You didn’t address my question - were people unnecessarily expose to diseases, as the letter they sent out indicates, or not?
No, there is no proof that two cleanings was a problem
However, one cleaning was what was required and apparently nothing more, so this is an overreaction.
How many times do you need to be told?
Although the VA concluded that the risk of infection was extremely low, the agency decided it was still necessary to disclose the error to patients who were treated at the medical center during that 13-month period. They are now offering free blood tests to screen for HIV as well as hepatitis B and C.
http://www.foxnews.com/story/0,2933,595625,00.html
It was washed twice, which was not protocol.