A recently reestablished and increasing population of Hawaiian monk seals in the main Hawaiian Islands (MHI) is encouraging for this endangered species. However, seals in the MHI may be exposed to a broad range of human, pet, livestock, and feral animal pathogens. Our objective was to determine the movement and foraging habitats of Hawaiian monk seals in the MHI relative to the potential exposure of seals to infectious diseases in near-shore marine habitats. We captured 18 monk seals in the MHI between January 27, 2004 and November 29, 2005, tested them for various infectious diseases, and then monitored the foraging movements of 11 of them using satellite-linked radio transmitters for the next 32-167 days. All seals tested negative for canine adenovirus, calicivirus, four morbilliviruses, phocine herpes virus, Leptospira sp., and feline and canine heartworm antigen/antibody. Six of the seals tested positive on complement fixation for Chlamydophila abortus (formerly Chlamydia psittaci). Four seals demonstrated positive titers to Sarcocystis neurona, two to Neospora caninum, and two to Toxoplasma gondii. Fecal cultures showed approximately half (n = 6) positive for E. coli 0157, no Salmonella sp., and only one with Campylobacter sp. Satellite monitored seals spent considerable time foraging, traveling, and resting in neritic waters close to human population centers, agricultural activity, and livestock ranges, and sources of land-based water runoff and sewage dispersal.Consequently, Hawaiian monk seals in the MHI may be at risk of exposure to several infectious disease agents associated with terrestrial animals that can contaminate marine habitats from runoff along drainages and that are known to cause disease in marine mammals. Further, some seals overlapped substantially in their use of coastal habitats and several moved among islands while foraging and were seen on beaches near each other.This suggests that diseased seals could infect healthy conspecifics throughout the MHI.