Abstract
Stony coral tissue loss disease (SCTLD) has caused unprecedented coral mortality across Florida’s Coral Reef (FCR) since 2014, raising concerns about whether coral restoration can succeed under chronic disease conditions and whether outplanting activities may increase disease transmission risk. As the disease transitioned from epizootic outbreak to enzootic persistence, we conducted a large-scale experimental outplanting to assess coral restoration efficacy under chronic SCTLD persistence and to evaluate the relative importance of SCTLD versus non-disease drivers of restoration outcomes. From May 2021 through April 2023, we outplanted 1,165 colonies of three SCTLD-susceptible species ( Montastraea cavernosa, Orbicella faveolata , and Pseudodiploria clivosa ) sourced from land-based facilities and in-water nurseries across six regions spanning FCR and monitored survival and disease incidence. Concurrent surveys of natural coral communities assessed whether outplanting activities affected local SCTLD prevalence. Probabilities of infection per monitoring interval remained <1-2% across all species, regions, and propagation sources throughout the monitoring period. Importantly, outplanting activities did not increase SCTLD prevalence in neighboring natural coral communities. In contrast to the low and relatively uniform disease incidence, variation in coral survival was strongly structured by ecological and operational factors. The overall coral colony survival rate at the end of the study was 77.3% but was influenced by reef stratum (inshore vs. offshore reefs), geographic region, and colony source. M. cavernosa and P. clivosa exhibited higher survival at inshore sites compared to offshore sites, whereas O. faveolata showed no consistent reef stratum effect on survival. Across FCR, survival varied spatially between regions independent of latitude, suggesting local environmental drivers. Colony source effects varied by species. M. cavernosa and P. clivosa from land-based facilities exhibited significantly lower survival than colonies from in-water nurseries, whereas O. faveolata showed no significant differences between propagation sources. Our results indicate that under SCTLD-enzootic conditions, restoration outcomes are shaped more strongly by habitat suitability, geographic context, and propagation-related factors than by SCTLD itself. These findings suggest that coral restoration can proceed within SCTLD-enzootic zones without increasing disease risk to neighboring coral communities or substantially elevating SCTLD-related mortality of outplanted colonies.