Parasites and disease are amongst the greatest issues affecting Indian aquculture, incurring substantial economic losses every year. Due to disease risk, some farmers may use antibiotics as a prophylactic measure, with consequent risk of increasing anti-microbial resistance. Organic aquaculture has the potential to allow reduced chemical inputs, but must be coupled with other paradigms to alleviate disease issues. The Fish Welfare Initiative believes that measures to improve animal welfare, in particular water quality and stocking density, can contribute to improved animal health outcomes.