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Having lice and having health issues associated with them are not always the same. My birds likely have low lice burdens but show no outward negative health issues. Management versus eradication can be different endpoints with former being less costly and easier on birds. Also, not all dirt...

When my birds have access to good dust bathing opportunities there is no need for the more aggressive chemical methods that I try to reserve for brood pens.

In addition to bathing, consider making so birds can dust bath in something like potting soil or ash.