IF is just needle cast (maybe Spruce Spider Mites too?), that is, in theory treatable. It takes 2-3 sprays in the spring/summer. When needles are about half of their full length, then again 2-3 weeks later.
HOWEVER, look how much that is growing...looks like a couple of inches per year on the branches. Realize you are going to loose all of the inner needles. that means after 3 years of protecting the new growth (we are not curing the disease, but protecting new needles from becoming infected), you will have 6-7" of green? It will still look VERY thin, Is that worth doing? When the tree is still putting on 6-8" of growth I feel that that is something we can work with. There is still some vigor. 3 years later, there will be 18" of live needles so it looks lush and thick.