Original Article

The Epidemiological Study of Pediculosis among Primary School Children in Sulaimani Governorate, Kurdistan Region of Iraq


Background: Pediculosis is a common parasitic public health issue. Many socio-demographic and economic factors affect the pattern and prevalence of pediculosis. It is widely spread among pupils, particularly those in elementary schools. This study aimed to determine the prevalence of Pediculus capitis infestation and its related risk factors in pri­mary school children in Sulaimani Governorate, Kurdistan Region of Iraq.

Methods: This is a cross-sectional study, overall, 2064 primary school children (aged 5–14 years) during the period from October 2019 to February 2020 were randomly examined for the presence of any stage of Pediculosis capitis in both urban and suburban areas. The schools were selected by multistage sampling methods. A questionnaire was sent to the parents to get consent and fill in for every single pupil. The results were computed using the chi-square test and lo­gistic regression analysis.

Results: The overall prevalence of head lice infestation was (9.16%). The study found a significant association of Pe­diculosis capitis infestation with gender, parents’ education level, mother’s employment, number of siblings, and previ­ous infestation. The older age of children (≥12 years old) and the higher-grade pupils (4th to 6th class) were more infest­ed.

Conclusion: Head lice remain a health problem for school children. It needs collaboration of many sectors for decreas­ing and early detection and treatment in both urban and suburban areas since they have a close rate of infestation.

1. Demastes JW, Spradling TA, Hafner MS, Spies GR, Hafner DJ, Light JE (2012) Cophylogeny on a fine scale: Geomydoecus chewing lice and their pocket gopher hosts, Pappogeomys bulleri. J Parasitol. 98(2): 262–270.
2. Maramazi HG, Sharififard M, Jahanifard E, Maraghi E, Sourestani MM, Malehi AS, Rasaei S (2019) Pediculosis humanus capitis prevalence as a health problem in girl’s elementary schools, southwest of Iran (2017–2018). J Res Health Sci. 19 (2): e00446.
3. Mohammed A (2012) Head lice infestation in schoolchildren and related factors in Mafraq governorate, Jordan. Int J Der-matol. 51(2): 168–172.
4. Rukke BA, Soleng A, Lindstedt HH, Ot-tesen P, Birkemoe T (2014) Socioeconomic status, family background and other key factors influence the management of head lice in Norway. Parasitol Res. 113(5): 1847–1861.
5. Gholamnia Shirvani Z, Amin Shokravi F, Sadat Ardestani M (2013) Evaluation of a Health Education Program for Head Lice Infestation in Female Primary School Students in Chabahar City, Iran. Arch Iran Med. 16(1): 42–45.
6. Gutiérrez MM, González JW, Stefanazzi N, Serralunga G, Yañez L, Ferrero AA (2012) Prevalence of Pediculus humanus capitis infestation among kindergarten children in Bahía Blanca City, Argentina. Parasitol Res. 111(3): 1309–1313.
7. Salehi S, Ban M, Motaghi M (2014) A study of head lice infestation (Pediculosis capitis) among primary school students in the villages of Abadan in 2012. Int J of Com Based Nurs Mid. 2(3): 196–200.
8. Hatam-Nahavandi K, Ahmadpour E, Pashazadeh F, Dezhkam A, Zarean M, Rafiei-Sefiddashti R, Salimi-Khorashad A, Hosseini-Teshnizi S, Hazratian T, Otranto D (2020) Pediculosis capitis among school-age students worldwide as an emerging public health concern: a systematic re¬view and meta-analysis of past five decades. Parasitol Res. 119(10): 3125–3143.
9. Ismail M, Kabakibi M, Al-Kafri A (2018) Epidemiology of pediculosis capitis among schoolchildren in Damascus, Syr-ia. Indian J Paediatr Dermatology. 19(4): 331–334.
10. Gulgun M, Balci E, Karaoǧlu A, Babacan O, Türker T (2013) Pediculosis capitis: Prevalence and its associated factors in primary school children living in rural and urban areas in Kayseri, Turkey. Cent Eur J Public Health. 21(2): 104–108.
11. Moussa S, El-edailli S, Alshammari R, Alobaidi S, Al-reshidi HF, Alshammari HN (2018) Knowledge and behavioral practice of pediculosis in Hail Region, Saudi Arabia. Int J Med. 4(5): 11–21.
12. Khamaiseh AM (2018) Head Lice among Governmental Primary School Students in Southern Jordan: Prevalence and Risk Factors. J Glob Infect Dis. 10(1): 11–15.
13. Al-Mendalawi, MD, Ibrahim JG (2012) Pattern of dermatoses in Iraqi children. EMHJ-Eastern Mediterr Heal J. 18(4): 365–371.
14. Suleiman AK, Magar EA (2014) Study of Distribution of Head Lice Pedicalus humanus Among The Students of Many Primary School in Kirkuk Province Pediculus humanus capitis De Geer (Anoplura: Pediculidae). Tikrit J Pure Sci. 19(6): 1–6.
15. Kadir MA, Taher HM, Ali IS (2017) Head lice infestation among local and dis-placed secondary school girls and its effect on some haematological parameters in Kirkuk City. Kirkuk Univ Journal-Scientific Stud. 12(4): 1–10.
16. Khidhir KN, Mahmood CK, Ali WK (2017) Prevalence of infestation with head lice Pediculus humanus capitis (De Geer) in primary schoolchildren in the centre of Erbil City, Kurdistan Region, Iraq. Pak Entomol. 39(2): 1–4.
17. Salih HA, Shamran SJ, Al-shimerty DF (2017) Prevalence of pediculosis capitis (head lice) and treating among children in Al-Najaf City, Iraq. Al-Kufa Univ J Biol. 9(3): 179–183.
18. Obaid HM (2018) Home remedies for Pe-diculus humanus capitis infection among school children. Our Dermatology Online/ Nasza Dermatologia Online. 9(2): 131–136.
19. Abdulla BS (2015) Morphological study and Prevalence of head lice (Pediculus humanus capitis) (Anoplura: Pediculidae) infestation among some primary school students in Erbil City, Kurdistan Region. ZJPAS. 27(5): 29–36.
20. El-sayed MM, Toama MA, Abdelshafy AS, Esawy AM, El-naggar SA (2017) Prevalence of pediculosis capitis among primary school students at Sharkia Governorate by using dermoscopy. Egypt J Dermatol Venerol. 37(2): 33–42.
21. Nejati J, Keyhani A, Tavakoli Kareshk A, Mahmoudvand H, Saghafipour A, Kho-raminasab M, Tavakoli Oliaee R, Mousavi SM (2018) Prevalence and risk factors of pediculosis in primary school children in south west of Iran. Iran J Public Health. 47(12): 1923–1929.
22. Moosazadeh M, Afshari M, Keianian H, Nezammahalleh A, Enayati AA (2015) Prevalence of head lice infestation and its associat¬ed factors among primary school students in Iran: a systematic review and meta-analysis. Osong public Heal Res Perspect. 6(6): 346–356.
23. Meister L, Ochsendorf F (2016) Head Lice. Dtsch Arztebl Int. 113(45): 763–772.
24. Albashtawy M (2017) Pediculosis in school sitting: What is the role of school nurses?. Iran J Public Health. 46(9): 1301–1302.
25. Yousefi S, Shamsipoor F, Salim Abadi Y (2012) 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. 1(2): 53–56.
26. Davarpanah MA, Kazerouni AR, Rahmati H, Neirami RN, Bakhtiary H, Sadeghi M (2013) The prevalence of pediculus capitis among the middle schoolchildren in Fars Province, southern Iran. Casp J Intern Med. 4(1): 607–610.
27. Hazrati Tappeh K, Chavshin AR, Mohammadzadeh Hajipirloo H, Khashaveh S, Hanifian H, Bozorgomid A, Mohammadi Bavani M, Jabbari Gharabag D, Azizi H (2012) Pediculosis capitis among primary school children and related risk factors in Urmia, the main city of West Azarbaijan, Iran. J Arthropod Borne Dis. 6(1): 79–85.
28. Boukan A, Mohebi L, Rashti R, Boukan A, Oshaghi MA (2022) Pediculosis capitis; the importance of accurate differentiation of nits and hair casts. Int J Trop Insect Sci. 42(1): 647–650.
29. Amin OM, Mahmood HF, Muhammed AA, Hussein SA, Mohammed LQ, Rostam BW (2019) Prevalence of head lice, Pediculus humanus capitis L. and their relation to anxiety among primary school children in Kalar District, Kurdistan Region-Iraq. J Garmian Univ. 6(2): 330–338.
30. Al-Rubaiy KK, Habib OS, Ebrahim S (2004) Pattern of skin diseases among primary school children in Basrah, southern Iraq. Med j Basrah Univ. 22(2): 41–43.
31. Oh JM, Lee IY, Lee WJ, Seo M, Park S (2010) Prevalence of pediculosis capitis among Korean children. Parasitol Res. 107 (6): 1415–1419.
32. Oncu E, Vayisoglu SK, Guven Y, Onen E, Bulut ER, Cekic H, Ozturk F (2018) The prevalence of pediculus capitis in primary schools in a city of Turkey and the efficacy of health education in treatment. Med Sci. 7(3): 469–475.
33. Nazari M, Goudarztalejerdi R, Anvari Payman M (2016) Pediculosis capitis among primary and middle school children in Asadabad, Iran: An epidemiological study. Asian Pac J Trop Biomed. 6(4): 367–370.
34. Khakshoor-Gharehsoo Z, Peyman N (2017) The effect of education to increase the awareness and preventive behaviors of pediculosis in female school students according to the health belief model in Mashhad. Health Education and Health Promotion. 5(2): 33–43.
35. Nor Faiza MT, Rampal L, Lye MS, Lim PY, Suhainizam MS (2018) Recurrent infestation with pediculosis capitis among aged 10–11 students in Hulu Langat, Selangor. Int J Med Sci Public Health. 5 (4): 95–108.
36. Saghafipour A, Nejati J, Zahraei Ramazani A, Vatandoost H (2017) Prevalence and risk factors associated with head louse (Pediculus humanus capitis) in Central Iran. Int J Pediatr. 5(7): 5245–5254.
37. Kokturk A, Baz K, Bugdayci R, Sasmaz T, Tursen U, Kaya TI, Ikizoglu G (2003) The prevalence of pediculosis capitis in school-children in Mersin, Turkey. Int J Dermatol. 42(9): 694–698.
38. Karakuş M, Arici A, Töz SÖ, Özbel Y (2014) Prevalence of head lice in two socioeconomically different schools in the center of Izmir City, Turkey. Turkiye Parazitol Derg. 38(1): 32–36.
39. Djohan V, Angora KE, Miezan S, Bédia AK, Konaté A, Vanga-Bosson AH, Kassi FK, Kiki-Barro PCM, Yavo W, Menan EI (2020) Pediculosis capitis in Abidjan, Côte d’Ivoire: Epidemiological profile and associated risk factors. Parasite Epidemiol Control. 11: e00159.
40. Nordin RB, Che WA, Ibrahim NA, Naing L (2006) Prevalence and associated factors of head lice infestation among primary schoolchildren in Kelantan, Ma-laysia. Southeast Asian J Trop Med Public Health. 37(3): 536–543.
41. Jones KN, English JC III (2003) Review of common therapeutic options in the United States for the treatment of pediculosis capitis. Clin Infect Dis. 36(11): 1355–1361.
42. Gunning K, Pippitt K, Kiraly B, Sayler M (2012) Pediculosis and Scabies: A Treatment Update. Am Fam Physician. 86(6): 535–541.
43. Feldmeier H (2014) Diagnosis of Head Lice Infestations: An Evidence-Based Review. Open Dermatol J. 4(1): 69–71.
44. Kassiri H, Esteghali E (2016) Prevalence Rate and Risk Factors of Pediculus capitis Among Primary School Children in Iran. Arch Pediatr. 4(1): e26390.
IssueVol 16 No 1 (2022) QRcode
SectionOriginal Article
DOI https://doi.org/10.18502/jad.v16i1.11195
Pediculosis capitis Risk factors ; Children Primary schools Sulaimani governorate

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How to Cite
Hama-Karim Y, Azize P, Ali S, Ezzaddin S. The Epidemiological Study of Pediculosis among Primary School Children in Sulaimani Governorate, Kurdistan Region of Iraq. J Arthropod Borne Dis. 2022;16(1):72–83.