Physiological stress fundamentally alters disease susceptibility in aquatic environments. In this paper, we develop a stress-structured epidemiological model where host vulnerability is dynamically driven by water quality. Analytically, we establish that the system exhibits a classic forward bifurcation at , confirming that the basic reproduction number remains a valid threshold for eradication. However, stochastic analysis reveals a critical asymmetry not captured by deterministic thresholds. We show that while predicts stability, the probability of an outbreak depends on the initial physiological state. Introducing infection into a stressed sub-population leads to immediate rapid growth of the disease, whereas introduction into the normal class faces a stochastic barrier that significantly delays the epidemic peak.

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