Although Elkhorn coral dominated the Caribbean in the early 1980s, the species has since dramatically declined in numbers. Scientists have estimated that between 1980 and 2006, when it was listed in the Endangered Species Act (ESA), the population declined by around 97%. This decline was due to a variety of factors, including disease, algae growth, climate change, ocean acidification, and human activity. In May 2006, Elkhorn coral was officially listed as threatened in the ESA along with another species in the Acropora genus, Staghorn coral. Some conservation efforts are now in place to protect the species and promote increased genetic variability among the species.