The available treatments for head louse infestation were reviewed in this journal in 2010. Many new options for people treating head louse infestations have been introduced in recent years, but the prevalence of head louse infestation remains stubbornly unchanged. Furthermore, despite the introduction of new treatments, the process of treating infestations appears to be as fraught with problems as ever. It is curious that treatment approaches now differ markedly around the world, with some regions favouring products with a ‘physical action’, while others remain reliant on physiologically active insecticides. This review summarises the differing global approaches and examines the evidence in support of the currently available treatment options for this common problem.
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