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I read all the time people saying how infection rate in the ocean is low because the fish are healthy and have strong immune systems. Well, this study mirrors what I've read from other parts of the world (e.g. Great Barrier Reef): The Prevalence of Cryptocaryon irritans in wild marine ornamental fish from Vietnam
So why aren't fish in the ocean dying left and right from Ich? DILUTION. And the only way to replicate this in an aquarium environment is to (A) Keep the parasites out of your tank in the first place through proper quarantine and/or (B) Use a tool to keep parasite populations in check. These include a UV sterilizer, diatom filter, ozone, etc.
The study lists out which fish are more naturally resistant. These include Triggerfish, Moorish Idols (surprisingly) and Zebrasoma Tangs. Whereas Batfish, Puffers and Hippo Tangs were far more susceptible. (There are many other species listed below.)
The study also touches upon Ich and temperature:
^^ The above suggests keeping an aquarium at or below 22C/72F is one possible strategy for managing Ich. (Probably only suitable for a FOWLR.) And for going fallow, raising the temperature to 31C/88F should help "damage" any tomonts leftover in the tank. Again, this strategy is probably only suitable for a FOWLR as corals/inverts most likely cannot survive that high of a temp. And going any higher risks killing all the nitrifying bacteria in the tank.
In addition, the study suggests that maybe buying fish only in the summer = less diseased fish. :unsure: Just keep in mind this means summertime where the fish was collected. (For example, summer typically lasts from May to October in Vietnam.) And of course, being able to buy direct from collectors (transshipping) helps because the fish then doesn't have to pass through the disease-ridden wholesale facilities.
Abstract. Wild-caught ornamental marine fish from NhaTrang (Khanh Hoa) and Ha Long (Quang Ninh) in Vietnam were examined over the three sampling batches corresponding to the spring, summer and autumn times for the prevalence of Cryptocaryon irritans. Out of a total of 211 fish (15 species), 143 (67.7 %) were found to be infected with the mean intensity of 7.67 parasites per field of view (x4 magnification). The prevalence of C.irritans in fish caught during the spring (91.0 3% on average) was significantly higher than that of the fish caught during the summer (39.29 %). A wide variation in the prevalence of the parasite was shown among the fish species. The highest prevalence and intensity of the infection occurred in Plataxteira, Diodon holocanthus, Paracanthurus hepatusat 100 % of infection and density of 12 parasites/field of view (x4 magnification) while and the lowest prevalence of C. irritans appeared on Rhinecanthus aculeatus, Zancluscornutus, and Zebrasoma veliferum with less than 50% of fish infected. Clinical signs of fish infected of C.irritans showed such as tiny white spots on skin, gills, and fins; ragged fins, changes in skin colour, cloudy eyes and increase mucus production.
Conclusion
It is clear that Cryptocaryon irritans is common all year round in ornamental marine fish sampled in Vietnam. However, the prevalence and intensity of the infection vary widely with the fish host and captured seasons. Some species are very susceptible to the parasite infection (up to 100 % infected) while others are infected at a much lower rate (less than 50 % infected). A seasonal variation in the prevalence and intensity of C. irritans infectionwas also clearly presented. The highest prevalence of infection occurred during the spring and the lower values were shown in the summer. These findings provide important information which can be employed by aquarists in keeping and treating this parasitefor ornamental fish in a confined condition.
So why aren't fish in the ocean dying left and right from Ich? DILUTION. And the only way to replicate this in an aquarium environment is to (A) Keep the parasites out of your tank in the first place through proper quarantine and/or (B) Use a tool to keep parasite populations in check. These include a UV sterilizer, diatom filter, ozone, etc.
The study lists out which fish are more naturally resistant. These include Triggerfish, Moorish Idols (surprisingly) and Zebrasoma Tangs. Whereas Batfish, Puffers and Hippo Tangs were far more susceptible. (There are many other species listed below.)
The study also touches upon Ich and temperature:
Fish caught in the spring infected by C.irritans are at the highest prevalence of 91.03% on average with various fish species infected at 100% of prevalence such as C. adiergastos, P. hepatus, A. frenatus, P. volitans. The lower prevalence of C. irritans infections was observed in the fish captured during the autumn (64.94 %), while the lowest value occurred on the fish captured during the summer (39.29 %). According to Yoshinaga [14], who conducted a study on the impacts of temperature and dissolved oxygen levels on the development of C. irritans, temperatures for the optimal growth of most strains of Crypto caryon are between 23 and 30 °C [10, 14]. The development of the parasite was significantly damaged at the temperature above 31 C and no parasite was recovered from any fish reared at 34 C. These could be the reasons related to the variation of the higher prevalence of parasite infections on fish captured in the spring compared to the summer.
^^ The above suggests keeping an aquarium at or below 22C/72F is one possible strategy for managing Ich. (Probably only suitable for a FOWLR.) And for going fallow, raising the temperature to 31C/88F should help "damage" any tomonts leftover in the tank. Again, this strategy is probably only suitable for a FOWLR as corals/inverts most likely cannot survive that high of a temp. And going any higher risks killing all the nitrifying bacteria in the tank.
In addition, the study suggests that maybe buying fish only in the summer = less diseased fish. :unsure: Just keep in mind this means summertime where the fish was collected. (For example, summer typically lasts from May to October in Vietnam.) And of course, being able to buy direct from collectors (transshipping) helps because the fish then doesn't have to pass through the disease-ridden wholesale facilities.


For larger aquariums you'd have to plumb a pool grade DE into the system:


A balance of immunity & dilution is the more logical conclusion. And many fish in the ocean just succumb and die to pathogens, pollution, etc. Red tide kills thousands of fish in just Florida every year. Luckily these fish are also prolific breeders (in the wild.)
I will say whenever I visit a friend who does not QT, it's absolutely amazing to me how many of their fish I saw during my previous visit either jumped out or mysteriously disappeared... But they never die from disease! 

