Not surprising that signs of disease showed up. I just checked the Hbg gauge and during the vast majority of July and August the flows were below the median for that time period and, if you recall, we had a pretty good streak of hot weather in the high 80’s and low 90’s. Combined with low flow, the river probably got pretty warm, which is conducive to disease production and SMB stress. If the water was warm enough to stress the fish, immunity would be reduced. Parasites can provide a route to infection by creating initially small wounds in the protective slime and skin barriers as well as by weakening fish if the infestation is substantial.