Question of Mutual Security: Exploring Interactions between the Health of Coral Reef Ecosystems and Coastal Communities

Coral reefs are the world's most celebrated indicators of ocean health. While the global trajectory of coral reef degradation is now well documented, and the accompanying loss of economic benefits increasingly demonstrated, the consequences in terms of human health have been largely ignored. Reefs provide a wide array of benefits to humans, contributing most directly to the health of subsistence fishing communities located on adjacent coasts and islands. Interactions between human and marine ecosystem health are complex, bidirectional and nonlinear. We draw on a broad range of data and experience to identify key links in the ecological chain from the coral polyp to the human society. Our conclusions are that humans are components of coral reef ecosystems, few studies of reef health incorporate human health, few data are available to quantify the health services reefs provide to people, and human health security is essential to the preservation of coral reef ecosystems.[PUBLICATION ABSTRACT]