Head-to-head contact with someone who has lice
Sharing combs, brushes, hats, scarves, helmets, headphones, or hair accessories
Using bedding, pillows, towels, or clothing recently used by an infested person
Close contact in schools, daycare centers, camps, or households
Sharing hair ties, clips, or other personal grooming items
Contact with infested furniture or fabric items, though this is less common
Repeated exposure in places where people are in close contact
Transferring lice from one person’s hair to another through direct contact