It is the last thing parents probably want to think about with school back in session.
Now we're learning Arizona is among the 25 states dealing with something that has been called "Super Lice," or strains that are resistant to over the counter treatment.
Researchers collected samples from a large number of states, including Arizona that tested the parasites.
All of the Arizona lice samples were 100% resistant to over-the-counter treatments. Parents shouldn't be alarmed, but they should be diligent, educated, and aware as we head into the school year.
It's not appealing, but it's necessary, especially now that school is back in session. It's the lice check, and something you should do once a week on your kids says Kim Pickens who runs the lice treatment center.
She says there are five lice hot spots you should be checking.
"The first one would be the crown, the nape of the neck behind the ears, and in front of the headline," said Kim Pickens.
If you spot lice, alive or dead, immediate treatment is needed. Pickens says she was surprised to see Arizona lice had developed resistant to the over-the-counter treatments.
"I think everyone's surprised that Arizona is having an issue with this," said Pickens.
Pickens company uses a lice treatment called Air Alle. It's FDA-cleared. Pickens says the air from the dryer dehydrates the lice as she works it through the scalp.
"It's a controlled heated air and during the treatment they can fall on the towel, and then when we're done we apply sufficient to the hair, and we comb out the dead stuff," said Pickens.
Treatment costs $175, and a follow-up is required to make sure the lice are gone.
The process is painless says Pickens, and kids are happy and relieved to have the lice gone.
Just as happy and relieved are their parents.
"Because the little bugs stress out parents like you wouldn't believe," said Pickens.
There are many options including nit-picking, which is going through hair with a special pick to manually remove the lice.
Doctors have said that the over the counter treatments may work; you may just have to leave them on longer. The report says that the lice are resistant, not immune.