Its probably worse-not like the old days of super them and forget them.
If your a "backyard" beekeeper you probably not see most of the
stress diseases foulbrood, chalkbrood and the like but you
will likely deal with both mites. Treatments are not 100% guarantee-
I just lost a spring treated colony. But its still fun order your bees
right after Xmas, burn out your used boxes(that was your post?),
put them on new frames and wax, feed them alot of syrup and treat for
both mites. One of my students will have a surpluys of cut comb his
1st year. Treat again in the fall and if your lucky your in-Lars/SE Ohio