dear applicant,
this refers to your application for permanent residence in Canada.
we have received a medical notification stating that your dependant (xxxxx xxxxxx) has the following medical condition or diagnosis: chronic Renal Failure (585), which is in the opinion of a medical offer:
This 60 year old applicant has chronic renal failure. Her serum creatinine is 3.2mg/ld, and the calculated eGFR is 24ml/minute. She was seen by a nephrologist who opined that she has stage 4 chronic kidney disease. She also has diabetes and hypertension which are known to progress renal disease. Her condition is expected to worsen.
The applicant's health condition is such that it is responsible to expect a progressive deterioration of her kidney function, requiring ongoing management by specialist in kidney disorders. further deterioration or exacerbation of the already impaired renal function would require access to specialized hospital facilities and services for diagnosis and treatment in emergency room, intense care units, haemodialysis and renal transplantation. these service requirements are expensive, cost more than the average amount spent annually on Canadian and publicly funded.
Based upon my review of the results of this medical examination and all the reports i have received with respect to the applicants health condition, i conclude that she has a health condition that might reasonably be expected to cause excessive demand on health service. specifically, this health condition might reasonably be expected to require services, the costs of which would likely exceed the average Canadian per capita costs over 5-10 years, and would add to existing waiting lists and delay or deny the provision of those services to those in Canada who need and are entitled to them. the applicant is inadmissible under section 38 (1) (c) of the immigration and refuge protection Act.
This information raises concerns that you can be expected to cause excessive demands on health or social services in Canada. For this reasons, you may be a member of the inadmissible class under section A38(1) of the immigration and refugee protection Act.
this information raises concerns that you can be expected to cause excessive demands on health or social services in canada. For this reason, you may be a member of the inadmissible class under social A38(1) of the immigration and refugee protection Act (IRPA) and your application for permanent residence could be refused.
A38(1) states that "A foreign national is inadmissible on health grounds if their condition
(a) is likely to be a danger to public health;
(b) is likely to be danger to public health;
(c) might reasonably be expected to cause excessive demand on heath or social services."
Before a final decision is made, you may submit additional information or documents relating to the above medical condition, diagnosis or opinion. you may also submit any information addressing the issue of excessive demand if it applies to your case.
You have until 07 September 2013 to submit additional information to our office at the address shown below. please ensure that you quote the file number, indicated at the top of this letter on any information you submit. We will then forward the information to the appropriate medical officers who will review the material and advice us of their conclusions.
you are responsible for any fee charged by the doctor or other professionals you consult as a result of this opportunity to submit new information.
you must provide any additional information within sixty days of the date of this letter. If you choose not to respond with additional information, a decision will be rendered in your application based on the information before us.
Sincerely,
immigration section
