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The dolphin FRESH protocol: visual Freshwater-Related Evaluation of Skin Health in free-ranging bottlenose dolphins (Tursiops spp.)

Kristi L. Fazioli; Christina N. Toms; Ryan Takeshita; Alyssa Quackenbush; Denise Greig; Teresa Rowles; Lori Schwacke; Kathleen Colegrove; Ruth Y. Ewing; Deborah Fauquier; Denise Boyd; Aaron Bouwkamp; Pádraig Duignan; Erin Fougeres; Leslie Hart; Sherah McDaniel; Timothy Morgan; Carrie Sinclair; Todd Speakman; Meghan Sutton; Heidi R. Whitehead; Vanessa J. Mintzer
Frontiers in Marine Science · Vol. 13 · 2026

Abstract

Exposure to freshwater is a pressing health issue for coastal bottlenose dolphins ( Tursiops spp.). Environmental changes, including increased precipitation events and coastal infrastructure projects, are altering salinity within estuarine systems. Consequently, understanding effects of freshwater exposure on dolphins and developing tools to evaluate related health conditions is urgent. To address this need, a group of veterinarians, pathologists, epidemiologists, natural resource managers, and field biologists convened to create a protocol to visually assess freshwater-related skin lesions in free-ranging bottlenose dolphins. The Dolphin FRESH (Freshwater-Related Evaluation of Skin Health) Protocol guides users without medical backgrounds to screen and evaluate photographs by focusing on the visual identification of three primary indicators of freshwater skin disease: Overgrowth, Target-like Lesions, and Light Discoloration. By determining presence of the primary indicators and scoring associated characteristics, FRESH provides users with a relative assessment of the severity of these skin anomalies, and metrics to track progressive changes. The Scoring Rubric performed well during systematic testing, with evaluators correctly identifying freshwater cases through recognition of primary indicators and with no significant differences in total severity scores between field biologists and medical experts. FRESH is an important step in advancing knowledge on the effects of salinity fluctuations on dolphin health. When applied to photo datasets over time, this tool will enable researchers and managers to evaluate progression and regression of freshwater skin disease, occurrence and effects of multiple exposures, and the relationship between freshwater exposure skin indicators and health and survival outcomes.

Bibliographic Information

JournalFrontiers in Marine Science
PublisherFrontiers
Publication Date2026-02-25
Publication Year2026
Volume13
Document TypeJournal Article
eISSN2296-7745
DOI10.3389/fmars.2026.1743541
SubjectMarine science; fisheries; aquaculture; pollution; ocean observation; policy

Access Information

NARA Access CoverageOA / free full text
Journal Homepagehttps://www.frontiersin.org/journals/marine-science
Publisher PageOpen Publisher Page
This article is openly available from the publisher.