This is the letter that I received from the embassy:
Dear Mr.,
I am now completing the assessment of your application for a permanent resident visa. It appears that you may not meet the requirements for immigration to Canada.
Pursuant to subsection 38(1) of the Immigration and Refugee Protection Act, a medical officer has concluded that your dependent, , is a person whose health condition might reasonably be expected to cause excessive demand on health or social services. The regulatory definitions of these terms are attached.
The medical officer has determined that your dependent, has the following medical condition or Diagnosis: Heart-Congenital Anomaly (746).
Narrative:
This 2.4 year old child has a congenital pulmonic stenosis. He underwent initial repair at the age of 5 months, consisting of pulmonary balloon valvotomy at the Medical Center . After the procedure, the gradient on the pulmonary valve went down from 72 mmHg to 37 mmHg. The consulting cardiologist, Dr , wrote in his December 2013 report: “Currently his pulmonic valve suffers from mild-moderate stenosis, with good functioning of the right ventricle. In the future (possibly within the next few years) he may need another valvotomy to repair the pulmonic valve. He continues to be followed up biannually by a paediatric cardiologist and should be continued to be followed in the same fashion.”
The prognosis of medical condition is for continuation and probably deterioration. As stated by the treating cardiologist, will need a follow up by a paediatric cardiologist. He will probably require a new cardiovascular procedure to treat the stenosis of his pulmonary valve. If this procedure cannot be done by a percutaneous method, open heart cardiac surgery will be required to replace the stenotic valve and prevent further complications. This will have to be done in a specialized center for cardiac paediatric surgery with access to an intensive care unit. These assessments and treatments require specialists in cardiology and cardiovascular surgery, and the utilization of specialized tertiary hospital-based resources which are expensive, publicly funded and in high demand.
Based upon my review of the results of this medical examination and all the reports I have received with respect to health condition, I conclude that he has a health condition that might reasonably be expected to cause excessive demand on health services. Specifically, this medical condition might reasonably be expected to require health services, the costs of which would likely exceed the average Canadian per capita costs over a five year period and would add to existing waiting lists for these services, thus delaying their provision to those in Canada who need them, impacting unfavourably on morbidity and mortality related to heart conditions. is therefore deemed inadmissible under Section 38(1)(c) of the Immigration and Refugee Protection Act.
Before I make a final decision, you may submit additional information relating to this medical condition or diagnosis. You may also submit any information addressing the issue of excessive demand if it applies to your case. You have until May 10, 2014 to submit additional information to our office. Please ensure that you quote the file number indicated at the top of this letter on any information you submit.
You are responsible for any fees charged by doctors or other professionals you consult as a result of this opportunity to submit new information. You must provide any additional information within sixty days from the date of this letter. If you choose not to respond with additional information, I will make a decision based on the information before me which may result in the refusal of your application.
I look forward to receiving your additional information.
Sincerely,
Immigration & Visa Section
Canadian Embassy
