Head lice infect the scalp and hair and can be seen at the nape of the neck and over the ears. Head lice spread easily and quickly but do not carry disease as other lice do. Update Date: 08/22/2008Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.