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White band disease is a coral disease that affects acroporid corals and is distinguishable by the white band of dead coral tissue that forms as a result. The disease completely destroys the coral tissue of Caribbean acroporid corals, specifically, Elkhorn coral (Acropora palmata) and Staghorn coral (A. cervicornis ). The disease exhibits a pronounced division between the remaining coral tissue and the exposed coral skeleton. These symptoms are similar to white plague, except that white band disease is only found on acroporid corals, and white plague has not been found on any acroporid corals. The degradation of coral tissue usually begins at the base of the coral, working its way up to the branch tips, but it can begin in the middle of a branch.

Appearance
White band disease causes the affected coral tissue to decorticate off the skeleton in a white uniform band for which the disease was given its name. The band, which can range from a few millimeters to 10 centimeters wide, typically works its way from the base of the coral colony up to the coral branch tips. The band progresses up the coral branch at an approximate rate of 5 millimeters per day, causing tissue loss as it works its way to the branch tips. After the tissue is lost, the bare skeleton of the coral may later by colonized by filamentous algae.

There are two variants of white band disease, type I and type II. In Type I of white band disease, the tissue remaining on the coral branch shows no sign of coral bleaching, although the affected colony may appear lighter in color overall. However, a variant of white band disease, known simply as white band disease Type II, which was found on Staghorn colonies near the Bahamas, does produce a margin of bleached tissue before it is lost. Type II of white band disease can be mistaken for coral bleaching. By examining the remaining living coral tissue for bleaching, one can delineate which type of the disease affects a given coral.

Pathogen
No known pathogen has been isolated (it has only been attempted for type II) for white band disease, although there is a shift of bacterial composition in the surface layer where the band eats away as the coral tissue. The bacteria shifts from a dominant pseudomonad population to an increasingly dominant Vibrio carchariae population. Histopathological examinations of diseased tissue provide some insight into the specific pathogen or combination of pathogens that cause this disease. However, substantial samples of rickettsiales have been present in the surface layer, which causes scientists to suspect that this bacteria may be one of the factors of the disease.

The disease, however, typically begins from the base of the coral and works its way up the coral branches. As it progresses, the band leaves behind the white coral skeleton. Many of the details of how the breakdown of coral occurs due to the bacteria are unclear mainly in part to the difficulty in isolating marine bacteria. Studies have confirmed that white band disease is contagious and caused by a pathogenic bacteria. Experiments for the treatment of the disease have yielded that Ampicillin might be one possible treatment for white band disease type I.

Impact and Range
Since white band disease was first reported in 1970s, the disease has lead to the devastation of approximately 95% of the elkhorn and staghorn corals in the Caribbean region. This resulted in both affected species being listed as threatened under the US Endangered Species Act and as critically endangered on the IUCN Red List. The decline in these corals has a lasting effect on both humans and the environment. Coral reefs protect coastlines from ocean currents, waves, and storms, and the death of these corals only increases the loss of coastlines in affected regions. Elkhorn and staghorn corals are two of the major reef-building corals, the foundation on which the rest of the coral reef is formed. Its loss means the loss of a habitat for many coral reef dwelling species such as lobsters, parrot-fish, snapper shrimps, and many other reef species, causing a sharp decline in the biodiversity of an affected region. Coral reefs are also home to more than twenty-five percent of all marine fish species, making them extremely biologically diverse. The loss of this coral would be particularly damaging to people living on the coast in terms of the food supply, coastal protection, economic security and more. Nearly 500 million people directly depend on coral reefs for food and income (through tourism or otherwise).

Elkhorn coral absorbs much carbon dioxide from the ocean every year, preventing ocean acidification and ocean temperature increases. Upon decomposing, Elkhorn coral releases its sequestered carbon dioxide back into the ocean, heating it and contributing to acidification. White band disease threatens more than just the coral with its lethal touch. In recent decades, the coral cover in coral reefs has been declining, providing for a transitional increase in the fleshy macroalgae cover in the Caribbean region as more and more filamentous algae colonize inside of the coral skeletons. The death of elkhorn and staghorn corals also substantially reduces coral cover and provides substratum space for further algal growth. Prospects are poor for the recovery of the elkhorn coral, given its asexual method of reproduction, which relies on coral fragments breaking off from the main body and growing in a new area. Staghorn coral also relies on asexual fragmentation as its primary method of reproduction, however, staghorn coral possesses a higher rate of sexual recruitment than Elkhorn coral.

White band disease has been reported most notably in the Caribbean region. However, white band disease has also been sighted in the Red Sea, and the Indo-Pacific region, including the Phillipines, the Great Barrier Reef, and Indonesia. Unlike white band disease in the Caribbean region, white band disease in the Indo-Pacific region has been found on approximately 34 species of massive, branching and plating corals instead of just simply Elkhorn and Staghorn corals.

Transmission
White band disease is highly contagious through direct contact between diseased and healthy coral tissue. It can also be transmitted by the corallivorous snail, which means that the species consumes coral, Coralliophila abbreviata. C. abbreviata, a species native to the region where Elkhorn and Staghorn corals are found, is able to act as a "reservoir" for white band disease, meaning that it is able to retain the disease pathogen for at least two weeks. However, not all corallivorous snails are able to transmit white band disease (i.e. Coralliophila caribaea). Waterborne transmission of the disease pathogen becomes possible when the coral tissue is lesioned (or otherwise injured). However, the potential for injury among the affected corals tends to be high given the many ways tissue injury may occur naturally including competition by other corals, mechanical damage, or corallivory by snails, damselfish, butterflyfish, fireworms, or other such aquatic organisms. Waterborne transmission helps to explain how the disease spread across the Caribbean so rapidly, given that direct contact between affected corals is limited to physical interaction between the diseased and healthy coral and that the corallivorous snail, C. abbreviata that carries the disease, does not travel across long distances.

Insights into the nature of white band disease transmission provide understanding of how the disease might be managed and controlled to prevent major losses in coral. Waterborne transmission of white band disease may prove difficult to manage however, given the flowing nature of ocean currents. An alternative method would be to control C. abbreviata populations to reduce the incidence of white band disease by manually removing samples of the population, similar to efforts to remove Pterois from the Gulf of Mexico.

Effects of Climate Change
White band disease prevalence in the Caribbean varies seasonally. It is more active in summer and less prominent in winter, suggesting that warmer water temperatures contribute to the waterborne spread of the disease to affected corals. The impact of climate change and increasing carbon emissions only serve to heat the waters surrounding the coral reef ecosystems, which allows for the spread of diseases such as white band disease and others. The severity of marine diseases such as white band disease increase for several reasons. Elevated water temperature causes corals physiological stress. This undermines their immune system and makes them more susceptible to infection from white band disease or other coral diseases. Furthermore, elevated temperatures make bacterial and fungal pathogens much more virulent. However, the disease is not limited to elevated water temperatures as white band disease can still be prevalent even when water temperatures are cool.

Anthropogenic climate change is severely negatively impacting the world's corals and coral reef ecosystems. Over the next few decades as climate change continues, oceanic warming and acidification will accelerate and further damage the fragile reef ecosystems. Prediction of the impacts of future climate change on coral reefs can be difficult given the uncertainty in certain involved socioeconomic factors (i.e. political response, future technology, changes in human behavior, the earth's climate system, and the realtime effects on coral reefs). Despite these uncertainties, humans could see the extinction of the coral reef ecosystem by the end of the 21st century if actions are not taken to protect them. According to forecast models of increasing oceanic temperature, mass mortality events will likely occur as early as the summer of 2030 and continue to occur on an annual basis.