This is a user-to-user technical support forum, and the volunteers here do not have access to internal Apple communications.
We can only assume that if Apple has a presents in Egypt, then a local representative would have gotten in touch with local legal teams that specialize in medical law, and would have put together the paperwork to make the request. But that is all an assumption on my part.
I will add, that in many countries, if you ask the approving authority, you get strange answers, because sometimes there is a long dance before any company can actually "Apply", but until that dance has come to a close, no application can be submitted, so the medical authority says there is no application. That does not mean Apple is not involved in the pre-application dance, just that the medical authority says they have not applied.
We watched this happen in Australia for 2 years, with everyone saying Apple does not care about the Australian customer, when it was their own government laws that prevented Apple from ever reaching the "Apply" stage, and all along the government just said "Apple has not applied".
In Canada, there were people claiming to be "In the Know" and had talked to the Canadian medical authority saying Apple has not applied, and 1 week later Apple announced that Canada would get ECG. You cannot trust what people "In the Know" report, because as with most governments, it is difficult to find the right person to ask, and even more difficult to get them to say anything that translates into something that makes sense to a normal person.