This book discusses a topic that is not very appealing in a fun and creative way. This topic is lice! I believe this book would be a good one to share with any grade. The exile level of this book is 390L. This could be a great way to open the door to a discussion about health. There is also a writing activity I had heard of that was an extension of this book. The students were asked to complete the following phrase: "I woke up one day and had _______ in my hair!" Once they filled in the blank, they had to illustrate the sentence and write at least three more sentences about it. This allowed the children to use their imagination.