It is a large number, but it's important to put that number in context. Those cases are complex medical cases that would otherwise not meet the medical standards. These are pilots who could otherwise be considered unfit but for whom the minister is trying to exercise discretion to get those pilots flying. Often that requires medical diagnostic tests for which there are intersections with provincial health queues, and so on and so forth, and intersections with specialists who have to assess them.
That complex case queue is a number of cases on which the minister is trying to exercise discretion to get those pilots flying, but it takes time.