C. D. Harvell,
1*
K. Kim,
1,2
J. M. Burkholder,
3
R. R. Colwell,
4,5
P. R. Epstein,
6
D. J. Grimes,
7
E. E. Hofmann,
8
E. K. Lipp,
9
A. D. M. E. Osterhaus,
10
R. M. Overstreet,
11
J. W. Porter,
12
G. W. Smith,
13
G. R. Vasta
4
Mass mortalities due to disease outbreaks have recently affected
major taxa in the oceans. For closely monitored groups like corals and
marine mammals, reports of the frequency of epidemics and the number of
new diseases have increased recently. A dramatic global increase in the
severity of coral bleaching in 1997-98 is coincident with high El
Niño temperatures. Such climate-mediated, physiological stresses
may compromise host resistance and increase frequency of opportunistic
diseases. Where documented, new diseases typically have emerged through
host or range shifts of known pathogens. Both climate and human
activities may have also accelerated global transport of species,
bringing together pathogens and previously unexposed host populations.
1 Ecology and Evolutionary Biology, Cornell University,
Ithaca, NY 14853, USA.
2 Department of Entomology, 4112 Plant Sciences Building, University of Maryland, College Park, MD
20742, USA.
3 Botany Department, Box 7612, North Carolina
State University, Raleigh, NC 27695, USA.
4 Center of Marine
Biotechnology, University of Maryland Biotechnology Institute, 701 East
Pratt Street, Baltimore, MD 21202, USA.
5 Department of Cell
and Molecular Biology, University of Maryland, College Park, MD 20742, USA.
6 Center for Health and the Global Environment, Harvard
Medical School, Boston, MA 02115, USA.
7 Institute of Marine
Sciences, The University of Southern Mississippi, P.O. Box 7000, 703 East Beach Drive, Ocean Springs, MS 39566, USA.
8 Center for
Coastal Physical Oceanography, Old Dominion University, Crittenton
Hall, 768 West 52 Street, Norfolk, VA 23529, USA.
9 Department of Marine Science, University of South Florida,
St. Petersburg, FL 33701, USA.
10 Erasmus University
Rotterdam, Institute of Virology, P.O. Box 1738, 3000 DR Rotterdam,
Netherlands.
11 Gulf Coast Research Laboratory, P.O. Box
700, The University of Southern Mississippi, Ocean Springs, MS 39566, USA.
12 Institute of Ecology, University of Georgia, Athens,
GA 30602, USA.
13 University of South Carolina, Aiken, SC
29801, USA.
*
To whom correspondence should be addressed.
The oceans harbor enormous
biodiversity by terrestrial terms (1), much of which is
still poorly described taxonomically. Even less well known are the
dynamics of intermittent, ephemeral, threshold phenomena such as
disease outbreaks. Despite decades of intense study of the biological
agents structuring natural communities, the ecological and evolutionary
impact of diseases in the ocean remains unknown, even when these
diseases affect economically and ecologically important species. The
paucity of baseline and epidemiological information on normal disease
levels in the ocean challenges our ability to assess the novelty of a recent spate of disease outbreaks and to determine the relative importance of increased pathogen transmission versus decreased host
resistance in facilitating the outbreaks. Our objectives here are to
review the prevalence of diseases of marine taxa to evaluate whether it
can be concluded that there has been a recent increase. We also assess
the contributing roles of human activity and global climate, and
evaluate the role of the oceans as incubators and conveyors of human
disease agents.
Is There an Increase in Diseases in the Ocean?
In the past few decades, there has been a worldwide increase
in the reports of diseases affecting marine organisms (2, 3)
(Table 1). In the Caribbean, mass
mortalities among plants, invertebrates, and vertebrates have resulted
in dramatic shifts in community structure. Recent outbreaks of
coralline algae lethal orange disease and a coralline fungal disease
have affected Indo-Pacific communities on unprecedented scales. In the
North Atlantic, frequency of mass mortalities of marine mammals appears
to be increasing, particularly along heavily polluted coastal areas,
suggesting human activity as a factor in disease dynamics. Ecologically
and economically important species from temperate oceans, such as
seagrasses, oysters, and sea urchins, have also been affected by
large-scale epidemics. Although the frequencies of such accounts are
compelling, whether they are indeed "new" or are simply artifacts
of improved detection requires further evaluation.
Table 1.
Mass mortalities (>10% mortality within populations,
where enumerated) among natural populations of selected marine species.
Environmental correlates: T, temperature; ND, no data; sal, salinity;
turb, turbidity; hur,
hurricane.
|
| Start
date |
Host species |
Outbreak location |
Pathogen
identity |
Estimated mortality (%) |
Environmental
correlates |
Ref. |
|
|
| 1938 |
Sponges |
North
Caribbean |
Fungus? |
70-95 |
ND |
86 |
| 1931 |
Zostrea
(seagrasses) |
North America, Europe |
Slime
mold |
Extensive |
High T |
87 |
| 1946 |
Crassostrea
(oyster) |
Gulf Coast, U.S.A. |
Perkinsus
marinus |
Extensive |
High T, sal
|
88 |
| 1954 |
Clupea (herring) |
Gulf St.
Lawrence |
Ichthyophonus
hoferi |
50 |
ND |
89 |
| 1955 |
Lobodon
(seal) |
Antarctica |
Virus |
Extensive |
ND |
90 |
| 1974 |
Ostrea
(flat oyster) |
Northwestern Spain |
Marteilia
refringens |
Extensive |
ND |
19 |
| 1975 |
Heliaster
(starfish) |
Western U.S.A. |
? |
<100 |
High
T |
91 |
| 1980 |
Strongylocentrotus
(urchin) |
Northwestern
Atlantic |
Amoeba? |
>50 |
ND |
92 |
| 1980 |
Ostrea
(oyster) |
Netherlands |
Bonamia
ostreae |
Extensive |
ND |
93 |
| 1981 |
Acropora
(coral) |
Caribbeanwide |
Bacteria? |
>100 |
ND |
8 |
| 1982 |
Gorgonia
(coral) |
Central America |
? |
Extensive |
High
T |
29 |
| 1982-6 |
Haliotis
(abalone) |
Australia |
Perkinsus sp. |
Extensive |
High
T |
94 |
| 1983 |
Corals |
Caribbeanwide |
Microbial
consortium |
|
Seasonal |
95 |
| 1983 |
Patinopecten
(scallop) |
Western Canada |
Perkinsus
qugwadi |
Extensive |
ND |
96 |
| 1983 |
Diadema
(urchin) |
Caribbeanwide |
Bacteria? |
>95 |
High
T |
6 |
| 1985 |
Haliotis (abalone) |
Northeastern
Pacific |
? |
>95 |
High
T |
97 |
| 1986-90 |
Ruditapes
(clam) |
Portugal |
Perkinsus
atlanticus |
Extensive |
ND |
98 |
| 1987 |
Thalassia
(seagrass) |
Florida, U.S.A. |
Slime mold |
<95 |
High T,
sal |
9 |
| 1988 |
Argopecten (scallop) |
North
Caribbean |
Protozoan |
Extensive |
ND |
99 |
| 1988 |
Phoca
(seals) |
Northwestern
Europe |
Virus |
~70 |
Pollution |
22 |
| 1988 |
Phocoena
(porpoise) |
Northeastern
Ireland |
Virus |
? |
Pollution |
100 |
| 1989 |
Argopecten
(scallop) |
Eastern Canada |
Perkinsus
sp.? |
Extensive |
ND |
101 |
| 1989 |
Phoca
(seals) |
Lake
Baikal |
Virus |
>10 |
ND |
102 |
| 1990 |
Stenella
(dolphin) |
Western
Mediterranean |
Virus |
>20 |
Pollution |
103 |
| 1991 |
Clupea
(herring) |
Western Sweden |
Ichthyophonus
hoferi |
>10 |
Low T |
104 |
| 1992 |
Ecklonia
(kelp) |
Northeastern New Zealand |
? |
40-100 |
High
turb |
105 |
| 1993 |
Coralline algae |
South
Pacific |
Bacteria? |
Extensive |
ND |
106 |
| 1995 |
Strongylocentrotus
(urchin) |
Norway |
Nematode? |
~90 |
ND |
107 |
| 1995 |
Gorgonia
(corals) |
Caribbeanwide |
Fungus |
Extensive |
ND |
108 |
| 1995 |
Dichocoenia
and others (coral) |
Florida,
U.S.A. |
Bacteria |
<38 |
Seasonal |
109 |
| 1996 |
Diploria
and others (coral) |
Puerto Rico |
Bacteria |
Extensive |
Seasonal,
hur |
110 |
| 1997 |
Porolithon
(algae) |
Samoa |
Fungus |
Extensive |
ND |
111 |
| 1997 |
Sardinops
(pilchard) |
Southern
Australia |
Virus? |
Extensive |
ND |
112 |
| 1997 |
Monachus
(seal) |
West Africa |
Virus/toxin |
>75 |
ND |
16 |
|
Several criteria have been proposed (4) to
distinguish new diseases affecting humans. Criteria applicable to
disease of nonhuman hosts include novelty of disease symptoms and rapid increases in disease prevalence and virulence. These criteria require
either the availability of historical baseline data or standard
epidemiological measures of disease level (that is, prevalence, incidence, virulence). Although the increasing numbers of unusual mass
mortalities are suggestive, the lack of additional information for most
marine taxa greatly challenges our ability to assess disease novelty.
For a few taxa, however, the available data on the novelty of disease
symptoms (5) and/or host shifts of a known pathogen present
convincing evidence of new diseases.
New symptoms. Marked by two large-scale epidemics with
significant community level impacts, the Caribbean basin has emerged as
a disease hot spot. The virtual eradication of Diadema
antillarum (dominant sea urchin) in the 1980s was one of the first
well-studied marine epidemics (6), although the
pathogen is yet to be identified. In some locations, loss of this
keystone herbivore contributed to phase shifts from coral- to
algae-dominated reefs (7). Other dominants, like the
staghorn and elkhorn and corals, Acropora spp., also were
virtually eradicated at many localities in the 1980s (8) by
an unknown agent from which they have yet to recover. Also during the
late 1980s at least 4000 ha of turtle grass, Thalassia
testudinum, died in Florida Bay (U.S.A.); an additional 23,000 ha
were severely affected (9). Diseases affecting benthic
marine species such as corals and seagrasses will have disproportionate
impacts by altering habitat and ecosystem function. In spite of the
impact, little progress has been made in identifying the causative
agents for marine diseases or in applying standard epidemiological
methods to assess impact or mode of transmission. Of the dozen or so
coral diseases currently described for the Caribbean region, the
identity of the causative agent is known only for three
(10); nonetheless, the severity and novelty of many of the
disease symptoms suggest that the diseases are indeed new. Three
additional lines of evidence support this view. First, monitoring of
coral diseases in the Florida Keys indicates that there has been an
increase in the number of new diseases (11) (Fig.
1). Second, because corals are long-lived
and many of the diseases are highly virulent (10), current
levels of disease prevalence, if they had occurred in previous decades,
would have been detected. Finally, evidence from the fossil record
indicates that shifts in community structure due to disease are not
commonplace on these coral reefs. The rapid replacement of the coral
Acropora cervicornis with Agaricia in Belize
(12) with Porites in the Bahamas (13),
taken as a "signature" of epidemics, was absent from geologic cores
representing several thousand years of reef development. These results
suggest that the current Agaricia and Porites
replacements were unique in the recent ecological history of the
Caribbean coral fauna.
Fig. 1.
The proportion of reef stations in the Florida
Keys National Marine Sanctuary with coral disease (85).
Disease became significantly more widespread (F = Wald's chi-square divided by degrees of freedom for year effects) for
black band (BB, open circles; F = 9.28, P < 0.0002), white diseases (WH, open diamonds;
F = 33.48, P < 0.0001), other diseases
(OD, open triangles; F = 21.10, P < 0.0001), and total diseases (TD, closed squares;
F = 42.33, P < 0.0001; df = 2,78)
from 1996 to 1998. Whereas only 26 of 160 stations (16%) were diseased
in 1996, 131 (82%) were in 1998. Further, there has also been an
increase in the number of species affected. Whereas only 11 species
exhibited signs of disease in 1996 (27% of all species in the survey),
by 1998, this number had risen to 35 species (85% of all species).
Over the same period, living coral cover on the deep fore-reef (17 to
18 m depth) of Carysfort Reef has declined from 13.3% to 5.3% (a 60%
reduction of living coral cover on this reef during the survey).
[View Larger Version of this Image (19K GIF file)]
In addition to diseases, there has been an apparent increase in
the frequency of reports of toxic algal blooms in the last decade.
Cetacean, pinniped, and fish populations have been affected, often
severely, by algal toxins and/or viral epidemics (3, 14-16). Many toxic blooms in the ocean have been
attributed to dinoflagellates, and more than 85 toxic species have been
identified (17). Harmful algal blooms appear to have
increased globally in the past several decades (2, 14, 18).
The toxic dinoflagellate Pfiesteria piscicida was originally
isolated from an outbreak at an aquaculture facility and has been
described as the causative agent of massive fish kills along the
Atlantic Coast of the United States (19).
Host shifts. It appears that most new diseases are not
caused by new micro-organisms, but rather by known agents infecting new
or previously unrecognized hosts. Evidence for this is persuasive in
studies of morbilliviral diseases of marine mammals, which indicate
that some severe outbreaks have been caused by introduction from
terrestrial or other aquatic mammalian reservoir species. For instance,
canine distemper virus (CDV) was thought to be introduced into
crab-eating seals in Antarctica by contacts with infected sled dogs
used during an antarctic expedition (20). Similarly, CDV
isolated from Lake Baikal seals (Phoca sibirica) was
genetically identical to CDV present in domestic dogs in Siberia (21) suggesting that the seal die-off was caused by direct
or indirect contacts with domestic dogs. A closely related morbillivirus--phocine distemper virus (PDV)--that previously had not
been recognized, was identified as the cause of another mass mortality
that occurred in the late 1980s among harbor seals (Phoca vitulina) and grey seals (Halichoris gryphus)
inhabiting the coastal waters of northwestern Europe (22).
Soon after, infections with two other newly recognized morbilliviruses,
dolphin morbillivirus (DMV) and porpoise morbillivirus (PMV), were
shown to be the cause of mass mortalities and disease outbreaks among
dolphins, porpoises, and other cetacean species all over the world
(23). PDV was thought to be transmitted to the previously
unexposed seals of northwestern Europe by infected harp seals, which
migrated toward Europe in response to food shortages due to overfishing around Greenland in the late 1980s (24). Serological studies have shown also that morbilliviruses like DMV and PMV are
ubiquitous among cetaceans and are probably transmitted periodically between species (25). A recent survey conducted among terrestrial and aquatic carnivores of Alaska showed that both CDV and
PDV are endemic in these populations (26). Recently,
DMV- and PMV-like viruses were found in the highly endangered Mediterranean monk seals, which had died either during a mass mortality
off the coast of Mauritania or as individually dispersed animals found
in Greek waters (27) (Fig.
2). In addition, influenza viruses that
had spilled over from aquatic or migratory avian reservoirs have caused
mortality among seals and whales (28). An unusual case
of a host shift in a marine invertebrate is the aspergillosis of
Caribbean sea fan corals (29). The pathogen, identified as
Aspergillus sydowii (30), is typically a
soil-borne fungus that is known to cause opportunistic infections of
terrestrial species (31). In sea fans (Gorgonia
spp.), monitoring studies show that the fungus can rapidly erode the
coral (Fig. 3) and, in some cases, cause
death. Its emergence as a marine pathogen suggests the ineffectiveness
of the land-sea boundary as a barrier to disease transmission.
Fig. 2.
Mass mortality of monk seals due to
morbillivirus or algal toxin in Mauritania, 1997 (Photo by
K. van der Meulen, Seal Rehabilitation and Research Center,
Pieterburen, Netherlands).
[View Larger Version of this Image (131K GIF file)]
Fig. 3.
Time series of damage caused by
Aspergillus sydowii on a monitored sea fan: (A)
16 June 1996, (B) 8 August 1996, (C) 10 November
1997 (113) (Photos by Craig Quirolo, Reef
Relief).
[View Larger Version of this Image (62K GIF file)]
Conditions Favoring Disease Outbreaks
A disease outbreak is favored by changing environmental conditions
that either increase prevalence and virulence of existing disease or
facilitate new disease (32). Two conditions--climate variability and human activity--appear to have played roles in epidemics by undermining host resistance and facilitating pathogen transmission.
Role of climate variability. Climate-induced changes in the
environment affect health and productivity of marine ecosystems over
extended spatial and temporal scales. The current trend toward a
warming climate could result in modifications to the basic biological properties of many marine populations, thereby making them more susceptible to disease. For example, a mid-1980s epidemic among northern European harbor seals was preceded by increased temperatures, which promoted higher than normal densities of these seals on land and
thus provided an ideal setting for transmission of disease (33). The El Niño Southern Oscillation (ENSO) is one of the more visible climate variations that has had large-scale effects
on marine ecosystems. During the past 5000 years, ENSO events have
typically occurred at a frequency of one to two per decade
(34) but, since the mid-1970s, have occurred more
often and persisted longer (35). The impact of these
climatological events on marine species is clearly evident among
corals, which are known to bleach (expulsion of the symbiotic algae) in
response to a range of environmental stresses (36). The coral bleaching of 1998 was the most geographically extensive and
severe in recorded history (37), causing significant mortality worldwide (38). The stress for many of these coral
reef systems seems to be the result of long-term exposure to unusually
high water temperatures resulting from a prolonged ENSO event
(39). Although reported only as bleaching-related mortality,
demise of some corals is likely to have been accelerated by
opportunistic infections (40). Given that a bacterium may be
contributing to bleaching in at least one coral pathosystem (41), additional research is needed to fully evaluate the
interaction between bleaching and disease.
In addition, ENSO events have been implicated in interannual
variation in Dermo, a disease of the Eastern oyster (Crassostrea virginica), caused by the protozoan parasite Perkinsus
marinus (42). Throughout the Gulf of Mexico, where
Dermo is endemic, P. marinus infection intensity
closely follows the ENSO cycle. Gulfwide P.
marinus infection intensity and prevalence drop during El
Niño events and rise during La Niña events. La Niña
events tend to produce warm, dry conditions in the Gulf of Mexico,
which can trigger P. marinus outbreaks; El
Niño events produce cold wet conditions, which reduce prevalence
and intensity. The apparent relation between P.
marinus infection in Gulf of Mexico oyster populations and
ENSO suggests that epidemics may be predictable from climate models.
Because P. marinus controls oyster populations in
the Gulf, the status of ENSO events needs to be considered when setting
management strategies for oyster populations.
Recent ENSOs also affected species ranges and composition of marine
communities (43), which in turn, produced cascading changes
through all trophic levels over large spatial scales
(44). In particular, warming oceans have had a
number of consequences for disease dynamics. The almost 25-year trend
of warming winter temperatures (45) on the east coast of the
United States may have facilitated the spread of both Dermo (Fig.
4) and MSX (multinucleated spore
unknown), an oyster disease caused by Haplosporidium nelsoni
(46, 47). Throughout the 1980s, diseases spread and
intensified in oyster populations throughout Chesapeake Bay. In the
early 1990s, Dermo became epidemic in Delaware Bay and by 1995 occurred
in Maine. In the summer of 1998, MSX was epidemic in oyster populations
of Long Island, New York, resulting in extensive mortality. The
northward expansion of these shellfish diseases has been attributed to
environmental changes that favor the parasites (44,
45). For MSX, warmer winters decreased parasite mortality,
resulting in oysters retaining heavy infections. A warming trend
produces an environment that is likely to favor northward range
expansion of P. marinus into new, susceptible
host populations (46).
Fig. 4.
Phagocytosis of Perkinsus marinus by
eastern oyster (Crassostrea virginica) hemocytes
(J. D. Gauthier and G. R. Vasta). Perkinsus
marinus is one of few marine protistan pathogens in clonal
culture.
[View Larger Version of this Image (184K GIF file)]
Direct role of human activity. Human activity has greatly
enhanced global transport of marine species (48) including pathogens. Human-facilitated epidemics are most common in aquaculture (49, 50) and, in fact, it has been suggested (49)
that most mass mortalities of bivalve mollusks have resulted from
transfer of infectious stocks. Because of obvious economic concerns,
spread of shrimp viral diseases has been generally well documented. The
infectious hypodermal and hematopoietic necrosis virus, which appears
to have its origins in the Indo-Pacific, now occurs throughout the
world causing catastrophic epidemics in aquaculture facilities.
Moreover, its host range appears to include a wild species of shrimp
and its spread was partially responsible for halting Mexican commercial
fishery for a few years (51). A large-scale epidemic of
herpesvirus-infected Australasian pilchard (Sardinops
sagax) spread at about 30 km/day from Anxious Bay, South
Australia, to cover a total of about 5000 km of Australian coastline
from March to September 1995. Evidence suggests that the virus may have
been introduced with frozen pilchards imported to feed sea-caged
southern bluefin tuna in South Australia (52). A second
large-scale epidemic started in October 1998 in Spenser Gulf,
Australia, where frozen imported pilchard feed also has been used
(53).
Habitat degradation and pollutant inputs, often brought about by human
activity, can facilitate disease outbreaks (54). Work on aquatic mammals indicates that pollutants, for example, organochlorides, have immunotoxic properties, impairing natural killer
cell activity, as well as a series of mitogen- and antigen-induced T
cell responses (55). Because most coastal waters are
typically affected by suites of anthropogenic pollutants and inputs, it
often is difficult to identify any one specific cause of deteriorating
health or disease outbreak. Recent mass mortality off the coast of
Mauritania among Mediterranean monk seals, thought to have resulted
from the transmission of DMV from dolphins that had died in the same
area (56), may have been facilitated or caused by a
toxic algal bloom (15, 57). In addition to directly
affecting marine hosts, some infections can compromise the host immune
system, which is then capable of serving as a reservoir for other
infectious agents (58) including many "new" viruses,
some of which are pathogenic to humans and domestic animals (28,
59). In contrast, we know little about how habitat degradation
facilitates disease emergence, particularly among invertebrates. To
date, much of what is known comes from a limited number of correlative studies that show increased prevalence of coral diseases
(60) and increased parasite burden in oysters
(61) in more degraded sites. Silt in run-off has been a
leading cause of coral mortality worldwide. In one case, the emergence
of a new disease, aspergillosis of sea fan corals, has been associated
with transmission of disease in terrestrial run-off (29,
30). A better understanding of the origins of emergent disease and invertebrate immunity (62) is needed before we can evaluate
the role of changing environments in host-pathogen interactions. Studies of invertebrate resistance to disease will not only provide important insights for management of commercial and natural
populations, but also will yield molecules and compounds with
biomedical applications (63) (Fig. 4).
Oceans as Incubators and Conveyors of Human Diseases
Many potentially pathogenic organisms, including
Aeromonas, Clostridium, Klebsiella,
Legionella, Listeria, Pseudomonas, and Vibrio, are naturally active in estuaries and oceans
(64); some can persist in dormant, unculturable, but
viable states (65). Human activity has also added to the
pathogen load in the oceans, primarily through sewage discharges,
although storm waters also carry human and animal wastes
(66). Other nonpoint sources of pollution are
important. For example, recent studies showed that materials in septic
tanks and injection wells moved rapidly seaward (67)
and into offshore marine waters within a day (68). Once in
coastal waters, pathogens can persist (64, 69) and infect
humans through recreational exposure or consumption of contaminated
fish or shellfish (70). In urban centers where rapid growth
continues, these problems are expected to increase (71), and
the added burden on wastewater treatment systems is likely to increase the probability of serious human fecal contamination of drinking water
by a variety of pathogens including hepatitis A, Coxsackie, and
Norwalk-like viruses (72). Cholera provides a good example
of how human health threats from the ocean are affected by climate
(73). The causative agent of cholera (Vibrio cholerae) is associated with marine plankton. Annual epidemics that occur in Bangladesh have been correlated with sea surface temperature and sea surface height. Clinical data underlying incidence and severity of epidemics have been linked to water temperature, turbidity, and plankton blooms, notably zooplankton. By remote sensing, monitoring of sea surface temperature, turbidity, chlorophyll, and sea surface height, it has been possible to determine which environmental parameters strongly correlate with epidemics. Because nutrients enter riverine and coastal systems during heavy rainfall, often triggering plankton blooms, ENSO-related events also play a role
in cholera outbreaks (74). ENSO-related increases in
rainfall are likely also to intensify microbial and toxic contaminant inputs from terrestrial sources (75) and to promote the
emergence of novel infections among marine species and humans (76).
New Tools in the Study of Marine Diseases
Fundamental to the understanding of infectious disease is
the identification, isolation, and characterization of the causative agent, enabling development of specific diagnostic methods for epidemiological surveys and host resistance. Identification of marine
pathogens has been problematic because of ineffective culturing techniques. Recent advances in molecular biology provide approaches in
the identification of species, strains, and life-cycle stages of
microbial pathogens (77). Species-specific DNA
probes from ribosomal sequences provide accurate and rapid diagnostic tools for the evaluation of environmental samples. When used in combination with the polymerase chain reaction (PCR), these probes allow detection and identification of an increasing number of etiological agents. Selecting the NTS region between the 5S
and SSU ribosomal RNA genes as the target nucleotide sequence, a
semiquantitative PCR-based assay was developed for the diagnosis of
P. marinus in oyster tissues (78, 79).
PCR-based assays are more specific than most current methodologies, and
can be designed to be strain-specific, species-specific, or
genus-specific (68, 77). The recent application of
"real-time" PCR to field diagnostics of microbial pathogens reveals
the potential of this approach for the rapid and reliable diagnosis of
diseases in the marine environment (80).
A critical need in the study of marine diseases is epidemiologically
structured historical records and more quantitative analyses of marine
epidemics. Epidemiological studies of marine disease have lagged far
behind work in terrestrial communities, where analyses have revealed
links between host immunity, modes of transmission, and disease
virulence (32, 81). Epidemiological studies of marine
organisms have been limited to a few selected host species (33,
46, 82) and although these studies illustrate the utility of
modeling approaches, broader usage has been impeded by limited data
sets for most natural populations, and complexities of strong
environmental signals operating in open marine ecosystems. For some
taxa, like corals (83), monitoring data are currently being
compiled to elucidate disease processes; however, greater effort is
needed if we are to gain a broader understanding of disease dynamics in
the ocean. For instance, corals seem already to be acting as indicator
species of a heightened disease load and are tractable for examining
the frequencies of temperature stress and disease emergence in tropical
oceans because they are sessile (which allows us to pinpoint impacted
locations), secrete large and permanent skeletons (which can record the
passage of disease, even after the coral is dead), and they are modular
(which allows signs of chronic infections to endure without killing the
whole colony, unlike small unitary species).
Conclusion
By the measures cited, it can be concluded that reports of
diseases in the ocean are on the rise. We have illustrated this point
using species that are important economically and ecologically like
shellfish, corals, and marine mammals. Epidemics must also be affecting
less apparent species, many of which may be disappearing without notice
(84). Most new diseases occur by host shifts and not
by the emergence of new microorganisms. Contributing to the emergence
of new diseases would be a long-term warming trend, coupled with
extreme ENSO events and human activities that have modified marine
communities. The inability even to identify most causative agents and
the lack of standard epidemiological data for diseased populations
limit our ability to examine host-pathogen interactions, to analyze
changes in disease dynamics, and to assess the impact of diseases on
host populations and associated communities in the world oceans. Given
this prospect, there is an urgent need for interdisciplinary studies of
marine diseases, focusing on the development of better molecular and
computational tools and on understanding mechanisms of disease
resistance in marine organisms.
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