Disease management in aquaculture directly affects fish welfare and public health, with responsible antibiotic use and preventive medicine central to welfare-positive production.
Aquaculture disease prevention is both a welfare and public health priority. Fish suffering from bacterial, viral, or parasitic disease experience chronic pain, immune suppression, and reduced quality of life. Vaccine programs, improved biosecurity, selective breeding for disease resistance, and biological controls (wrasse cleaner fish for lice) reduce disease burden more sustainably than reactive antibiotic treatment. Antibiotic stewardship protects future treatment options for both fish and human medicine.