Table Of ContentDisclaimer 
The contents of this document do not necessarily reflect the views and policies of the 
National Oceanic and Atmospheric Administration (NOAA) or the United States Coral 
Reef Task Force (USCRTF), nor is it intended to be an opinion beyond the scientific or 
other results of its authors.  The mention of trade names or commercial products does not 
constitute endorsement or recommendation for their use by NOAA or USCRTF. 
 
 
About This Document  
Editor’s Acknowledgements – This document was prepared and printed with support 
from NOAA through the Coral Reef Conservation Program. Layout and design were 
provided by Sylvia B. Galloway, Cheryl M. Woodley, NOAA NOS NCCOS CCEHBR, 
and Andy Bruckner, NOAA NMFS HC. Andy Bruckner, Sylvia Galloway, Jennifer 
Kozlowski, Jo-Ann Leong, Stephanie Venn-Watson, Cheryl Woodley and Thierry Work 
provided technical edits.  
Cover Photographs - The front cover photograph was contributed by Thierry Work and 
the back cover composite photographs were contributed by Thierry Work with artwork 
by Jim Nicholson. 
 
 
 
 
 
 
 
 
 
 
 
 
Citation – Please cite this report as follows: 
  
Galloway, S.B., Bruckner, A.W. and Woodley, C.M. (eds.), 2009. Coral Health and 
Disease in the Pacific:  Vision for Action. NOAA Technical Memorandum NOS NCCOS 
97 and CRCP 7. National Oceanic and Atmospheric Administration, Silver Spring, MD 
314pp.  
 
Citation for an individual ‘white paper’ (e.g., Issues Unique to the Pacific paper) 
 
Gawal  M,  2009.  Overview  of  Issues  Unique  to  the  Pacific:  Biological  &  Social 
Perspectives.  pp.  162-167.  In:  Galloway,  S.B.,  Bruckner,  A.W.  and  Woodley,  C.M. 
(eds.),  2009.  Coral  Health  and  Disease  in  the  Pacific:    Vision  for  Action.  NOAA 
Technical  Memorandum  NOS  NCCOS  97  and  CRCP  7  National  Oceanic  and 
Atmospheric Administration, Silver Spring, MD 314pp.
Coral Health and Disease in the Pacific: 
Vision for Action 
 
Report Editors: 
 
SB Galloway, CM Woodley 
NOAA/NOS/NCCOS  
Center for Coastal Environmental Health and Biomolecular Research  
 
AW Bruckner  
NOAA/NMFS  
Habitat Conservation  
 
 
 
 
 
 
NOAA Technical Memorandum NOS NCCOS 97  
NOAA Technical Memorandum Coral Reef Conservation Program 7  
 
June 2009 
 
United States Department  National Oceanic and  National Ocean Service 
 of Commerce  Atmospheric  Administration 
 
Gary Locke  Jane Lubchenco  John (Jack) H. Dunnigan
Secretary  Administrator  Assistant Administrator
TABLE OF CONTENTS 
 
TABLE OF FIGURES……………………………………………………………………………….. iii
 
TABLE OF TABLES………………………………………………………………………………… iii
 
EXECUTIVE SUMMARY…………………………………………………………….…………….. 1
Recommendations……………………………………………………………………...………… 4
 
OPENING REMARKS...…………………………………………………………………………….. 8
 
PREFACE……………….…………………………………………………………………..………… 11
 
INTRODUCTION……………………………………………………………………………………. 14
Physiology & Pathology Working Group (PPWG)………………………………….….……... 16
Toxicology & Ecological Epidemiology Working Group (TEEWG)…………….…….……... 16
Pathology of Infectious Disease Working Group (PDWG)…………………………….……... 16
Preventing & Responding to Coral Disease in the Pacific Region: 
Management Perspectives Working Group (MWG)………………………………..……... 16
 
A.  PHYSIOLOGY &  PATHOLOGY……………………………………………………..………. 18
Background…………………………………………………………………………….………… 18
Challenges and Recommendations……………………………………………………….…….. 19
Physiology & Pathology Working Group Members………………………………….……….. 37
 
B.  TOXICOLOGY & ECOLOGICAL ASSESSMENT…………………………………..……… 38
Background…………………………………………………………………………….………… 38
Challenges and Recommendations……………………………………………………….…….. 39
Toxicology & Ecological Assessment Working Group Members…………….……….……… 55
 
C.  PATHOLOGY OF DISEASE……………………………………………………………….….. 56
Background………………………………………………………………………………….…… 56
Challenges and Recommendations………………………………………………………….….. 57
General Recommendation…………………………………………………………….…….. 58
Pathology of Disease Working Group Members………………………………………….…… 63
 
D.  MANAGEMENT PERSPECTIVES……………………………………………………..……... 64
Background………………………………………………………………………………….…… 64
State of coral Disease Understanding and Management in the  65
Pacific………………..……. 
Challenges and Recommendations……………………………………………………….…….. 67
General Recommendation…………………………………………………………….…….. 69
Management Perspectives Working Group Members………………………………….…….. 81
 
E.  WHITE PAPERS………………………………………………………………………….…….. 82
I.  INTRODUCTION - SETTING THE STAGE………………………………………..…… 83
Coral Disease And Health Consortium By Cheryl Woodley………………………….……. 83
Studying Coral Diseases: Understanding the Norm By E. Kramarsky-Winter………..…... 89
 
II.   GLOBAL PERSPECTIVE OF CORAL DISEASE…………………………………..….. 90
The GlobalPerspective of Incidence and Prevalence of Coral Diseases  
By  Andrew Bruckner………………………………………………………………….…….. 90
World Bank Project: Coral Disease Working Group By Bette Willis……………….….….. 122
 
III. HISTORICAL PERSPECTIVE – LESSONS LEARNED……………………………..… 126
i
Progress in Understanding Coral Diseases in the Caribbean by Andrew Bruckner…..…...  126
 
IV. STATE OF KNOWLEDGE IN THE PACIFIC…………………………………….....…..  162
Overview of Issues Unique to the Pacific: Biological & Social Perspectivies  
By Michael J. Gawel………………………………………………………….……..…..  162
Baseline Levels of Coral Disease in the NorthwesternHawaiian Islands  
By Greta Aeby……………………………………………………………….…………..  168
Report 1: Baseline Levels of Coral Disease in the Northwestern Hawaiian Islands 
by Greta Aeby……………………………………………………..………………….....  168
Report 2: French Frigate Shoals Reef Health Surveys by Thierry Work et al…..…  169
Current Knowledge of Diseases in US Territories/Freely Assoc. States  
By Thierry Work………………………………………………………………..……..…  189
Report 1: Coral and Crustose Coralline Algae Disease on the Reefs of American 
Samoa by Greta Aeby et al………………………………………………………..……  190
Report 2: Johnston Atoll Reef Health Survey by Thierry Work et al………………  214
Coral Disease on the Great Barrier Reef and in the Western Pacific  
By Bette Willis et al………………………………………………………………...……  234
 
V.  PATHOLOGY AND EPIDEMIOLOGY…………………………………………..….…..  242
Disease and the Diagnostic Process By Gary Wobeser…………………….………..….…..  242
Evolutionary Ecology and Disease Emergence:  The Big Picture By Bruce Wilcox..….…  244
Emerging Infectious Diseases By Stephanie Venn-Watson…………………………..……  245
Wildlife Disease Investigations 101 By David A. Jessup…………………………..……….  248
 
VI. COMMUNICATION TO MAKE A DIFFERENCE…………………………………..…  256
Scientists, the Public and the Politicians:  How Do We Connect for Reef’s Sake? 
 By Jeffery Allen……………………………………………………………………..…..  256
 
VII. TECHNOLOGIES FOR THE FUTURE OF CORAL HEALTH…………………..……  261
Potential Technological Developments for Coral Disease Monitoring  
By Melissa Bos……………………………………………………………….…….…..  261
Leveraging Post Genomic Tools and Systems Biology Approaches to Accelerate the 
Understanding of Coral Disease and Effectively Monitor the Health of Tropical Reef 
Ecosystems By Eric J. Mathur……………………………………………………….…..….  264
 
ACKNOWLEDGEMENTS……………………………………………………………..……………  266
 
REFERENCES………………………………………………………………….………..…………...  269
 
APPENDIX I.  MEETING AGENDA………………………………………………………..……...  284
 
APPENDIX II. PREVIOUSLY RECOMMENDED CNIDARIAN ‘MODEL SPECIES’ AND 
THEIR JUSTIFICATION FROM PEER-REVIEWED LITERATURE…………………..……..  287
 
APPENDIX III. CORAL MODEL SPECIES SUPPLEMENTARY INFORMATION…...….….  290
 
APPENDIX IV. BIOGRAPHICAL SKETCHES……………………………...……………...….…  291
 
APPENDIX V. LIST OF PARTICIPANTS…………………………………………………...….…  309
 
APPENDIX VI. OPINION PAPER – TRANSMISSION EXPERIMENTS………………....……  312
 
   
ii
TABLE OF FIGURES 
 
Figure I.1a  Global Distribution of Coral Diseases Reported in 1984 .........................15 
Figure I.1b  Global Distribution of Coral Diseases Reported in 2004 ........................16 
Figure A.1  Pocillopora damicornis .................................................................................24 
Figure A.2  Stylophora pistillata ......................................................................................25 
Figure A.3  Porites rus .....................................................................................................25 
Figure A.4  Galaxea fascicularis .....................................................................................26 
Figure A.5  Fungia scutaria .............................................................................................27 
Figure A.6  Acropora formosa .........................................................................................28 
Figure A.7  Acropora millepora .......................................................................................29 
Figure B.1  Methodology for Ecosystem Epidemiology ...............................................41 
Figure B.2  Integrated Framework for Environmental Assessment ...........................55 
Figure C.1  Disease Outbreak Response ........................................................................59 
Figure C.2  Scheme for Determining the Nature of a Communicable Disease ..........61 
 
 
 
TABLE OF TABLES 
 
Table B.1  Coral Health/Disease Indicators ..................................................................43 
Table B.2  Indicators of Coral Health & Disease: Field Observations .......................46 
Table B.3  Indicators of Coral Health & Disease: Laboratory Data...........................47 
Table B.4  Identification of Risk Factors .......................................................................49 
iii
EXECUTIVE SUMMARY 
 
“We are studying arguably the most complicated ecosystem on the face of the Earth, and 
it is under serious threat…..We have an incredibly important message, if this ecosystem 
dies, if this ecosystem is otherwise perturbed to an extent that it cannot recover, not only 
does it spell potential disaster for this spaceship we call Earth, but there is no less than 
80 emerging economies, nations that are entirely or nearly entirely dependent on coral 
reef ecosystems whether it be for the economy or for the subsistence.” (Gary Ostrander, 
Vice Chancellor for Research at the University of Hawaii, opening remarks)  
 
Shallow coral reefs in the IndoPacific contain the highest diversity of marine organisms 
in the world, with approximately 1500 described species of fish, over 500 species of 
scleractinian corals, and an estimated 1-10 million organisms yet to be characterized 
(Reaka-Kudla et al. 1994).  These centers of marine biodiversity are facing significant, 
multiple threats to reef community and habitat structure and function, resulting in local to 
wide-scale regional damage.  Wilkinson (2004) characterized the major pressures as 
including (1) global climate change, (2) diseases, plagues and invasive species, (3) direct 
human pressures, (4) poor governance and lack of political will, and (5) international 
action or inaction.   
 
Signs that the natural plasticity of reef ecosystems has been exceeded in many areas from 
the effects of environmental (e.g., global climate change) and anthropogenic (e.g., land 
use, pollution) stressors is evidenced by the loss of 20% of the world’s coral reefs 
(Wilkinson  2004).    Predictions  are  that  another  24%  (Wilkinson  2006)  are  under 
imminent risk of collapse and an additional 26% are under a longer term threat from 
reduced fitness, disease outbreaks, and increased mortality.  These predictions indicate 
that the current list of approximately 30-40 fatal diseases impacting corals will expand as 
will the frequency and extent of “coral bleaching” (Waddell 2005; Wilkinson 2004). 
Disease and corallivore outbreaks, in combination with multiple, concomitant human 
disturbances are compromising corals and coral reef communities to the point where their 
ability to rebound from natural disturbances is being lost. 
 
Pacific reefs, in general, have been considered in good condition and most resource 
managers have no real concern about coral disease (regardless of whether the cause is an 
infectious agent or anthropogenic pollution); this ‘good’ condition status may only be a 
reflection of inadequate information for many areas.  In fact, the U.S. state of coral reef 
ecosystems 2005 report (Waddell 2005) refutes this by showing an increase in disease 
reports throughout U.S. states, territories and freely associated states and documents a 
growing perception that coral disease may be a threat to Pacific reefs.   Increased findings 
of coral disease from the World Bank Coral Disease Working Group (WBCDWG) and 
NOAA/USGS  disease  monitoring  programs  provide  ample  evidence  that  disease  is 
present in Pacific reefs and may, in fact, be increasing.  For example, in 2004, the 
WBCDWG recorded 12 syndromes at six survey sites; including four syndromes that had 
not been previously recorded (Waddell 2005).  Some experts warn that Pacific coral reefs 
are on a trajectory of degradation similar to that experienced in the Caribbean Basin 
where coral reefs are decimated.  
1
Though the proliferation of coral reef diseases is a sign of a sick ocean environment, this 
realization can also be used as an instrument of change.  There is growing evidence that 
the  increased  severity  and  prevalence  of  these  diseases  is  directly  linked  to  human 
activities, such as pollution washing off the land, heat stress to corals, and through 
overfishing of organisms that can control macroalgae and pest species like corallivores. 
By developing an understanding of disease dynamics, causal links can be determined and 
factors driving these system failures can be identified.  Developing such an understanding 
can move us toward the goal of health management and preventative care for coral reefs.  
 
Recognizing the need for a strategic plan of action to combat and avert a possible health 
crisis for Pacific Reefs, the Coral Disease and Health Consortium (CDHC) convened a 
workshop to help organize and coordinate a U.S. scientific effort focused specifically on 
coral health issues in the Pacific.  The goal was to develop an action plan that would 
enable  regional  scientific  efforts  to  detect,  identify,  characterize,  and  manage  coral 
diseases in the Pacific. This report documents the proceedings of this workshop: Coral 
Health and Disease in the Pacific: Vision for Action.  The goals of the workshop were 
to:  
(cid:2)  Synthesize the state of knowledge of Pacific coral diseases;   
(cid:2)  Discuss the concepts and principles of disease, their use in investigating causation 
and how this can be applied to corals; 
(cid:2)  Characterize the difficulties in identifying, defining and managing disease in coral; 
and 
(cid:2)  Develop a Strategic Research Plan that  
(cid:2)  identifies knowledge gaps that impede understanding coral disease mechanisms 
(i.e., pathology), and limit elucidation of causes, significance or control of coral 
disease (i.e., epidemiology); 
(cid:2)  recommends directed research and education to fill these knowledge gaps; 
(cid:2)  standardizes methods for investigating coral disease outbreaks considering both 
biotic and abiotic etiologies; 
(cid:2)  addresses issues relative to the management of coral reef resources; and  
(cid:2)  fosters collaboration among CDHC partners, stakeholders, key marine resource 
management agencies, and regional networks in the Pacific. 
 
The workshop incorporated diverse viewpoints from experts representing biomedicine, 
coral  disease,  toxicology,  and  resource  management.    The  opening  day  focused  on 
presentations from 14 position papers (Appendix VI), to provide context and concepts for 
the break-out group discussions. These presentations covered key topics that included:   
 
(cid:2)  What do we currently know about coral diseases in the Pacific? 
(cid:2)  What lessons have we learned from Caribbean disease outbreaks? 
(cid:2)  Diagnostic methods, systems biology and leveraging post-genomic technologies 
(cid:2)  Emerging diseases, disease outbreak investigations and ecological epidemiology 
(cid:2)  How to integrate science with social, economic and political values? 
 
The participants were then assigned to one of four groups:  (1) Coral Cellular Physiology 
&  Pathology;  (2)  Coral  Toxicology  &  Ecological  Epidemiology;  (3)  Pathology  of 
2
Description:Coral Disease And Health Consortium By Cheryl Woodley………………………….……. 83. Studying  a fragmented research community, a menagerie of observations describing various coral afflictions with little coherence in  Mike Risk – McMaster University, Ontario Canada. Figure B.2 Integra