Devastating Transboundary Impacts of Sea Star Wasting Disease on Subtidal Asteroids

Sea star wasting disease devastated intertidal sea star populations from Mexico to Alaska between 2013–15, but little detail is known about its impacts to subtidal species. We assessed the impacts of sea star wasting disease in the Salish Sea, a Canadian / United States transboundary marine ecosystem, and world-wide hotspot for temperate asteroid species diversity with a high degree of endemism. We analyzed roving diver survey data for the three most common subtidal sea star species collected by trained volunteer scuba divers between 2006–15 in 5 basins and on the outer coast of Washington, as well as scientific strip transect data for 11 common subtidal asteroid taxa collected by scientific divers in the San Juan Islands during the spring/summer of 2014 and 2015. Our findings highlight differential susceptibility and impact of sea star wasting disease among asteroid species populations and lack of differences between basins or on Washington’s outer coast. Specifically, severe depletion of sunflower sea stars (Pycnopodia helianthoides) in the Salish Sea support reports of major declines in this species from California to Alaska, raising concern for the conservation of this ecologically important subtidal predator.


Introduction
Although not as well recognized or well documented, infectious disease can be as important as predation in structuring ecological communities [1,2,3]. Compared to terrestrial communities, however, far less is known about the distribution and spread of marine diseases where the open nature of marine ecosystems creates the potential for faster spread than on land [4]. Recent examples of widespread marine diseases with large community impacts include the near extirpation of a top predator, the intertidal sea star Heliaster kubiniji from Gulf of California, due to a devastating epidemic, and resulting expansion of a rock snail competitor, Morula ferruginosa [5], the mass mortality of the urchin Diadema antillarum from Caribbean reefs and subsequent macroalgal cover of corals [6,7], and the withering syndrome-related extirpation of black abalone (Haliotis cracherodii) from California reefs and the sequential increases of sessile invertebrates, algae and sea urchins [8].
The massive 2013-14 asteroid mortality event, sea star wasting disease (SSWD), extended from Mexico to Alaska devastating over 20 species of asteroids [9] and is currently the largest marine epizootic of a non-commercial marine taxon [9,10]. Sea star mortalities during this event were linked to a sea star-associated densovirus (SSaDV, family Parvoviridae) based on evidence provided by experimental challenge studies and a metagenomic analysis of field samples [9]. Infected sea stars (hereafter 'stars') develop lesions in the dermis that increase in depth and diameter, dissolving tissue from the outside in [9,10]. One or all arms then detach from the central disc as individuals die, often leaving only white piles of ossicles and disconnected limbs. Previous outbreaks of SSWD have been reported in the northeast Pacific, California and northern New England since the 1970s [11][12][13]; however, these earlier SSWD outbreaks involved single species in localized areas. In addition to the SSaDV, the 2013-14 SSWD epidemic has been linked to an increase [10,13,14], or decrease [15] in sea temperature, while host immunity [16], genetics [17], and a suite of other host or environmental factors are likely involved.
In temperate marine habitats less is known about the impacts and ecological effects of infectious disease in subtidal compared to intertidal communities. For example, 70% of reproductive adults of the intertidal ochre star (Pisaster ochraceus) were killed by SSWD in the San Juan Islands (SJI) of Washington State in the 2014-15 period [10] and 59-80% in Oregon [15], but data on the effect of SSWD on subtidal species across the entire range is lacking [10]. Despite the difficulty inherent in obtaining such data, this information is crucial to understand the current population status of subtidal star species and evaluate potential resulting community changes.
We used two different dive survey methods to evaluate the species-specific effects of the SSWD outbreak in the Salish Sea. Long-term data on subtidal asteroid species, collected by roving diver surveys in five discrete oceanographic basins and on Washington State's Outer Coast, were analyzed to evaluate potential species and basin-specific impacts of SSWD. Finer-scale, shorter-term sampling was conducted in the biodiverse SJI using strip-transect surveys to examine SSWD prevalence during the outbreak and species-specific changes in density.

Materials and Methods
Animals were observed but not collected. No permits were required for this research.

Study area
We studied the potential impacts of SSWD in the Salish Sea, an inland marine ecosystem shared between British Columbia, Canada and Washington State, United States [18]. Based on subtidal sills and oceanic and freshwater flow patterns, oceanographers divide this 16,925 km 2 transboundary ecosystem into 6 sub-basins: the Strait of Georgia, Northern Straits, Whidbey Basin, Central Basin, Hood Canal, and South Puget Sound [19,20]. Sufficient data existed for

Subtidal Roving Diver REEF surveys
Data collected by trained and tested recreational scuba divers between January 1, 2006 and December 31, 2015 and submitted to the Reef Environmental Education Foundation (REEF) Volunteer Fish Survey Project Database [21] were analyzed. Using the Roving Diver Technique [22] surveyors record sightings of positively identified species and at the end of the dive, assign them to one of four abundance index categories: 'Single' (1 individual), 'Few' (2-10 individuals), 'Many' (11-100 individuals), and ' Abundant' (>100 individuals) [23]. Data used were restricted to the 3 asteroids and two urchin species for which data were available: D. imbricata, P. brevispinus, P. helianthoides, green sea urchin (Strongylocentrotus droebachiensis) and red sea urchin (Mesocentrotus franciscanus). To standardize survey habitat type to rocky substrate and minimize potential observational bias we used data from surveys conducted in habitats not classified as artificial reefs, sandy bottom, eelgrass beds and mud/silt bottoms and from dives conducted between 4am-10pm that lasted 20-80 minutes. M. franciscanus are harvested in the study area, therefore, we compared results for this species when using the complete dataset versus restricted to fishing closures within the study area [24] in order to evaluate potential bias caused by human harvesting. We calculated the Abundance Score [23] for the 3 asteroids and both urchin species in each of the 5 isolated oceanographic basins and in the Outer Coast for every year between 2006-2015. We added a new category in the abundance index with value zero for those species not reported by a determined surveyor. The training required for surveyors and the ease of correctly identifying the asteroid species involved allowed us to safely assume actual absence. We used these absence records to calculate the Sighting Frequency (SF; the proportion of surveys each species was reported by basin per year), a necessary factor to estimate the Abundance Score (hereafter 'abundance') [23]. Moreover, in order to present a comprehensive numerical scale of the impact of SSWD on P. helianthoides, we used data collected by 12 expert-level REEF surveyors at 10 dive sites within the SJI in September 2013, for a total of 114 roving surveys. These divers, in addition to the data on abundance, recorded actual counts for this species. The median of the distributions of counts between 2-10 and 11-100 were used to estimate their actual number when abundance category 'Few' and 'Many' were recorded for this species. When abundance category ' Abundant' was assigned, we used the lower boundary of this category: 101 individuals. In this manner we transformed the non-linear scale to a better-comprehended linear scale. With these values we estimated the P. helianthoides mean count in isolated oceanographic basin per year.

Strip transect surveys
Diving surveys were conducted by trained and tested scientific divers in March-August 2014-15 at eight sites in the San Juan Islands (Fig 1). Sites were geographically distinct, such that it was assumed that they represented discrete subtidal star populations. These sites included Bell Island (48.59549775, -122 (48.59136076, -123.035717). Surveys were repeated at least once in seven of the eight sites in spring/summer 2014, before the high SSWD mortality occurred, and again in spring/summer 2015, after SSWD peak prevalence. Several sites were surveyed multiple times during summer 2014, when our observations suggested that the outbreak was at peak prevalence in the survey area.
The entry point for each dive site was fixed using GPS coordinates and shore landmarks. Divers entered the water near shore and followed the rock wall down until reaching sloping bedrock habitats. In these zones a team of two divers laid a 20 or 25m transect at depths between 6 and 18m, depending on the landscape, and maintained depth along a single transect. Typically two transects were run at each site; however due to degree of current, depth, and number of personnel for each dive, the number of transects per survey ranged from one to seven. In general, transects were laid within a~90m distance from the entry point and were separated by at least 5m. Transects start points did not correspond between surveys, but they were consistently laid in comparable habitat conditions. Divers were allowed to move understory kelp to search both sides of the blades and the rock surfaces underneath, however rocks were left in place. Flashlights were used to check crevices and the underside of rocks. Each diver tallied the species and health of every star observed within 2m of either side of the transect tape. When reaching the end of the transect, the tape was rolled up and the divers continued swimming along the survey zone to begin the next transect, in the direction away from the previous transect so as to not overlap.
The health of the stars was visually determined for E. troschelii, Henricia spp. and P. helianthoides, without picking them up or disturbing them. The case definition for SSWD was: presence of white lesions of exposed tissue and/or recent arm loss. If in doubt, a star was scored as healthy. In the case of sick P. helianthoides, which would often lose multiple arms, many of which would continue traveling without the central disc, special care was taken not to double count stars due to roving severed arms. For each survey, divers conferred and agreed upon the number of P. helianthoides seen, taking into account the number of central discs found and the colors of the individual roving arms (i.e. blue vs orange star) seen. Prevalence of disease in spring/summer 2014 was estimated as the proportion of stars fulfilling the case definition. Moreover, the density of D. imbricata, E. troschelii, Henricia spp., L. hexactis, Mediaster spp., O. koehleri, P. brevispinus, P. helianthoides, P. ochraceus, S. dawsoni and S. stimpsoni was estimated during spring/summer 2014 and 2015.

Statistical analysis
1. Subtidal roving diver REEF surveys. The annual abundance of the pre-epidemic period (2006-13) for specific species and basins were used in the fitting process of autoregressive integrated moving average models: ARIMA(p,d,q) [25] where p indicates the autoregressive (AR) term, d the differencing order necessary to achieve stationarity and q is the moving average (MA) order. These models took into consideration the correlation of the abundance scores over time and depending only on their past values and random shocks. We used the autocorrelation function (ACF) and the partial autocorrelation function (PACF) to determine the initial AR and MA terms. We fitted models with varying AR and MA orders using R program version 3.2.2 [26] and the 'forecast' package [27]. To accomplish the parameter estimation, we selected the conditional-sum-of-squares method which first finds starting values and then performs maximum likelihood. Given the sample size (8 time points), stationarity of the series was evaluated based on the values of the estimated AR or MA coefficients (no hypothesis testing involved) and seasonality was not considered. Model selection was based on the maximum likelihood estimate of the residuals variance (σ 2 ) and the corrected Akaike's Information Criterion (AICc) [28] for its superiority over AIC [29]. For both indicators we targeted the lowest values. The residuals of the selected model were inspected for absence of autocorrelation and normal distribution. Parsimony of the ARIMA(p,d,q) models was prioritized; therefore, intercept models were selected when they implied the lowest σ 2 and AICc. The resulting models were subsequently used to forecast the abundance scores in the epidemic period (2014-15) for each species and basin. In the case of intercept only models or ARMA(0,0), the forecasting values for these 2 years corresponded to the mean pre-epidemic abundance score. We considered a biologically meaningful change of the population due SSWD if the observed abundance in the epidemic period were outside of the 95% confidence interval (CI) of the ARIMA forecasted (hereafter 'projected') abundance for 2014-15.
2. Strip transect surveys. All analyses were conducted in R [23]. We assessed differences in the likelihood of SSWD presence between E. troschelii, Henricia spp. and P. helianthoides among months for spring/summer 2014 (specifically May to August). We constructed a logistic regression model in which the outcome was the presence of SSWD in a given star (y i = 0 if healthy and 1 otherwise, according to the case definition). Here, P(y i = 1) = p i , where p i is the probability of SSWD in the i th star. This term was related to our fixed predictors of interest: the asteroid species and months.
where E, P, Jun, Jul and Aug indicate E. troschelii, P. helianthoides, June, July and August, respectively for the i th observation; therefore we used Henricia sp. and May as references for species and months. We assumed all star observations were independent within a single spatial unit, the SJI. Model fitting was achieved with maximum likelihood in the lme4 package [30] and the appropriateness of including both sets of categorical covariates (species and months) to improve model fitting was evaluated using the AIC. Posteriorly, we performed Bonferroni corrected contrasts (overall α = 0.05) to determine differences in log odds estimates between species and between months using the multcomp package [31].
We evaluated differential impacts of SSWD among D. imbricata, E. troschelii, Henricia spp., L. hexactis, Mediaster spp., O. koehleri, P. brevispinus, P. helianthoides, P. ochraceus and S. stimpsoni by estimating changes in their density during the epidemic period (between 2014-15). For this purpose we constructed a multilevel Bayesian Poisson regression using JAGS 4.1.0 [32] in R 3.2.2 [26] with R2jags 0.5-7 [33] as the interface (S2 Appendix). We assumed that conditional on the respective means λ ij, the number of stars of the j th taxa observed in the i th survey followed a Poisson distribution: y ij~P oisson (A ij λ ij ). The A ij was the area surveyed in the i th survey for the j th taxon corresponding to the 'offset' . We modeled λ ij via a log link function as: where ε ij allows for overdispersion [34], α j and β j are the specific j th taxon intercept and slope, respectively; and Year i is a categorical variable with Year i = 0 if 2014, and 1 otherwise. Therefore, the α j 's are the estimated taxon log densities in 2014 while the β j 's are the taxon log density change in 2015. Here, ε ij~N (0, σ ε ), with σ ε expressing the amount of overdispersion in the data and 10. In this model, μ α and μ β correspond to the mean of the α j 's and β j 's, respectively; σ α σ β are the corresponding standard deviations and ρ is the correlation between the α j 's and β j 's. Non-informative priors or hyperpriors were assigned for μ α , μ β , σ α , σ β , σ ε and ρ: Normal (0, 10,000) for the first two parameters, Uniform (0,100) for the third, fourth and fifth, and Uniform (-1,1) for the last one. Posterior parameter distributions were sampled from each of three chains for 60,000 iterations following a 10,000 iteration burn-in, and thinning set to 5, for a total of 30,000 samples. Each chain was assigned random start values; Normal (0,1) distribution for μ α , μ β and the ε ij 's, and from a Uniform (0,1) for σ α , σ β , σ ε and ρ. Convergence was assessed by the Gelman-Rubin statistic [35] and graphically. We considered a credible change in taxon density from 2014 to 2015 if the 95% credible interval of the corresponding j th taxa slope, β j, did not include zero.

Results
Subtidal roving diver survey data and ARIMA models A total of 8,097 REEF surveys were analyzed. Insufficient data precluded evaluation of the Whidbey Basin. The total number of surveys per year in each of the 5 sub-basins included in the study and the Outer Coast were relatively consistent over the times analyzed (Table 1). Mean dive times were 46, 49, 54, 49, 51 and 52 minutes for the Strait of Georgia, Northern Straits, Central Basin, Hood Canal, South Puget Sound and the Outer Coast, respectively; with typical maximum dive depths between 12-21m. Most surveys were conducted between 0700-1900 hours and diver visibility ranged from 3-14m. Eight habitat types were represented: kelp forest, rock/shale reefs, open oceans, surf grass beds, pinnacles, bull kelp beds, cobblestone/ boulder fields and walls, but most surveys were conducted in rock/shale reefs, walls and cobblestone/boulder fields. During the 8,097 dives, one or more of the 5 species analyzed were not sighted, necessitating us to include 20,264 absence records to complete the dataset. Species and basin specific ARIMA models and their estimated parameter values are available in S1 Appendix. After the SSWD epidemic onset (in 2013), D. imbricata abundance increased in 3 basins (Hood Canal, the Northern Straits and the Strait of Georgia). Specifically, in the Northern Straits, D. imbricata abundance increased 1.51 times by 2015, exceeding the projection for the population trajectory. Although they did not exceed the population projected in the Hood Canal and the Strait of Georgia, the abundance of this species increased 1.23 and 1.3 times, by 2015, respectively. In the South Puget Sound basin, abundance increased above projected levels in 2014, then returned to within expected trends in 2015. There were no major changes for this species in the Central Basin, while the Outer Coast had a decreasing abundance trend, although the complete 10-year abundance trend in this basin was unstable when compared to the others (Fig 3).
While historically P. brevispinus has been rarer than the other two star species monitored on roving dive surveys, abundance In these 2 basins, the observed abundances post epidemic onset were not lower than the historical pre-epidemic estimated mean (Fig 4).
Post epidemic onset, P. helianthoides declined markedly in every basin compared to the projected abundance (Fig 5). The most dramatic P. helianthoides declines were seen in the Central Basin, Northern Straits and the Outer Coast, where the abundance had been stable pre-epidemic onset, while in 2015 the observed abundances in these basins corresponded to 0.04, 0.005 and 0 times the 2013 value respectively. In the Hood Canal basin the decline was less severe (2015 abundance was 0.5 times the 2013 abundance) and the declining trend started earlier than 2013. In the South Puget Sound basin and the Strait of Georgia basin P. helianthoides abundance began to decline prior to 2013, but the decline dramatically increased between 2013 and 2015 (Fig 5). In 2015, the abundances in these basins corresponded to 0.27 and 0.11 times  (Fig 6). By 2014, M. franciscanus abundance had increased in places where it was originally present (the Northern Straits basin, the Outer Coast and the Strait of Georgia basin), but in 2015 this trend continued beyond the CI of the projected abundance only in the Northern Straits ( Fig  7). During the 2013-15 period M. franciscanus abundance in this basin increased 1.52 times. As urchins are harvested by tribal fisheries in Washington's half of the Salish Sea, we compared increases in red urchin abundance with data taken only from dive sites located within urchin harvest closure zones that are present in the Northern Straits basin [21]. We did not find meaningful differences between abundances for this species in harvested versus fishery closure areas. After 2013, S. droebachiensis abundance clearly increased in the Central Basin, the Northern Straits basin, the South Puget Sound basin and the Strait of Georgia basin beyond projections. In these basins the abundances increased 2.47, 2.13, 2.38 and 2.58 times, respectively. Remarkably, in the Central Basin and South Puget Sound basin this species was historically rare, but became more abundant in 2013, with abundance increasing at even higher rates thereafter (Fig 8).

Strip transect surveys
While reports of SSWD began in June and September 2013 on the Outer Coast and in the Strait of Georgia [9,36], signs of widespread disease did not appear in the SJI until P. helianthoides being held in captive in tanks with open water systems began to decline in April 2014 according to our observations (MEE, CDH). In SJI strip transect surveys, initial SSWD signs appeared in P. helianthoides in May 2014. Disease prevalence increased through the summer of 2014 in the 3 asteroid taxa studied, but prevalence differed markedly by species, reaching~50% for P. helianthoides and E. troschelii in August, while the maximum prevalence for Henricia spp. never exceeded~5%. Interestingly, in July the prevalence of E. troschelii was low and similar to Henricia spp. (3%) but increased to approximate P. helianthoides prevalence in August (in July, P. helianthoides prevalence was 36%). The selected logistic regression included the species and months as associated with the presence of SSWD (Table 2; AIC = 375.788). The likelihood of SSWD was significantly higher for E. troschelii and P. helianthoides compared to Henricia spp., while the contrast between E. troschelii and P. helianthoides showed that SSWD was 3.12 times more likely in P. helianthoides (p-value = 0.02). Similarly, the likelihood of SSWD was markedly different among months with an increasing trend from May to August.
The total area surveyed was 2,160 and 2,080m 2   Impacts of Sea Star Wasting Disease on Subtidal Asteroids this species, historically rare, could have been affected by SSWD prior to 2014 and reduced to an abundance below the detection threshold of the strip transects.
In the Bayesian multilevel Poisson regression, all Gelman-Rubin statistics were lower than 1.04, and graphics supported convergence of the chains. The effective sample size for all parameters was at least 240. Mean values for μ α and μ β were -6.561 and -1.258 indicating a general decrease in star density in 2015. As expected, there was an important difference in intercepts and slopes across taxon with mean σ α , and mean σ β , equal to 2.893 and 2.801, respectively. Finally, the mean ρ value was -0.384 indicating a negative association between intercepts and slopes. Model results showed that among common species, P. helianthoides had a credible decline between 2014-15. Uncommon species, O. koehleri, P. brevispinus, and S. stimpsoni had a decline in 2015 that was borderline credible; D. imbricata, L. hexactis and Mediaster spp. presented a non-credible increase in 2015; and E. troschelii, Henricia spp. and P. ochraceus had a non-credible decrease in 2015 (Fig 9).

Epidemic onset and disease prevalence
Detecting wildlife epidemics is often challenging due to the difficulty of diagnosing disease in wildlife and the action of ecological processes that hide mortality such as predation of weak animals, scavenging of carcasses and decomposition [37][38][39]. Detection of marine epidemics is even more challenging than those occurring in terrestrial habitats due to the additional complexities of making field observations [4,40]. The 2013-14 sea star wasting epizootic was detected due to the extreme lesions, arm loss and massive mortality occurring in 20 of the most common intertidal and subtidal asteroid species across a vast geographic range.
The exact onset of SSWD in the Salish Sea is unknown. Clinical signs and mortality associated with this disease were reported from the Outer Coast as early as June 2013 [9] and in the Strait of Georgia in September 2013 [36]. Over 100 subtidal roving diver surveys conducted in the Northern Straits basin in October 2013 detected a very small number of animals with lesions (specifically in individuals of D. imbricata, E. troschelii, P. helianthoides, and S. stimpsoni) from which SSWD-associated Densovirus was detected [9]. Anecdotal reports suggest the The present data show the pattern of emergence after 2013. Divers did not notice large-scale clinical signs and mortality until May 2014, when clinical disease was seen in free-ranging P. helianthoides present in the SJI strip transects. During the next month, sick E. troschelii, and Henricia spp. individuals were also observed. For all three species, prevalence rapidly increased to a peak in August, reaching~50% in P. helianthoides, and around 47 and 5% prevalence in E. troschelii and Henricia spp., respectively.

Species declines and species-specific differences
Data from strip transects and long-term data from roving diver surveys confirm that multiple species of asteroids have been affected by SSWD and significant species-specific differences exist. P. helianthoides was the species most dramatically impacted, showing the greatest rate of decline across all basins in the long-term data and locally in the SJI strip transect data. The estimated mean number of P. helianthoides counted per roving diver survey in the region showed a major shift, from 9.9 individuals in the pre-epidemic period to less than 2 individuals in 2015 after the emergence of SSWD. The density of other common star species E. troschelii and Henricia spp., decreased in the post epidemic onset in the strip transects, but not credibly in the multilevel Poisson regression. The 2015 mean log density changes for these taxa were very close to zero.
Among less common stars, O. koehleri, P. brevispinus and S. stimpsoni were detected at low levels during 2014 strip transects, and were all but absent in 2015, suggesting that their populations had been reduced to densities at below detection limits in the strip transect study and seem to have been severely affected. These reductions in density were not statistically credible due to the low initial numbers, but we are confident that they are biologically relevant, because most of the credible interval is below zero. Roving diver surveys reveal that P. brevispinus   Without SSWD prevalence data pinpointing the level of wasting, it is challenging to assign cause, but these 2013 declines are likely due to SSWD as it was detected and shown to cause disease in other basins and species at that time [36,41].

Impacts of Sea Star Wasting Disease on Subtidal Asteroids
Pisaster ochraceus is primarily an intertidal star with low subtidal density, but its disappearance from year 2 of the subtidal strip transects coincided with its major intertidal decline in the SJI and lower Puget Sound [10] as well as on the Oregon coast [15].
Even though SSWD has been previously documented in the wild as well as in captivity for other less common stars such as D. imbricata, L. hexactis and Mediaster spp., these species did not decline in the Salish Sea. The abundance of D. imbricata actually increased after 2013 in 3 basins. At the end of the study period, observed abundance in all 5 basins remained within the projected range except for the Northern Straits basin, where it was exceeded. This fact, combined with density increases in the strip transects in the SJI between 2014-15, suggests that this species is more resistant to SSWD than other stars. The densities of L. hexactis and Mediaster spp. on strip transects also tended to increase between 2014-15. However, they were absent in 2014 and were found in 2015.
In summary, two years of post epidemic onset data suggest that the largest impacts of SSWD occurred in P. brevispinus, P. helianthoides, O. koehleri, S. dawsoni, and S. stimpsoni populations. Comparatively speaking, the epidemic had a moderate impact on E. troschelii, Henricia spp. and subtidal P. ochraceus populations. No detectable impact was noted for L. hexactis and Mediaster spp. populations, and D. imbricata populations could even be increasing post SSWD outbreak.
Examples of other large-scale epidemics with a wide host range (affecting multiple different species) include chytridiomycosis, caused by Batrachochytrium dendrobatidis, in numerous amphibian species [42], rinderpest in African artiodactyls [43], and West Nile Virus in North American birds [44]. In all three examples, the overall impact has been devastating; however, like we show here, species-specific differences have been reported.

Basin differences
No substantial differences were observed across the 5 basins in the Salish Sea and the Outer Coast. Abundance for D. imbricata, P. helianthoides and P. brevispinus varied by basin, but not convincingly enough to suggest that major differences in environmental factors either existed or played a role in disease outcome among basins. While low water temperature was associated with better short-term SSWD survival [14] and slower disease progression and mortality rate [10,13], in other regions SSWD signs increased with cooler temperatures [15]. While water temperature could have played a role in the onset and progression of disease by basin, we hypothesize this role would be most apparent during the initial phase of the epidemic. Our analysis was on a large time scale (by year) relative to disease progression (weeks); therefore, SSWD effects among basins could have 'caught up' and not been detectable in our analysis, even if initial progression was different. The role that food availability, crowding, and other environmental factors played in SSWD emergence and virulence is unknown.

Future perspectives and trophic cascade
The SSWD epidemic has been characterized as the largest disease epidemic of a marine wildlife taxon based on the geographic range and number of species affected [9,10]. While the significant impacts to the dominant intertidal species P. ochraceus across a wide part of its range have been reported [10,14,15], we show that the impacts could be even greater to the subtidal star species P. helianthoides. Prior to the SSWD epidemic, this species was the most abundant subtidal asteroid in the Salish Sea [21,45]. Subtidal surveys analyzed here suggest P. helianthoides has been virtually extirpated from the Central Basin, Northern Straits basin and the Strait of Georgia basin, as well as on the Outer Coast. Anecdotal reports suggest the loss extends all the way to Alaska, as far north as Katchemak Bay. Recent diver observations from the Salish Sea confirm that adults are largely absent in the spring of 2016.
Wide host range pathogens can be particularly impactful because they can be maintained in more resistant species [46]. This could lead to the permanent exposure of more susceptible species, like P. helianthoides, to very low levels of infectious agent that could impede population recovery, and leave them prone to stochastic events. Moreover, disease has been shown to drive the extinction of wild populations [46]. This rapid and extensive loss warrants concern for the long-term survival of this species, which could require prompt management action (Fig 10).
The decline and near extirpation of a once highly abundant major subtidal predator such as P. helianthoides [47] has the potential to shift community composition [48]. In this case, due to the known consumption of urchins by P. helianthoides [47][48][49][50], the expected impact is an increase in M. franciscanus and S. droebachiensis, which could in turn decimate habitat-forming kelp beds and development of urchin barrens [48,51]. Trophic-level cascades consequent to SSWD have been suggested already. Pisaster ochraceous predation of the mussel Mytilus californianus decreased heavily along the Oregon State coast [15], while further north in Howe Sound (southern Strait of Georgia basin, British Columbia, Canada) devastating losses of P. helianthoides were accompanied by extreme increases in S. droebachiensis creating large areas devoid of kelp [36]. Our study was not designed to detect this kind of an impact, but the roving diver surveys do show S. droebachiensis increased in four out of six basins (Central Basin, Northern Straits, South Puget Sound and Strait of Georgia), with greatest increases in the Central Basin and South Puget Sound basins. M. franciscanus increased in all basins where they were present (Northern Straits basin, the Outer Coast and the Strait of Georgia basin), but markedly and sustained increases only occurred the in the Northern Straits basin. A potential reduction in M. franciscanus harvesting is not a likely explanation because similar urchin abundance patterns were seen when survey data was collected in M. franciscanus harvest closure sites in the Northern Straits basin [24].
Removing a keystone species can also have a diversifying effect on less dominant taxa and ultimately enhance species diversity by creating space for prey [52,53]. It is too early to tell if less-impacted species like D. imbricata, L. hexactis and Henricia spp., will benefit from SSWD mortality in previously dominant asteroid species. As with other multi-species epidemics the long-term impact of SSWD on distribution and abundance of affected species will depend on species-specific differences in susceptibility and community-level changes associated altered predator abundance and prey availability.