Disease is the greatest welfare challenge in fish aquaculture. How disease is managed — or mismanaged — profoundly affects the welfare of billions of farmed fish each year.
Fish suffering from disease experience real pain and distress. Mass mortality events — where thousands or millions of fish die over days — represent suffering at a scale rarely encountered in other forms of animal agriculture. The welfare impact of chronic subclinical disease (fish living in a compromised state without obvious signs of acute illness) is also substantial and poorly monitored. Preventive approaches — vaccination, biosecurity, and improved husbandry — are far better for welfare than reactive treatment. The success of vaccine-based disease control in Norwegian salmon aquaculture, which reduced antibiotic use by over 99% since the 1980s, demonstrates that dramatic welfare improvement is achievable. Extending these approaches globally, particularly to shrimp and tilapia farming in Asia, is an urgent welfare and public health priority.