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Ich is in almost every tank, reef and fish only alike. I am sure the seasoned aquarist will agree. So this being a fact why don't all fish die in all systems with ich? I tell you why, its because healthy (Non stressed) fish can deal with it and don't allow the ich cycle to get out of control.
If the case was that healthy (Non stressed) fish can deal with Ich then you would never lose a healthy (Non stressed) fish, but we know that isn't the case. We see it all the time, a new fish is introduced, has Ich, and then all the fish in the tank come down with it. You then lose fish that were perfectly perfectly healthy, and a lot of times you winded up losing the fish pretty fast too, which shouldn't be the case as you would think a healthy (Non Stressed) fish could fight the Ich off, but that's not usually the case. Being healthy and (Non stressed) may make it better for the fish to be able to fight off the Ich but most of the time if left untreated, the fish usually dies.
I think you're also off on saying that almost every tank has Ich, I don't think that is true. If every tank had Ich, once a fish became stressed or wasn't totally healthy, it should then come down with Ich, which doesn't happen. And remember, our tanks are closed systems, so Ich can multiple unchecked.
As for breaking the cycle, that has nothing to do with a fish being healthy or stress free. The only way to break the cycle is for the fish to not be reinfected again, Ich needs to find a host or it will die. Now the Ich may dies within the fish body, as it can't get out, or it may get eaten or removed by things in the tank, like I posted above. The fish may also become immune, where the Ich doesn't attack the fish, this does happen. It also seems that some strains of Ich aren't as deadly after a number of generations, which maybe a reason why tanks can all of a sudden have a large case of Ich after introducing a new fish, new blood resulting in a new strain. Then again there are strains of Ich which kill very fast. I think you'll find a lot of fish do die of Ich, more than you know of too, as people tend not to talk about it. And in the end a fish that is healthy, and keeps getting attacked, as it will in a closed system, will more than not die from Ich if nothing is done.
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