There has been a severe increase in mass mortality events associated with low oxygen causing mass hypoxia with the majority having been in the last 2 decades. The rise in water temperature leads to an increase in oxygen demand and the increase for ocean deoxygenation which causes these large coral reef dead zones. For many coral reefs, the response to this hypoxia is very dependent on the magnitude and duration of the deoxygenation. The symptoms can be anywhere from reduced photosynthesis and calcification to bleaching. Hypoxia can have indirect effects like the abundance of algae and spread of coral diseases in the ecosystems. While coral is unable to handle such low levels of oxygen, algae is quite tolerant. Because of this, in interaction zones between algae and coral, increased hypoxia will cause more coral death and higher spread of algae. The increase mass coral dead zones is reinforced by the spread of coral diseases. Coral diseases can spread easily when there are high concentrations of sulfide and hypoxic conditions. Due to the loop of hypoxia and coral reef mortality, the fish and other marine life that inhabit the coral reefs have a change in behavioral in response to the hypoxia. Some fish will go upwards to find more oxygenated water, and some enter a phase of metabolic and ventilatory depression. Invertebrates migrate out of their homes to the surface of substratum or move to the tips of arborescent coral colonies.
Around six million people, the majority who live in developing countries, depend on coral reef fisheries. These mass die-offs due to extreme hypoxic events can have severe impacts on reef fish populations. Coral reef ecosystems offer a variety of essential ecosystem services including shoreline protection, nitrogen fixation, and waste assimilation, and tourism opportunities. The continued decline of oxygen in oceans on coral reefs is concerning because it takes many years (decades) to repair and regrow corals.