Disease is the leading welfare and economic challenge in aquaculture. Effective prevention and treatment are inseparable from good fish welfare outcomes.
Disease management in aquaculture is one of the highest-leverage welfare interventions available. Diseased fish experience pain, immune stress, reduced appetite, and abnormal behaviour — and disease-related mortality at scale represents enormous suffering. The relationship between welfare and disease is bidirectional: stressed, overcrowded fish get sick more easily, and sick fish suffer. Preventive approaches — vaccination, better biosecurity, lower stocking densities, optimal water quality — reduce disease burden while simultaneously improving welfare. When treatments are necessary, welfare-conscious application (correct dosing, minimising handling, ensuring recovery) reduces treatment-related suffering. Antibiotic stewardship also has global public health implications.