The disease attacks elms under stress, a condition that impairs the trees' defences. Elms can live with Dothiorella elm wilt for many years with low to moderate levels of fungal infection. Eventually, the infection may lead to the death of an elm tree, but not in all cases. Elms with extensive canopy dieback are considered for removal.
Keeping the tree healthy with regular watering and proper pruning will help the tree fight the disease.


