I haven't treated my bees since the early 1990's. Around 1993 or 1994 if memory serves me right.
VSH involves the ability to detect infected cells AND the ability to uncap/remove the infected larva. Its more than damage to the carapace. When the USDA did this early work, they found all colonies had it to an extent. They had to select for it over the generations to intensify the trait. I think Marla Spivak wrote some papers about it but I don't have them to hand.
The Arista group were able to find the same trait in a test which was conducted with Buckfasts last year and will be conducting a similar test on Carniolans this year.
http://aristabeeresearch.org/