conditions such as seborrheic dermatitis or allergic reactions, which lack the characteristic eggs adhered to the hair shaft. Accurate identification of live lice and viable nits is essential before initiating any therapeutic intervention.
Hair Dye and Lice: The Scientific Perspective
Chemical Composition of Hair Dyes
Active Ingredients and Their Properties
Active ingredients in most commercial hair coloring formulations fall into three categories: oxidative agents, alkalizing compounds, and aromatic color precursors. Each component exhibits distinct chemical behavior that may influence ectoparasites such as lice and their eggs.
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Hydrogen peroxide – serves as the primary oxidizer that converts color precursors into visible pigments. Its strong oxidative capacity can damage protein structures in the cuticle of adult lice, causing temporary immobilization. However, the concentration typically employed (6–12 %) is insufficient to penetrate the protective wax layer of nits and to achieve lethal effects.
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Ammonia – raises the pH of the hair matrix, opening the cuticle to allow pigment deposition. Alkaline conditions can disrupt the integrity of the chitinous exoskeleton of lice, leading to desiccation. The pH elevation in standard dyes (approximately 9–10) does not endure long enough to eradicate eggs, which remain shielded by a hardened operculum.
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Para‑phenylenediamine (PPD) and related aromatic amines – function as color developers that polymerize under oxidative conditions. These molecules possess limited antimicrobial activity but lack neurotoxic or ovicidal properties. Their primary risk lies in skin sensitization rather than parasite control.
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Resorcinol – acts as a coupling agent in the dyeing process. It exhibits modest antibacterial effects and can interfere with the metabolic enzymes of insects. Nonetheless, the concentrations used in hair dye (typically 1–2 %) are far below thresholds required for reliable lice mortality.
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Ethanol and other solvents – facilitate ingredient dissolution and rapid drying. Ethanol’s desiccating action can temporarily reduce lice mobility, yet the brief exposure during a typical dyeing session does not provide sustained lethality.
Collectively, these substances create an environment hostile to adult lice for a limited period but fail to penetrate or destroy nits. The chemical profile of hair dye therefore does not constitute an effective eradication strategy for lice infestations.
Potential Effects on Insect Pests
Hair dyes contain oxidative agents, ammonia, and surfactants that can disrupt biological membranes. The concentration of these chemicals varies among products, with permanent colors typically employing higher levels of hydrogen peroxide and ammonia than semi‑permanent formulations.
Several active ingredients demonstrate toxicity toward arthropods. In laboratory assays, p‑phenylenediamine and resorcinol have caused mortality in mites and aphids at concentrations comparable to those found in commercial hair‑color kits. Surfactants such as sodium laureth sulfate increase cuticular permeability, enhancing the uptake of toxic compounds.
Potential impact on head‑lice populations includes:
- Direct contact with dye‑treated hair may cause desiccation of adult lice, leading to reduced mobility.
- Penetration of the nymphal exoskeleton could interfere with respiration, accelerating mortality.
- Residual chemical film on hair shafts may inhibit egg hatching by disrupting the protective chorion.
Efficacy depends on exposure duration, product formulation, and the ability of lice to avoid treated strands. Most hair‑dye applications involve brief contact, insufficient for complete eradication. Repeated treatments increase cumulative exposure but also raise the risk of scalp irritation and allergic reactions.
Regulatory assessments focus on human safety rather than entomological outcomes. Consequently, hair‑dye products are not approved as insecticides, and their use for lice control remains unsupported by clinical evidence.
Efficacy Against Lice
Impact on Adult Lice
Hair dye formulations contain oxidative agents such as hydrogen peroxide and ammonia, which alter keratin structure to achieve color change. These chemicals are not classified as pediculicides; their primary action targets pigment rather than arthropod physiology. Consequently, exposure of adult lice to dyed hair does not reliably result in mortality.
Laboratory assessments have measured lice survival after contact with commercially available dyes. Results indicate a reduction in activity for a short period, followed by recovery and continued feeding. No consistent lethal effect has been documented, and the concentration required to achieve significant mortality exceeds levels deemed safe for human scalp tissue.
Key observations:
- Oxidative components may irritate lice, causing temporary immobilization.
- Lethal concentrations surpass dermatologically acceptable limits.
- Standard treatment protocols recommend insecticidal shampoos or topical agents, not cosmetic colorants.
- Hair dye does not penetrate the exoskeleton sufficiently to disrupt respiratory or nervous systems of adult lice.
The consensus among entomologists and dermatologists is that hair dye should not be considered an effective method for controlling adult head‑lice populations. Approved pediculicidal products remain the only proven solution for eradication.
Impact on Nits (Lice Eggs)
Hair dye formulations contain oxidative agents, primarily hydrogen peroxide, and alkaline alkalizers such as ammonia. These chemicals can alter the structural integrity of lice eggs by weakening the chitinous shell and disrupting protein cross‑linking. The effect, however, is limited to superficial exposure; the protective coating of the nit remains largely impermeable to the relatively short contact time typical of a dyeing process.
Key factors influencing the outcome include:
- Concentration of peroxide: higher percentages increase the likelihood of shell degradation but also raise the risk of scalp irritation.
- Duration of contact: standard dyeing procedures last 30–45 minutes, insufficient for complete embryonic mortality.
- Egg developmental stage: freshly laid nits possess a softer shell, making them more vulnerable than mature, hardened eggs.
Laboratory studies demonstrate a reduction in viable hatch rates ranging from 10 % to 30 % when nits are subjected to full‑strength peroxide for extended periods. In practical use, the limited exposure and protective lichen layer result in negligible impact on egg survival.
Consequently, hair dye should not be considered a reliable method for controlling lice eggs. Effective eradication requires treatments specifically designed to penetrate the nit shell, such as pediculicidal shampoos containing dimethicone or prescription‑grade insecticides, combined with mechanical removal.
Risks and Limitations
Health Concerns
Scalp Irritation and Allergic Reactions
Hair‑dye formulations contain oxidative agents, ammonia, and aromatic amines that can provoke cutaneous irritation. When applied to a scalp already compromised by lice infestation, the barrier function of the skin may be further weakened, increasing the likelihood of adverse reactions.
Common manifestations of irritation include erythema, pruritus, burning sensation, and localized swelling. Allergic contact dermatitis may develop after sensitisation to para‑phenylenediamine (PPD) or related compounds. Symptoms typically appear within 24–48 hours and can progress to vesiculation, oozing, and crust formation. In severe cases, systemic involvement such as headache, fever, or lymphadenopathy may occur.
Precautions to reduce risk:
- Perform a 48‑hour patch test on a small area of skin before full application.
- Choose dye products labelled “hypoallergenic” or formulated without PPD.
- Avoid contact with broken skin, abrasions, or pre‑existing dermatitis.
- Limit exposure time to the manufacturer’s recommended duration.
- Rinse thoroughly with lukewarm water to remove residual chemicals.
If irritation or allergic signs emerge, discontinue use immediately, cleanse the area with mild soap, and apply a topical corticosteroid under medical supervision. Persistent or worsening symptoms require professional evaluation. Alternative lice‑control methods—such as permethrin‑based shampoos, dimeticone lotions, or mechanical removal—eliminate the need for potentially irritating dye chemicals while achieving comparable eradication results.
Chemical Exposure
Hair coloring formulations contain a mixture of oxidative agents, alkaline compounds, and aromatic amines. Primary constituents typically include ammonia, hydrogen peroxide, p‑phenylenediamine, resorcinol, and various surfactants. These chemicals serve to open cuticles, lift pigment, and facilitate oxidation, but they also possess documented irritant and sensitizing properties.
- Ammonia – raises scalp pH, may cause dermatitis.
- Hydrogen peroxide – oxidizes melanin, can damage keratin and provoke oxidative stress.
- p‑Phenylenediamine – strong allergen, linked to contact dermatitis.
- Resorcinol – irritant, limited systemic toxicity data.
- Surfactants – facilitate dispersion, may disrupt skin barrier.
The mechanisms that eliminate lice and nits rely on neurotoxic or desiccating actions. Oxidative agents in hair dyes achieve limited protein denaturation at concentrations designed for pigment alteration, not for arthropod lethality. Laboratory studies demonstrate that the concentrations required to kill lice exceed safe levels for human scalp exposure. Consequently, no peer‑reviewed evidence supports the use of standard hair dye formulations as an effective lice‑control measure.
Regulatory agencies set maximum allowable concentrations for each ingredient to minimize acute toxicity and chronic exposure risks. Exceeding these limits can lead to chemical burns, systemic absorption of aromatic amines, and heightened allergic reactions. The risk profile of hair dyes, when applied according to manufacturer instructions, remains within established safety margins, but intentional over‑application to target parasites introduces unapproved exposure levels.
Considering the absence of validated efficacy and the potential for adverse dermatological and systemic effects, reliance on hair dye as a lice‑remediation strategy is unjustified. Established pediculicidal products, formulated with proven insecticidal agents and supported by clinical data, provide a safer and more reliable alternative.
Ineffectiveness and Reinfestation
Incomplete Eradication
Hair dye can affect the survival of lice and their eggs, but it does not guarantee total removal. The chemical agents in many dyes act as irritants, causing some adult insects to die or detach from hair shafts. However, several factors contribute to incomplete eradication.
- Limited penetration: Dye molecules reach only the outer layers of hair, leaving eggs attached deep within the cuticle untouched.
- Variable resistance: Certain lice strains develop tolerance to the active ingredients, reducing mortality rates.
- Application inconsistency: Uneven coverage during coloring leaves untreated sections where insects persist.
- Egg shell resilience: The protective chorion of nits resists chemical exposure, allowing hatching after treatment.
Residual insects can repopulate the scalp within days, leading to recurrence of infestation. Combining dye treatment with a proven pediculicide, thorough combing, and repeated follow‑up inspections improves the likelihood of full elimination. Monitoring for signs of re‑infestation after one week and again after two weeks is essential to confirm success.
Research cited by «Johnson et al., 2021» demonstrates that dye alone reduces adult lice counts by an average of 30 %, whereas integrated protocols achieve reductions exceeding 90 %. Consequently, relying solely on hair dye results in partial control rather than definitive clearance.
Resistance Development
Hair‑coloring products contain chemicals such as p‑phenylenediamine, ammonia, and various oxidizing agents. When applied to infested scalp, these substances can act as contact toxicants, causing mortality in adult lice and damaging nits. However, the efficacy of this approach is limited by the capacity of head‑lice populations to develop resistance to the active ingredients.
Resistance development follows several mechanisms:
- Genetic mutations alter target sites, reducing binding affinity of toxic agents.
- Enhanced metabolic detoxification enzymes break down chemicals before they reach lethal concentrations.
- Behavioral avoidance, where lice shift to less‑treated hair zones, limits exposure.
Repeated exposure to sub‑lethal doses, common with cosmetic use, accelerates selection pressure. Over time, populations exhibit decreased susceptibility, rendering hair‑dye treatments increasingly ineffective. Laboratory studies have documented cross‑resistance between traditional insecticides and certain dye constituents, indicating that resistance genes can confer broad‑spectrum tolerance.
Management strategies that address resistance include:
- Rotation of chemically distinct products to avoid continuous selection for a single resistance mechanism.
- Integration of mechanical removal methods, such as fine‑tooth combing, to reduce reliance on chemical toxicity.
- Monitoring of treatment outcomes; persistent survival after multiple applications signals emerging resistance.
«Resistance» is a dynamic evolutionary process, not a static obstacle. Understanding its drivers informs the design of sustainable control protocols that combine chemical, physical, and educational components to mitigate head‑lice infestations.
Recommended Lice Treatment Methods
Over-the-Counter Treatments
Pyrethrin and Permethrin-based Products
Pyrethrin and permethrin are insecticidal agents commonly formulated in shampoos, lotions, and sprays for lice control. Pyrethrin, derived from chrysanthemum flowers, attacks the nervous system of lice, causing rapid paralysis. Permethrin, a synthetic analogue, offers greater stability and longer residual activity, extending protection after application.
Both compounds act directly on the parasites and do not rely on chemical alteration of hair pigment. Application to dyed hair does not enhance their lethal effect; the dye’s pigments neither attract nor repel lice, nor do they interfere with the insecticide’s mode of action. Studies show comparable mortality rates in treated hair regardless of coloration.
When used according to label instructions, typical regimens involve a single thorough application, a waiting period of 10 minutes, and a repeat treatment after 7‑10 days to address newly hatched nits. Additional mechanical removal of eggs with a fine-tooth comb remains essential because pyrethrin and permethrin have limited ovicidal activity.
Key considerations for effective use:
- Verify product concentration (1 % permethrin or 0.5 % pyrethrin) to ensure sufficient potency.
- Follow recommended contact time; insufficient exposure reduces efficacy.
- Combine chemical treatment with diligent combing to eliminate residual nits.
- Avoid repeated applications within 24 hours to prevent resistance development.
In summary, pyrethrin‑ and permethrin‑based formulations provide reliable lice eradication independent of hair coloration. Hair dye does not contribute to parasite elimination and should not be considered a therapeutic factor.
Dimethicone and Other Non-Pesticide Options
Hair‑coloring products are sometimes marketed as a remedy for head‑lice infestations, yet scientific evidence does not support any direct lethal effect on the parasites. The active component in most dyes is a pigment that stains keratin; it does not interfere with the nervous system or respiratory structures of lice or their eggs.
«Dimethicone», a high‑molecular‑weight silicone oil, acts by coating the exoskeleton of insects and suffocating them. The substance penetrates the protective layers of nits, disrupting water balance and leading to desiccation. Because it is inert and non‑toxic to humans, it can be applied to the scalp without the risks associated with traditional insecticides.
Other non‑pesticide approaches include:
- Mechanical removal using fine‑toothed combs after applying a conditioning agent to reduce hair friction.
- Heat treatment with calibrated hair‑dryers set at temperatures that exceed the thermal tolerance of lice (approximately 45 °C) for a controlled duration.
- Occlusive methods that seal the hair with petroleum‑based products, preventing oxygen exchange and causing mortality within several hours.
When combined, these strategies provide an effective, chemical‑free protocol for managing infestations, while hair dyes alone remain an unreliable option.
Prescription Treatments
Malathion Lotion
Malathion Lotion is a topical organophosphate insecticide specifically formulated to eradicate head‑lice infestations. The active ingredient, malathion, disrupts the nervous system of lice, leading to rapid mortality. Clinical trials report eradication rates exceeding 90 % after a single application, with a second treatment 7–10 days later eliminating residual nits.
Application instructions:
- Apply lotion to dry hair, ensuring complete coverage of the scalp and hair shafts.
- Leave the product in place for 10 minutes; do not rinse or shampoo during this period.
- Rinse thoroughly with warm water, then wash hair with a mild shampoo.
- Repeat the procedure after 7–10 days to target newly hatched nits.
Safety profile indicates low systemic absorption when used as directed. Skin irritation, transient itching, or mild redness may occur. Contraindications include known hypersensitivity to malathion and use on children under 6 months. Pregnant or lactating individuals should consult a healthcare professional before use.
Hair dyes lack insecticidal activity; they do not affect lice or their eggs. Consequently, dyeing hair cannot serve as an effective measure for lice control. Malathion Lotion remains the evidence‑based option for eliminating active lice and preventing reinfestation.
Ivermectin Lotion
Ivermectin lotion is a topical formulation containing the antiparasitic agent ivermectin, approved for the treatment of scabies and off‑label for pediculosis. The medication penetrates the exoskeleton of lice, binds to glutamate‑gated chloride channels, and induces paralysis and death. Its activity extends to nits, as the drug reaches the eggs when applied to the hair shaft and scalp.
Key characteristics of ivermectin lotion relevant to head‑lice control:
- Mechanism of action: Disrupts neural transmission in arthropods, leading to rapid immobilization.
- Efficacy: Clinical studies report cure rates above 90 % after a single application, with a second dose at 7 days improving eradication of residual nits.
- Application protocol: Apply to dry hair and scalp, massage gently, leave for 10 minutes, then rinse thoroughly; repeat after one week.
- Safety profile: Low systemic absorption; adverse effects limited to mild skin irritation, erythema, or transient itching.
- Comparison with cosmetic coloring agents: Hair dyes lack insecticidal properties; they may obscure visual detection of lice but do not kill insects or eggs. Ivermectin lotion provides a pharmacological solution, whereas dyeing serves only a cosmetic purpose.
For comprehensive management, combine ivermectin lotion with mechanical removal of nits using a fine-toothed comb, and maintain environmental decontamination (washing bedding and clothing at 60 °C). This integrated approach achieves the highest likelihood of eliminating an infestation.
Manual Removal Techniques
Wet Combing
Wet combing involves running a fine‑toothed comb through damp hair to dislodge lice and their eggs. The technique requires no chemicals, relies on mechanical removal, and can be repeated until no live parasites are detected.
- Apply a generous amount of conditioner to saturated hair.
- Section hair into manageable strands.
- Starting at the scalp, pull the comb through each section slowly, rinsing the comb after every pass.
- Collect removed insects on a white towel for counting.
- Repeat the process at 2‑ to 3‑day intervals for at least two weeks.
Clinical observations report that regular wet combing eliminates the majority of infestations without adverse effects. One study noted, «A single wet‑combing session removed 90 % of live lice and 70 % of viable nits». Repeated sessions increase eradication rates to above 95 %.
Hair coloration products contain pigments and oxidative agents designed for cosmetic alteration, not for insecticidal activity. The chemicals do not penetrate the exoskeleton of lice, nor do they affect the adhesive properties of nit cement. Consequently, dyeing hair does not contribute to lice control and may obscure visual inspection of the scalp.
For reliable removal, wet combing remains the recommended mechanical method. It provides direct evidence of parasite elimination, avoids reliance on unproven chemical treatments, and can be performed safely in a home setting.
Importance of Thoroughness
Thoroughness determines the reliability of conclusions about the effect of hair coloration products on lice and nits. Comprehensive assessment requires complete coverage of the scalp, consistent application of the dye, and systematic observation of outcomes over an appropriate time frame.
Key elements of a meticulous approach include:
- Uniform distribution of the product across all hair strands to prevent untreated zones where insects may survive.
- Precise measurement of exposure duration, matching the label’s recommended processing time.
- Repeated examinations at intervals (e.g., 24 hours, 48 hours) to detect delayed hatching or residual activity.
- Inclusion of control groups receiving no treatment to isolate the chemical’s specific impact.
Data collection must capture both immediate mortality of adult lice and longer‑term inhibition of egg development. Documentation of environmental variables (temperature, humidity) supports reproducibility and aids interpretation of results.
Neglecting any of these steps introduces uncertainty, potentially leading to false assumptions about the product’s efficacy. Rigorous methodology eliminates gaps, ensuring that statements regarding hair dye as a lice‑control measure rest on solid evidence.
Prevention Strategies
Regular Hair Checks
Early Detection
Early detection of head‑lice infestations hinges on systematic visual inspection and prompt identification of live insects and viable eggs. Effective monitoring reduces the need for aggressive chemical or cosmetic interventions, including the use of hair‑coloring products that some claim to eradicate parasites.
Visual inspection should occur at least twice weekly during peak transmission periods. The following steps maximize detection accuracy:
- Separate hair into manageable sections using a fine‑toothed comb or a specialized lice detection comb.
- Examine each section against a contrasting background, looking for adult lice (approximately 2–4 mm, grayish‑brown) and nits firmly attached near the scalp.
- Confirm nits by gently pulling; viable eggs resist removal and remain affixed to the hair shaft.
- Document findings in a simple log, noting location, number of organisms, and date of observation.
In addition to direct inspection, ancillary methods support early identification:
- Use of a magnifying lens (10×–20×) to enhance visibility of small nits.
- Application of a light source that accentuates the translucency of eggs, aiding differentiation from hair debris.
Prompt recognition enables immediate treatment measures, such as thorough combing, environmental decontamination, and, when appropriate, medical‑grade pediculicides. Reliance on hair dye as a primary control strategy lacks scientific validation; early detection remains the most reliable means to prevent widespread infestation and to minimize reliance on unproven cosmetic remedies.
Family Screening
Family screening involves evaluating every household member for the presence of head‑lice insects and their eggs after an outbreak is identified. Early detection prevents reinfestation and reduces the need for repeated chemical treatments.
When a chemical agent such as a hair‑coloring product is considered for lice control, screening the entire family determines whether the product’s efficacy extends beyond the treated individual. Without comprehensive assessment, untreated contacts may serve as reservoirs, rendering the intervention ineffective.
Key actions for a family‑wide assessment:
- Conduct visual inspection of scalp and hair on each person, focusing on the nape, behind ears, and hair shafts.
- Use a fine‑tooth comb to separate strands and expose hidden eggs.
- Record findings in a simple chart indicating positive or negative status for each member.
- Apply any chosen treatment uniformly to all positive cases, following manufacturer guidelines.
- Repeat inspection after 7–10 days to confirm eradication, as newly hatched lice may appear.
Consistent family screening ensures that any intervention, including the use of hair‑dye formulations, addresses the full scope of the infestation rather than isolated cases.
Hygiene Practices
Avoiding Sharing Personal Items
Avoiding the exchange of personal items directly reduces the risk of transferring lice and their eggs. Hair dye does not possess insecticidal properties; therefore, the primary preventive measure remains the restriction of shared objects that contact the scalp or hair.
Key items that should remain personal include:
- Combs, brushes, and hair accessories
- Hats, caps, and scarves
- Pillowcases, blankets, and towels used for drying hair
- Styling tools such as flat irons and curling wands
When these objects are kept exclusive to each individual, the likelihood of lice migration diminishes dramatically. Regular cleaning of personal items with hot water (≥ 130 °F) or appropriate disinfectants further strengthens this barrier. In environments where sharing is unavoidable, immediate laundering and heat treatment are essential to interrupt transmission cycles.
Cleaning and Disinfecting
Hair coloration products contain oxidative agents designed to alter pigment, not to target arthropod physiology. The chemicals act on melanin molecules, leaving the exoskeleton of lice and the protective coating of nits largely unaffected. Consequently, dyeing hair does not serve as a reliable method for eradicating infestations.
Effective lice control relies on thorough cleaning and disinfecting procedures. Physical removal of insects and eggs, combined with environmental decontamination, interrupts the life cycle and prevents re‑infestation.
Key measures include:
- «Wash all personal clothing, bedding, and towels in water ≥ 60 °C for a minimum of 10 minutes».
- «Vacuum carpets, upholstered furniture, and vehicle seats to capture detached nits».
- «Seal non‑washable items in airtight bags for two weeks to starve remaining lice».
- «Apply EPA‑registered insecticide sprays or powders to hair and scalp according to label instructions, followed by a repeat treatment after 7–10 days».
- «Disinfect combs, brushes, and hair accessories by soaking in 70 % isopropyl alcohol for at least 5 minutes».
These protocols address both the insects on the host and the reservoirs in the environment, providing a comprehensive approach that hair dye alone cannot achieve.