Head lice are mainly spread by direct contact with the hair of an infested person. The most common way to get head lice is by head-to-head contact with a person who already has head lice. Such contact can be common among children during play at
- Home, and
- Elsewhere (e.g., sports activities, playgrounds, camp, and slumber parties).
- Uncommonly, transmission may occur by
- Wearing clothing, such as hats, scarves, coats, sports uniforms, or hair ribbons worn by an infested person;
- Using infested combs, brushes or towels; or
- Lying on a bed, couch, pillow, carpet, or stuffed animal that has recently been in contact with an infested person.
Head lice is not a reportable disease in Oklahoma.