To expedite referrals for specialist care, if necessary. Contacts may also require screening and follow-up. This is arranged through the TB Registry. Follow growth parameters closely. If the child has growth disturbances and does not demonstrate catch-up growth within 6 months or if growth disturbances develop, this may indicate an undetected medical problem or a bonding issue.
Further evaluation is required.
Unless clearly documented, assume vaccines have not been given . Particular care should be given to an assessment of neurological status. If concerns are present on the screening assessment, the child should be referred to an appropriate resource for a diagnostic developmental assessment. In addition to the quantitative aspects of the child's development, it is equally important that the physician assess the qualitative aspects. If such features are present, it is extremely important that the child be referred for further assessment and possible therapy.