Fish health management occurs in a complex ecological and socio-economic sy
stem, in an uncertain and uncontrollable environment, and with a luck of em
pirical data. Increasingly, regional. national. and international policies
require some form of risk assessment to help make reasonable decisions. Des
pite its increasing use and popularity there are many criticisms of risk as
sessment as a basis for fish health management decisions. Underlying these
criticisms are three common elements: (1) unrealistic expectations: of the
ability of risk assessments to identify the "right" decision: (2) inadequat
e predictive ability of fish health risk assessment models; and (3) the lac
k of integration or consideration of management, societal, and scientific c
oncerns. Rather than abandoning risk assessment as a basis for management b
ecause of its quantitative limitations, the concept should be fully explore
d and applied in order to facilitate socially and ecologically relevant fis
h health management decisions. Moreover, efforts should be undertaken to ed
ucate managers and stakeholders as to the role of risk assessment in decisi
on support and in exploring additional models for describing and assessing
the impacts of fish health management decisions. (C) 2001 International Cou
ncil for the Exploration of the Sea.