Signs and symptoms include: intermittent fevers, anemia, leukocytosis, increased sedimentation rate, and other symptoms of inflammatory systemic illness.
Thus, it would be very sensitive to human activities such as stream channelization, sedimentation, and impoundment, which are known threats to species viability.
Where rainfall levels decrease or droughts ensue, lower river flows allow for sedimentation to occur which reduces flow into conveyance channels that supply other communities.