Document Type : Review Articles

Authors

1 Department of Medical Entomology and Vector Control, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

2 Health Center of Chabahar, Iranshahr University of Medical Science and Services

3 Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran

4 Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran

5 Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran

6 Department of Medical Parasitology and Mycology, School of Medicine, Hamedan University of Medical Sciences, Hamadan, Iran

7 Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran

8 Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

9 Department of General Psychology, Faculty of Psychology, Azad University, Central Tehran Branch, Iran

Abstract

Background: Lice are obligate parasites that bring about some mild infestation or severe diseases on different parts of the human body. Head lice can easily spread in an overcrowded community with inadequate hygienic conditions. Also, it affects children’s well-being and education programs.
Methods: This study is a narrative review.  To carry out this comprehensive research about pediculosis in Iran, all published data on scientific research resources were included i.e.  Google scholar, Springer, ProQuest, JSTOR, Scopus, Web of Science, EBSCO, Bioline, BioOne, ScienceDirect, ResearchGate, PubMed, Sage, Wiley Online Library, World Scientific, and SID.  
Results: Overall, 52,342 students (from primary and secondary schools) and around 20,000 adult persons were infested with P. capitis in Iran during 3 decades (1990-2020) as reported by published documents but the actual number may statistically be higher. The variation of results implies that risk factors are linked with numerous cultural, geographical, economic, and personal habits.  In general, the infestation rate of Pediculosis capitis in the south and southeast was higher than in other parts of Iran.
Conclusion: Family members shouldavoid sharing hair tools particularly hairbrushes. Authors believe that not only economic situations but also some behaviors originating from personality traits influenced children's health. In this regard, children in higher grades might tend to conceal

Keywords

1.Dutra JMF, Alves AD, Pessanha T, Rachid R, Souza W, Linardi PM, et al. Prehistorical Pediculus humanus capitis infestation: quantitative data and low vacuum scanning microscopy. Rev. Inst. Med.Trop. Sao Paulo. 2014; 56(2):115-9. doi: 10.1590/S0036-466520 14000200005.
2.Khosravani M. The fauna and perspective of rodentia ectoparasites in Iran relying on their roles within public health and veterinary characteristics. 2017. doi: 10.1007/s12639-017-0959-6
3.Ko CJ, Elston DM. Pediculosis. J Am Acad Dermatol. 2004; 50:1-12. doi:10.1016/S0190-9622(03)0 2729-4.
4.Mumcuoglu KY, Gilead L, Ingber A. New sights in pediculosis and scabies. Expert Rev. of Dermatol. 2009; 4(3);285-302. https://doi.org/10.1586/edm.09.18.
5.Leung AKC, Fong JHS, Pinto-Rojas A. Pediculosis Capitis. J Pediatr Health Care. 2005;19:369-373. doi:10.1016/j.pedhc.2005.07.002.
6.Akbari M, Bagheri A, Moradi M, Rafinejad A, Rafinejad J. Head lice among Iranian elementary school children: A systematic review. J Biostat Epidemio. 2017; l 3(3-4):111-6
7.Nazari M, Saidijam M. Pediculosis Capitis infection according to sex and social factors in Hamedan- Iran. Pakistan Journal of Biological Sciences. 2007; 10(19):3473-75. doi: 10.3923/pj bs.2007.3473.3475. PMID: 19090174.
8.Doroodgar A, Sadr F, Doroodgar M, Doroodgar M, Sayyah M. Examining the prevalence rate of Pediculus capitis infestation according to sex and social factors in primary school children. Asian Pac J Trop Dis. 2014; 4(1):25-29. doi:10.1016/S2222-1808(14)60308-X.
9.Motevalli Haghi F, Golchin M, Yousefi M, Hosseini M, Parsi B. Prevalence of Pediculosis and Associated Risk Factors in the Girls Primary School in Azadshahr City, Golestan Province, 2012-2013. Iran J Health Sci. 2014; 2(2):63-68. doi: 10.18869/acadpub.jhs.2.2. 63.
10.Lashkari R, Ehrampoush MH, Sharifzadeh Gh, Ghaneian MT, Dehghani A, Ebrahimzadeh Ardakani M. Eco-epidemiological factors' of Head Lice in 10-12- year-old girls in Birjand City in 2017. Tolooe behdasht Journal. 2020; 19(1):84-99. doi: https://doi.org/10.18502/tbj.v19i1.2819.
11.Davari B, Kolivand M, Poormohammdi A, Faramarzi Gohar A, Faizei F, Rafat Bakhash S, et al. An Epidemiological study of Pediculus capitis in students of Pakdasht county, in autumn of 2013. Pajouhan Scientific Journal (psj). 2015; 14(1):57-63.
12.Shayeghi M, Paksa A, Salim abadi Y, Sanei dehkoordi A, Ahmadi A, Eshaghi M, et al. Epidemiology of Head Lice Infestation in Primary School Pupils, in Khajeh City, East Azerbaijan Province, Iran. Iranian J Arthropod-Borne Dis. 2010; 4(1):42–46. PMID: 22808387
13.Zabihi A, Jafarian Amiri S, Rezvani S, Bijani A. A study on the prevalence of Pediculosis in the primary school students of Babol, 2003-04. J. Babol. Univ. Med. Sci. 2005;7 (4):88-93.
14.Bahrami A, Nikfallah F, Soleimanfallah M, Dadashi Einsheikh Z, Abbaszadeh E, Firoozfar F. Clinical and epidemiological study of Pediculosis, Pediculus humanus capitic (Head lice infestation) in primary school pupils, Savojbologh county, Alborz province, Iran.  European Journal of Biomedical and Pharmaceutical Sciences (ejbps). 2016; 3(3):60-64.
15.Hodjati MH, Mousavi N, Mousavi M. Head lice infestation in school children of a low socio-economy area of Tabriz city, Iran Afr. J. Biotechnol. 2008; 7(13):2292-2294. https://doi.org/10. 5897/AJB08.331.
16.Ramezani Awal Riabi H, Atarodi AR. Epidemiological and Clinical Study of Infested Cases with Pediculus capitis and P. corporis in Khorasan-e-Razavi, Iran. Iran J Parasitol.2012;7(1):85-91. PMID: 23133477.
17.Nazari M, Goudarztalejerdi R, Anvari Payman M. Pediculosis capitis among primary and middle school children in Asadabad, Iran: An epidemiological study. Asian Pac J Trop Biomed. 2016; 6(4):367–370. 27. doi: https://doi.org/10.1016/j.apjtb.2016.03.002.
18.Kalari H, Soltani A, Azizi K, Faramarzi H, Moemenbellah-Fard MD. Comparative efficacy of three pediculicides to treat head lice infestation in primary school girls: a randomised controlled assessor blind trial in rural Iran. BMC Dermatology. 2019; 19:13.  doi: 10.1186/s1 2895-019-0093-5.
19.Motavali Emami M, Shams M, Sadry GH, Zandieh M, Yazdi M, Ghazavi H. The study of the prevalence of head pediculosis in students of Khomeinishahr district 1379-80. Journal of research in medical sciences.  2003; 8(4):102-7.
20.Kamiabi F, Hosain Nakhaei F. Prevalence of Pediculosis capitis and determination of risk factors in primary-school children in Kerman. Eastern Mediterranean Health Journal. 2005; 11(5/6):988-2005. PMID: 16761669.
21.Yousefi S, Shamsipoor F, Salim Abadi Y. Epidemiological Study of Head Louse (Pediculus humanus capitis) Infestation Among Primary School Students in Rural Areas of Sirjan County, South of Iran. Thrita J Med Sci. 2012; 1(2):53-56. doi:10.5812/thrita.4733.
22.Hazrati Tappeh K, Chavshin AR, Mohammadzadeh Hajipirloo H, Khashaveh S, Hanifian H, Bozorgomid A, et al. Pediculosis capitis among primary school children and related risk factors in Urmia, the main city of West Azarbaijan, Iran. J Arthropod-Borne Dis. 2012; (6)1:79–85. PMID: 23293782.
23.Nejati J, Keyhani A, Tavakoli kareshk A, Mahmoudvand H, Saghafipour A, Khoraminasab M, et al. Prevalence and Risk Factors of Pediculosis in Primary School Children in South West of Iran. Iran J Public Health. 2018; 47(12):1923-1929. PMID: 30788308.
24.Kassiri H, Kasiri A, Kasiri N, Moeininejad F. Epidemiology and Morbidity of Head Lice Infestation in Khorram-shahr County, Iran (2006-2009). J Health Sci Surveillance Sys. 2015; 3(2):83-87.
25.Firoozfar F, Moosa-Kazemi SH, Bahrami A, Bahrami A, Yusuf MA, Armoon Z, et al. Head Lice Infestation (Pediculus humanus capitis) Prevalence and its Associated Factors, Among Kormanj Tribes in North Khorasan Province. Shiraz E-Med J. 2019; 20(4):e80292. doi:10.5812 /semj.80 292.
26.Kassiri H, Mardani Kateki M. Head lice infestation according to demographic-Social factors and its prevalence in southwestern Iran: A descriptive–analytical study. Entomology and Applied Science Letters. 2018; 5(4):84-90.
27.Berenji F, Marvi-Moghadam N, NaghibozakerinMeibodi P. A Retrospective Study of Ectoparasitosis in Patients Referred to Imam Reza Hospital of Mashhad, Iran. BioMed Research International. 2014. PMID: 24860806.
28.Kasiri H, Amani H. An epidemiological study of Pediculosis capitis infestation in the cases of attending to the Azna health centers, Lorestan province, Iran (2007) Jundishapur Journal of Health Sciences.  2010; 2(3):57-65
29.Golchie J, Ahmadi Ghaajaari M. Pediculosis Capitis in 3-7 years old Children of Kindergartens in Rasht.   J Guilan Uni Med sci. 2002; 11(41):21-25.
30.Omidi A, Khodaveisi M, Moghimbeigi A, Mohammadi N, Amini R. Pediculosis capitis and relevant factors in secondary school students of Hamedan, west of Iran. Journal of research in health sciences (JRHS). 2013; 13(2):176-180. PMID: 24077476.
31.Shahraki GH, Azizi K, Yusefi A, Fararooei M. Prevalence of head lice in primary school students in Yasuj.  Armaghan Danesh. 2001; 6(21-22):22-33.
32.Rafinezhad J, Nourollahi A, Jvadian E, Kazemnejad A, Shemshad Kh. Epidemiology of head louse infestation and related factors in school children in the country of Amlash, Gilan province, 2003-2004 Iranian Journal of Epidemiology. 2006; 1(4):51-63.
33.Modaresi M, Mansouri Ghiasi MA, Modaresi M, Marefat A. Prevalence of head lice infestation among primary school students in Tonekabon. Iranian Journal of infectious diseases and tropical medicine.  2013; 18(60):41-5.
34.Tarkhasi M, Tazari S, Eghbali S, Hossein-Zadeh A, Rastaghi S, Naemi H. Head lice prevalence (descriptive- sectional study) in primary schools in Sabzevar (descriptive-cross sectional study). J of Sabzevar University of Medical Sciences. 2018; 25(3): 287-296.
35.Argmand Zadeh S, Joukar MH, Khatami SM, Zarenezhad M, Abd Elahzadeh Lavari H,  Tahmasebi  R. Prevalence of pediculosis and scabies in primary schools of Bushehr; 1999-2000. Iranian south medical journal (ISMJ). 2001; 4(1): 41-46.
36.Soleymanizadeh L, Sharifi Sarasiabi KH. The assessment of main factors on the Louse in primary school children at Bandar Abbas city academic year 99-2000. Iranian Journal of infectious diseases and tropical medicine. 2002; 7(19):79-85.
37.Majidi S, Farahmandfard MA, Solhjoo K, Mosallanezhad H, Arjomand M. The prevalence of Pediculosis capitis and its associated risk factors in primary school students in Jahrom, 2016. Pars Journal of Medical Sciences. 2017; 15(1):50-56.
38.Gholami Parizad E, Abedzadeh MS. Investigation of head lice infection and its effective factors in primary school students in Ilam,1997-1998 Journal of Ilam University of Medical Sciences. 2002; 8(29-30):16-21.
39.Moradi AR, Zahirnia AH, Alipour AM, Eskandari Z. The Prevalence of Pediculosis capitis in Primary School Students in Bahar, Hamadan Province, Iran. J Res Health Sci. 2009; 9(1):45-49.
40.Ebrahimzadeh Ardakani M, Fayazi Bargin MH. Prevalence of Pediculosis capitis in Yazd Primary Schools in 2013. Journal of Health. 2018; 8(5):587-595.
41.Dehghanzadeh R, Asghari-Jafarabadi M, Salimian Sh, Asl Hashemi1 A, Khayatzadeh S. Impact of family ownerships, individual hygiene, and residential environments on the prevalence of Pediculosis capitis among schoolchildren in urban and rural areas of northwest of Iran. Parasitol Res. 2015. doi 10.1007/s00436-015-4670-1.
42.Adham D, Moradi-Asl E, Abazari M, Saghafipour A, Alizadeh P. Forecasting head lice (Pediculidae: Pediculus humanus capitis) infestation incidence hotspots based on spatial correlation analysis in Northwest Iran, Veterinary World. 2020; 13(1):40-46. PMID: 32158149.
43.Maleky A, Yazdani-Charati J, Abdollahi F. The Prevalence of Pediculosis Capitis and Its Related Risk Factors in Primary School Students in Kalaleh, Iran in 2015. Journal of Health Research in Community. 2016; 2(3):23-31.
44.Kassiri H, Esteghali E. Prevalence Rate and Risk Factors of Pediculus capitis Among Primary School Children in Iran.  Arch Pediatr Infect Dis. 2016; 4(1): e26390. doi:10.5812/ped infect.263 90.
45.Motevalli-Haghi SF, Rafinejad J, Hosseni M, Yazdani-Charati J, Parsi B. Prevalence pediculosis and associated risk factors in primary-school children of Mazandaran Province, Iran, 2012-2013. J Mazand Univ Med Sci. 2014; 23(110):82-91.
46.Hosseini SH, Rajabzadeh R, Shoraka V, Avaznia A, Shoraka HR. Prevalence of Pediculosis and its related factors among primary school students in Maneh-va Semelghan district. Journal of North Khorasan University of Medical Sciences. 2014; 6(1):50. doi: 10.29252/jnkums.6.1.43.
47.Moradiasl E, Habibzadeh Sh, Rafinejad J, Abazari M, Sadeghieh Ahari S, Saghafipour A. Risk Factors Associated with Head lice (Pediculosis) Infestation among Elementary School Students in Meshkinshahr County, North West of Iran. Int J Pediatr. 2018; 6(3):7383-92. doi:10.22038/ijp.2018.27961.24 20.
48.Doroodgar A, Sadr F, Paksa A, Mahbobe S, Doroodgar M, Sayyah M, et al. The prevalence of Pediculosis capitis and relevant factors in primary school students of Kashan, Central Iran. Asian Pac J Trop Dis. 2014; 4(6):500-504. doi:10.1016/S2222-1808(14)60616-2.
49.Rajabzade R, Shoraka HM, Arzamani K, Shahiri M, Emami O, Hosseini SH. Epidemiology of Pediculosis capitis Infestation and Its Associated Factors in Students. Journal of North Khorasan University. 2014; 6(4):755-767. doi: 10.29252/jnkums.6.4.755.
50.Ghavanini AA. Pediculus Humanus Capitis infestation in a Shiraz Rural Area, Iran. Annals of Saudi Medicine. 1999; 19(3):277-8. doi: 10.5144/0256-4947.1999.277.
51.Afshari A, Gholami M, Hagh-verdi T, Haj- Bagheri S. Study of Prevalence of Head Lice Infestation in Female Students in Primary Schools in Robat Karim County During 2008-2009 Years. The Journal of Toloo-e-behdasht (TB). 2013; 12 (2):102-112.
52.Mohammadi-Azni S. Prevalence of head lice at the primary schools in Damghan. Zahedan J Res Med Sci. 2014; 16(11):47-49.
53.Moemenbellah-Fard MD, Nasiri Z, Azizi K, Fakoorziba MR. Head lice treatment with two interventions: Pediculosis capitis profile in female schoolchildren of a rural setting in the south of Iran. Ann Trop Med Public Health. 2016; 9:245-50. doi:10.4103/1755-6783.184790.
54.Alborzi M, Shekarriz-Foumani R, Moin-Vaziri V. The Prevalence of Pediculus Capitis among Primary Schools of Shahriar County, Tehran province, Iran, 2014. Novel Biomed. 2016; 4(1):24-7. https://doi.org/10.22037/nbm.v4i1.9416.
55.Yaghmaei R, Rad F, Ghader E. Prevalence of Pediculus capitis in primary school students. Iranian Journal of Infectious diseases and tropical medicine.  2007; 12( 36):71-74.
56.Moosazadeh M, Afshari M, Hajheydari Z, Charkameh A, Nezammahalleh A, Zerafat A, et al. Prevalence of pediculosis and its related factors among primary school girls in the north of Iran. International Journal of Adolescent Medicine and Health.   2019; 20180039. doi: 10.1515/ijam h-2018-0039.
57.Vahabi B, Vahabi A, Gharib A, Sayyadi M, Sayyad S. Prevalence of head louse infestations and factors affecting the rate of infestation among primary schoolchildren in Paveh City, Kermanshah Province, Iran in the years 2009 to 2010. Life Sci J 2013; 10(12s):360-364.
58.Noroozi M, Saghafipour A, Akbari A, Khajat P, Khadem-Maboodi A. The prevalence of Pediculusis humanus capitis and its associated risk factors in primary schools of girls in a rural district. J Shahrekord Univ Med Sci. 2013; 15(2): 43-52.
59.Mohammadia ME, Motevalli Haghi SF, Rafinejadb J, Yazdani Charatic J, Hosseini Vasoukolaeia N, Dehghan O. Prevalence of Pediculosis and Associated Risk Factors among Elementary School Females in Mashhad, Iran, during 2017-2018. Arch Hyg Sci. 2019; 8(4):245-252. doi: 10.29252/ArchHygSci.8.4.245.
60.Sayyadi M, Vahabi A, Sayyad S. An Epidemiological Survey of Head Louse Infestation Among Primary School Children in Rural Areas of Ravansar County, West of Iran. Life Sci J. 2013; 10(12s):869-872.
61.Morovati Sharif Abadi M, Moghadasi Amiri M, Falah Mehrjordi S, Aghaei A, Zareshahi F, Alizadeh S. Pediculosis Capitis and Its Related Factors among Girl Primary School Students of Meybod, Yazd Province, in 2015-2016. J health. 2018; 8 (5):552-560.
62.Heidarpoor P, Motevalli-Haghi SF, Montazeri R. Prevalence of Pediculosis and Associated Risk Factors in Primary School Female Students of Tonekabon, Iran, in 2017-2018.   J Health Res Commun. 2019; 5(2): 61-72.
63.Ghofleh Marmazi H, Sharififad M, Jahanifard E, Maraghi E, Mahmoodi Sourestani M, Saki Malehi A, et al. Pediculosis humanus capitis Prevalence as a Health Problem in Girl’s Elementary Schools, Southwest of Iran (2017-2018). J Res Health Sci 2019; 19(2): e00446. PMID: 31278215.
64.Alempour Salemi J, Shayeghi N, Zeraati H, Akbarzadeh K, Basseri H, Ebrahimi B, et al. Some Aspects of Head Lice Infestation in Iranshahr Area (Southeast of Iran). Iranian J Publ Health. 2003; 32(3):60-63.
65.Sanei-Dehkordi A, Soleimani-Ahmadi M, Zare M, Madani A, Jamshidzadeh A. Head Lice Infestation (Pediculosis) and Its Associated Factors among Primary School Girls in Sirik County, Southern Iran. Int J Pediatr. 2017; 5(12):6301-6309. doi: 10.22038/ijp.2017.25917.2206.
66.Soleimani-Ahmadi M, Jaberhashemi SA, Zare M, Sanei-Dehkordi A. Prevalence of head lice infestation and pediculicidal effect of permethrin shampoo in primary school girls in a low-income area in the southeast of Iran. BMC Dermatology. 2017; 17:10. doi: 10.1186/s12895 -017-0062-9.
67.Nazari M, Goudarztalejerdi R, Moradi A. Investigation of pediculosis prevalence and associated factors in the central prison of Hamadan in 2013. Pajouhan Scientific Journal. 2015; 13(2):13-20.
68.Poudat A, Nasirian H. Prevalence of pediculosis and scabies in the prisoners of Bandar Abbas, Hormozgan province, Iran. Pakistan Journal of Biological Sciences. 2007; 10(21):3967-9. doi:10.3923/pjbs.20 07.3967.3969.
69.Golchie J, Ramezanpoor A. Prevalence of Contagious Skin Diseases in Rasht Lakan Prison. J Guilan Uni Med Sci. 2003; 11 (44):9-13.
70.Shams Aldini S, Nasiri Kashani M, Sharifi I, Khajeh Karam Aldini M, Pourlashkari M. Prevalence of infectious skin diseases in the central prison of Kerman. Iranian Journal of Dermatology.  2000; 4:1(13);19-25.
71.Rahnama Z, Kamyabi M. A Survey on the prevalence of Pediculosis capitis in Afghan immigrants in Kerman, 1998. Daneshvar Medicine.  2001; 8(35):41-6.
72.Gholamnia Shirvani Z, Amin Shokravi F, Ardestani MS. Effect of designed health education program on knowledge, attitude, practice and the rate Pediculosis Capitis in female primary school students in Chabahar city. J Sharekord Univ Med Sci. 2011; 13(3):25-35.
73.Zareban I, Abbaszadeh M, Moodi M, Mehrjoo Fard H, Ghaffari HR. Evaluating a health- education program in order to reduce infection to Pediculus Humanus Capitis among female elementary students. J Birjand Univ Med Sci. 2006; 13(1):9-15.
74.Soltani Z, Keshavarzi D. Increasing trend of pediculosis (Pediculus humanus Capitis) in Lamerd, Farashband, and Marvdasht Cities, Southern Iran. Int Arch Health Sci. 2018; 5:38-42.