The specific threats facing this exceptionally rare bird have not yet been identified, but a range of environmental issues are known to affect other species within its range and are therefore highly plausible threats to this species (4). Offshore islets, which appear to be the key nesting areas of this bird, are thought to be relatively safe from human disturbance. However, other coastal wetlands in this species' presumed breeding range in eastern China have been affected by large-scale development projects (4) (6). Seabirds are also hunted and exploited for food in China. Indeed, the main threat to the newly discovered population on the Mazu Dao islands is from fishermen from mainland China, who visit the nesting islets to collect seashells and bird eggs. Other potential threats include the introduction of rats and cats to currently predator-free offshore islands, oil pollution and contamination of estuarine areas by industrial and agricultural pollutants, and human disturbance (6).
The Mazu Dao islands were declared as the National Matzu Nature Reserve for Terns in 2000, offering some protection to the birds there (4) (6). The most recent sighting in China was from Huanghe Sanjiaozhou Nature Reserve in Shandong in 1991 and several other protected areas exist along the Chinese coast where the species may occur (4). This bird is nationally protected in China and Thailand, and the area where it was once recorded in Thailand is protected as the Laem Talumphuk Non-Hunting Area (4) (6). Further studies are certainly needed to better understand this species, its range, what sort of breeding success it is having, the exact threats it faces and its protection needs (7). One suggested measure, that has been successful elsewhere, is to give local people a vested interest in seeing the birds remain alive, perhaps by allowing or encouraging fishermen to take birdwatchers to see the rare seabirds, rather than collecting their eggs (7). Thus, special boat trips have now been made available from Matsu Island to the National Matsu Nature Reserve for Terns during the months of June and July for NT$350 (approx. US$11). Landing on the nesting island is not permitted and viewing is from the boat at a safe distance, so that the terns are not disturbed, but this revenue may help protect the bird by making it more valuable alive than dead (5).