Gill disease is an important cause of economic losses, fish mortality and reduced animal welfare in the marine and freshwater phase of salmonid farming in Norway and across the world (Shinn et al., 2015;Sommerset, Bang Jensen, Bornø, Haukaas, & Brun, 2021). Reduced gill health may also impact outcomes of, and decisions about, management operations, such as non-medicinal delousing and transport, because diseased fish might have reduced tolerance for handling and stress. Gill disease and gill injuries can be caused by infectious agents, environmental factors, management operations or a combination of these (Boerlage et al., 2020;Rodger, Henry, & Mitchell, 2011). Gill disease has been classified as either simple or complex/multifactorial based on a presumption of single or multiple causes and/or infectious agents involved in the disease process (Gjessing,