The MHA is aware of recent media attention and concerns by Middlesex-London Health Unit regarding the DermEffects clinic in London. We cannot speak to the instrument cleaning practices of the private DermEffects clinic. We can though confirm than the Middlesex-London Health Unit has reviewed our instrument cleaning practices at Four Counties Health Services (FCHS) related to Dr. Loo’s Ambulatory Clinic, and has confirmed that FCHS meets cleaning standards.