Regulations: (pertaining to the Great Lakes)
| Jurisdiction | Regulation | Law | Description | Date Effective |
| Illinois | Other | 515 ILCS 5/20-90 | This species is not on the Illinois Aquatic Life Approved Species List and if it is not otherwise native to Illinois it is illegal to be imported or possessed alive without a permit. Requires imported salmonid health inspections | 7/9/2015 |
| Indiana | Other | | Requires source facilities outside the basin to document they are BKD free prior to importing salmonid stock. Asymptomatic salmonids found carrying the pathogen can be sold in-state if source facilities are within the Great Lakes basin | |
| Michigan | | | Requires imported salmonid health inspections | |
| Minnesota | | | Requires imported salmonid health inspections. Allows the importation of infected eggs, if prior egg treatments have been approved | |
| Ohio | Other | | Requires source facilities outside the Great Lakes basin to document annual health inspections showing no BKD occurrences for the previous five years prior to importing salmonids to the Lake Erie watershed | |
| New York | | | Prior to placing fish in New York waters, a fish health certification report must document that the fish are BKD free | |
| Wisconsin | | | Requires imported salmonid health inspections | |
New York, Pennsylvania, Ohio, Michigan, Indiana, Illinois, Wisconsin, and Minnesota have instated similar baitfish regulations to control the spread of BKD and other fish pathogens. Those of New York include that bait harvested from inland waters for personal use is only permitted to be used within the same body of water from which it was taken and cannot be transported overland (with the exception of smelt, suckers, alewives, and blueback herring). Once transported, baitfish cannot be replaced to its original body of water (NYSDEC 2012). Live or frozen bait harvested from inland New York waters for commercial purposes is only permitted to be sold or possessed on the same body of water from which it was taken and cannot be transported over land unless under a permit and or accompanied by a fish health certification report. Bait that is preserved and packaged by any method other than freezing, such as salting, can be sold and used wherever the use of bait fish is legal as long as the package is labeled with the name of the packager-processor, the name of the fish species, the quantity of fish packaged, and the means of preservation (NYSDEC 2012). Certified bait may be sold for retail and transported overland as long as the consumer maintains a copy of a sales receipt that contains the name of the selling vendor, date sold, species of fish sold, and quantity of fish sold. Bait that has not been certified may still be sold but the consumer must maintain a sales receipt containing the body of water where the bait fish was collected and a warning that the bait cannot be transported by motor vehicle. Bait sold for resale require a fish health certification along with a receipt that contains the name of the selling vendor, date sold, species of fish sold, and quantity of fish sold, which must be kept for 30 days or until all bait is sold (NYSDEC 2012).
Note: Check federal, state/provincial, and local regulations for the most up-to-date information.
Control
Most control methods are developed for use in aquaculture and not suitable for open-water applications.
Physical
Culling infected stock has reduced the prevalence of R. salmoninarum in aquaculture (Gudmundsdóttir et al. 2000, Maule et al. 1996, Pascho et al. 1991).
Chemical
Antimicrobial agents used to treat R. salmoninarum include nitrofurans (now banned in the US), bacitracin, chlortetracycline, oxytetracycline, novobiocin (Wolf and Dunbar 1959), cephalosporins, gentamicin, clindamycin, lincomycin, oleandomycin, kitasamycin, spiramycin, penicillin (Austin 1985), cefazolin, tiamulin (Bandín et al. 1991), cephradine, rifampicin, (Brown et al. 1990), tetracycline (Austin 1985, Bandín et al. 1991), chloramphenicol (Austin 1985, Wolf and Dunbar 1959), and erythromycin (Austin 1985, Bandín et al. 1991, Lee and Evelyn 1994, Wolf and Dunbar 1959). Trimethoprim show significant potential for inhibition of R. salmoninarum’s dihydrofolate reductase protein (Kumar et al. 2021)
Erythromycin-enhanced feed administered at 100 mg/kg/day for 21 days (Wolf & Dunbar 1959) or for 10 days (Austin 1985) is believed to be the most effective treatment for bacterial kidney disease (Hirvela-koski 2005). Erythromycin phosphate is an effective chemoprophylaxis in pre-spawning adult brood fish. Subcutaneous injections of 11 mg/kg (Hirvela-koski 2005) or 20 mg/kg (Gudmundsdóttir et al. 2000, Pascho et al. 1991) administered to fish entering trapping facilities and at 21-30 day intervals thereafter (Hirvela-Koski 2005) has reduced mortality in re-spawning Pacific salmon by 10-50% (Groman and Klonz 1983). However, this treatment does not effectively destroy the pathogen from all eggs (Brown et al. 1990). A study by Lee and Evelyn (1994) showed female coho salmon treated with 20 mg/kg erythromycin prior to spawning yielded no vertical transmission of BKD. Treatment success relies on careful timing of the injections in adult salmonids before spawning (Elliott et al. 1989).
Disinfecting eggs with 100 mg/L of iodine for 15 minutes may not eliminate vertical transmission, but can reduce the severity of the disease (Bullock et al. 1978). Treating eggs with iodine at 250 or 500 mg/L for 15-120 minutes is effective at eliminating R. salmoninarum. However, after treatment, variable numbers of R. salmoninarum cells have survived. This is due to cells within the cell aggregates never coming in contact with the iodine (Evelyn et al. 1984, 1986). Renibacterium salmoninarum is inactivated by free chlorine (≤0.05 mg/L), which can be used as a disinfectant and to treat intake and effluent (Pascho et al. 1995).
Other
Prevention is the preferred control method of BKD in cultured stocks (OIE 2003).
Note: Check state/provincial and local regulations for the most up-to-date information regarding permits for control methods. Follow all label instructions.