of the sea and shore An ICHTHOS publication icln °lS\ M9 ICHTHYOLOGY DEPT. RHODES UNIVERSfr LIBRARY .0. Dangers of the Sea and Shore Introduction This booklet, published by ICHTHOS, Newsletter of the Friends of the J.L.B. Smith Institute of Ichthyology, took as its inspiration and guidance, the popular publication by Margaret Smith Sea Shore Dangers. Their recognition, avoidance and treatment, which has long been out of print. This present publication was compiled with the help of Institute staff (particularly Prof. Mike Bruton and Dr. Phillip Heemstra) as well as staff from other institutions e.g. Dept, of Ichthyology & Fisheries Science (Rhodes University), Albany Museum and Two Oceans Aquarium, Cape Town. We are grateful to them for sharing their knowledge and experience with us. Although the treatments advocated in this booklet have been well researched, the J.L.B. Smith Institute is not responsible for their consequences. Medical practice and pharmacology are constantly changing fields. The medical informa¬ tion provided here is therefore of a general nature. It is always best to consult your own doctor or chemist. As far as people are concerned, stinging and biting mechanisms in marine animals are usually weapons of self-defence, not attack. As Margaret Smith wrote, in the epilogue to her Sea and Shore Dangers: "Treat the sea and its creatures with respect. It is not to frighten anyone away that I have compiled this booklet. Each human activity has its dangerous areas and to know them and treat them intelligently means that you can enjoy what you are doing and avoid accidents. So, know the dangers, circumvent them and enjoy yourselves. The sea is a wonderful heritage." Dangers of the Sea and Shore Text by Marion Baxter. Illustrations by Dave Voorvelt. © ICHTHOS, J.L.B. Smith Institute of Ichthyology 1995. Copies obtainable from ICHTHOS, P. Bag 1015, Grahamstown, 6140. ISSN 1011-7490 \c 7-0 1 Marine animals that sting or have a venomous bite The cnidarians which includes the hydroids, jellyfishes, corals and sea anemones, are simple, many-celled organisms. They all possess tentacles equipped with nematocysts or microscopic stinging cells. Some coelenterates are capable of paralyzing their prey, i.e. small fish. The nematocyst consists of a globular oval or spindle-shaped capsule, which encloses a coiled thread tube. The venom in the capsule is injected into the victim’s tissue through the tubule. The main toxic component is a protein. Jellyfishes go through a medusa (free-living phase) during which they disperse widely into shallow, coastal waters used by man for sport and recreation. Bluebottle/Portuguese man-of-war Physalia utriculus This animal has a blue-gas-filled transparent sac which allows it to drift at an angle to the wind. It floats on the surface of the water and trails many short, frilled tentacles and a single long ‘fishing’ tentacle which may extend 10 m or more. It is this long tentacle that causes the sting and may continue to do so when dried by the sun. Physalia, which is really a colony of organisms, is brought onto beaches en masse by easterly winds. Symptoms and treatment: Usually local pain varying in intensity, red weals with an interrupted appearance in single or multiple lines, generalised joint and muscle pain disappearing after a few hours. Remove the tentacles gently, preferably with tweezers. Lift upwards without rubbing; or wash off with water. Apply a cold pack wrapped in a cloth to the stung area for 5 -10 minutes; or use ice in the same way. DO NOT use vinegar as this has been shown to cause further discharge of the nematocysts. Avoidance: Beware of an onshore or easterly wind. Bluebottles on the beach can still sting. Jellyfish (Scyphozoa) The familiar mushroom jellyfish ( Rhizos - toma sp.) translucent white or blue in colour, which grows to a size of 30 cm in diameter or more, and which is sometimes washed up on the beaches in large numbers to be eaten by plough snails, has no single mouth and no DANGERS OF THE SEA & SHORE 2 tentacles and lives by filtering tiny prey through its many small pores. Found all along our coasts, it is harmless to man. The box jellyfish Carybdea alata has tentacles up to 70 cm long, occurs in swarms, and though not as dangerous as the deadly sea wasp Chironex fleckeri of Australia, inflicts agonising stings. Painful encounters between man and jellyfish are usually ‘accidental’ however, since cubozoans (box-shaped jellyfish) are passive predators that wait for moving prey to blunder into their trailing tentacles. The night-light jellyfish with its hemispheri¬ cal, warty bell trailing 8 tentacles, occurs in False Bay. Symptoms & treatment: If badly stung, the victim may become confused or even lose consciousness and therefore, there is a danger of drowning. Tentacles tend to cling to the skin with a sticky, jellylike substance, but it is usually safe for bystanders to attempt to remove them, pulling in one direction only and not rubbing. Apply ice (if handy) to inactivate unfired nematocysts and stop the venom from spreading. Apply a local anaesthetic ointment. Avoidance: Surfers and bathers are most at risk. Wear protective clothing and swim in enclosed areas. Anthothoe stimpsoni Sea anemones (Actinaria) The mouth of an anemone is ringed with 8 or more tentacles armed with stinging cells to capture prey. The toxins are either proteins or peptides. Solitary sea anemonies are polyp shaped and generally sedentary though capa¬ ble of moving around the rock to which the pedal disc attaches. Divers are frequently stung about the face and neck when diving on Natal wrecks carpeted with small, white and brown-tentacled anemonies with orange and grey striped stems, belonging to the family Sagartiidae, genus Anthothoe. When disturbed, these extrude white string¬ like acontia through the body wall which contain thousands of stinging cells ready to discharge at the slightest provocation. They are sticky and will cling to gloves or hands. Symptoms & treatment: A mild burning sensation at the affected area, weals and weeping sores if not treated. Use an antibiotic cream as soon as possible. Avoidance: Avoid touching face and neck with contaminated gloves or hands. Look out for them attached to hydroids, whip corals, and artificial flat surfaces such as wrecks and submerged pipelines. Fire coral Millepora dichotoma The fire coral is a hydroid similar in appearance to the true reef building corals. It has a bright yellow-green and brown skeletal covering, pitted by many tiny pores 3 fire coral through which tentacles with nematocysts project. The toxin is a water soluble, thermolabile protein. Symptoms & treatment: More severe pain than caused by the bluebottle. A burning itch with pinpoint red lesions around the area of contact is common, followed by swelling and weals. Apply a good anaesthetic/hydrocorti¬ sone ointment. Antihistamine creams are not nearly as effective. An allergic reaction causes vomiting. Restore body fluids and electrolytes (eight level teaspoons of sugar and half a level teaspoon of salt dissolved in a litre of water). Avoidance: Wear gloves and protective cloth¬ ing when diving and do not handle fire corals. 'Sea Firs' The fern-like hydroids, toothed-feather hy- droid Aglaophenia pluma and fire hydroid Lytocarpus phillipinus are common along our coasts in warm waters and can cause intense bums, swellings and painful itches. They are often found anchored to other marine growths and are difficult to see, with the result that the host (e.g. a sponge) is sometimes blamed for the sting. The fire hydroid forms branching colonies and is pale white in colour, whilst the feather hydroid has yellow stems with a root-like base. Symptoms & treatment: Reactions to the sting vary from a mild sensation to extreme pain which increases over the first ten minutes. The appearance is that of a patchy area of red skin with raised pinpoint lesions, developing weals within the first hour. DO NOT use vinegar as it has been shown to activate the discharge mechanisms of the nematocysts. Douse the stung area of skin with water and apply an ice pack until the pain subsides. Apply a local anaesthetic ointment. Avoidance: Do not handle these hydroids. Sea swallow Claucus atlanticus. This beautiful animal, about 1-2.5 cm in length, is a mollusc, usually found in surface waters, floating ventral surface uppermost and gulping air bubbles to keep afloat. It is blue on top and pearly white underneath. toothed feather-hydroid sea swallow DANGERS OF THE SEA & SHORE 4 It feeds on planktonic coelenterates along with their nematocysts which are then used as a stinging apparatus. If Glaucus has been feeding on bluebottles, the sting will be of comparable severity. Glaucus lesions are scattered over the areas of contact and do not follow tentacle lines. Symptoms & treatment: Usually minor irritation increasing in severity if the painful area is rubbed. Lesions increase for the first ten minutes and then diminish during the next hour, along with the pain. The danger is that, since Glaucus occurs in the shallows, a child’s eye may become affected. In this case, seek medical assistance. Apply a non-aqueous anaesthetic solution in the form of eye drops. Avoidance: Beautiful to look at, but do not touch. Venomous molluscs Cone shells (Gastropoda) Being very decorative, cone shells are much val¬ ued by collectors. There are more than 400 species of cone shells in tropical seas and all of them contain a highly-developed venom apparatus. They occur under rocks and coral or are found crawling along the sand, and are nocturnal in habit. The following are especially dangerous: court cone Conus aulicus, geographer cone Conus geographus , marbled cone Conus marmoreus , striated cone Conus striatus, textile cone Conus textile and tulip cone Conus tulipa. The cone shell toxin is used for paralyzing and capturing prey. A sting from Conus sp. is sometimes fatal to man. The feeding habits of each cone shell indicate the strength of its venom e.g. the fish-eating species (geographer and tulip cones) are the most dangerous to man. Symptoms & treatment: Stings produced by Conus are of the puncture wound variety, the pain varying from mild to excrutiating, aggravated by salt water. Usually the bite area becomes inflamed and a numbness and tingling sensation quickly develops around the mouth and lips. The vision becomes blurred. In severe cases there will be difficulty in swallowing and speech, followed by complete muscular paralysis. Apply a firm bandage to the area of the wound with no more tension than is required for a sprained joint. (The bandage must not become a tourniquet.) Immobilise the affected limb with a splint if possible, or more bandage to form a sling. Depending on the severity of the bite, artificial respiration and external cardiac massage may have to be given until a doctor arrives. 5 Avoidance: Do not handle live animals except when wearing thick, non-porous gloves, or put a live cone shell in your pocket as its harpoon can penetrate clothing. Octopus (Cephalapoda) The bite of some species of octopus can be venomous. The toxin is used to paralyse prey such as crabs which have first been caught by the tentacles. Octopus bites usually consist of two small puncture wounds which are produced by the sharp parrot-like chitinous jaws. Symptoms & treatment: The first symptom is localised pain which radiates out, accompanied by profuse bleeding of the wound. Dryness in the mouth and •difficulty with swallowing may also be experienced. Wash the wound. Either apply a moist compress as hot as the patient can tolerate, or apply a very firm bandage to the area of the wound and if the bite is on a limb, use an immobilizing splint. Do not use a tourniquet as it may block the supply of oxygen to the muscle tissue and cause great damage to nerves and arteries. Avoidance: In South Africa, it is usually safe to handle an octopus. Echinoderms Sea urchins have long protective spines moved by fine muscles, each attached to a tubercle on the shell by a ball and socket joint so that it can be swivelled to point at any threat. Most of the South African sea urchins have solid spines and are harmless to humans, but a few species have long, lance-like spines with back¬ ward-pointing serratioins which can penetrate a victim’s skin quite deeply be¬ fore breaking off in the wound. Needle urchin Diadema setosum Occurring from the Transkei coast north¬ wards, these black and blue sea urchins have very long, needle-sharp spines. They feed on algae which they ‘graze’ and are found amongst rocks and coral. Flower urchin Toxopneustes pileolus The most venomous of all sea urchins, this species has short, thick, white-tipped spines but the real danger lies in its many beautiful flower-like pincers armed with lethal poison glands. It is found on tropical reefs, often disguised with a seaweed roof to shade it from the sun. DANGERS OF THE SEA & SHORT 6 Symptoms & treatment: A severe pain at the point of penetration lasting up to 4 hours. The area around the puncture becomes numb and black or violet in colour. The wound may become infected and slough in a few days. The whole area will develop a radiating kind of ache. The lymph glands become tender and swollen. Do not attempt removal of the spines unless this can be done early and without breaking them. In a severe case, the spines must be removed surgically. If the spine is deeply embedded it can be crushed by pummelling the area with a fist which will aid absorption. Bathe the area with hot (but not boiling) water. A local anaesthetic reduces the pain considerably. Avoidance: Surfers, anglers and divers should be wary of these sea urchins. Crown-of-thorns starfish Acanthaster planci Of the class Asteroidea, only the crown-of-thoms that feeds on corals is dangerous. It is a large starfish grow¬ ing up to 60 cm in diameter, found in the Indo-Pacific region. It has 13-16 arms and many short, sharp spines, red¬ dish orange at the tip merging into blue- grey arms, over the entire outer surface of the body. Symptoms & treatment: A puncture of the victim’s skin and tissues by the spines results in an extremely painful wound which quickly swells and turns red. Numb¬ ness and paralysis may follow, and some victims vomit profusely. In people prone to allergy, contact with the slime covering this starfish may result in a skin disease (contact dermatitis), since the spines are enveloped in a thin layer of integument which has glandular cells and which, it is thought, may contain the venom. Remove any loose spines, pulling them straight out. They are very fragile and easily break off in the wound so it is important that a doctor check to ensure that no fragments are left. Bathe the area in hot water; alternatively, ice-cold water may give some relief. A local antibiotic should be applied to the cleaned wound. In the case of severe skin irritation without any puncture, hydrocortisone ointment should be applied. Avoidance: This species occurs from Natal to Mozambique. Wear shoes if walking on the coral reef. Wear gloves when handling the crown-of-thoms. Polychaeta: bristleworms and musselworms Fi reworm Eurythoe complanata Eunice aphroditois wonder-worm 7 Pseudocnella insolens red chested sea cucumber The fireworm occurs from Port St Johns to Mozambique. It has a long, flat body, is grey-green in colour with tufts of hollow serrated bristles projecting laterally from each body segment. The bristles sting. The wonder-worm has large jaws. Symptoms & treatment: Remove bristles with adhesive tape. Treat stings with alcohol or meat tenderiser. Musselworm Pseudonereis variegata South African musselworms, which are popular as bait and are found along our entire coastline, have conspicuous shiny, many-coloured iridescent heads and long bodies with many lateral bristles. They are capable of inflicting a nasty bite with jaws which emerge from the worm’s throat. Avoidance: Do not handle with your bare hands. Sea cucumbers (Holothuroidea) Sea cucumbers live in a variety of habitats, under rocks and corals, amongst seaweeds, or on the open, flat, sandy areas of the oceans. They have a worm-like or sausage-shaped body without free arms but with a circle of ten¬ tacles around the mouth. The black sea cucumber Pseudoc¬ nella sykion is common on rocky shores along the South African coast, whilst the tufted sea cucumber Holothuria cinerascens is harvested for human consumption and exported to the Far East. A toxic substance is present in the body surfaces of many species and this may cause irritation to the skin, and should any come into contact with the victim’s eye, blindness can result. Fishes that shock Blackspotted electric ray Torpedo fuscomaculata Atlantic electric ray Torpedo nobilana Natal electric ray Heteronarce garmani Onefin electric ray Narke capensis Electric rays are found in western Indian Ocean estuaries and shelf areas. They are sluggish swimmers, spending most of their time lying on the bottom partially buried in the mud or sand, in shallow depths. Outlines of the large kidney-shaped electric organs are , - . . Torpedo fuscomaculata musselworm DANGERS OF THE SEA & SHORE 8 usually visible situated on either side of the front part of the disc. The electric charge passes between the negatively charged ventral side and the positively charged dorsal side of the ray. A simple reflex action as a result of tactile stimulation causes the shock which can exceed 200 volts, enough to knock a man over. After repeated electrical discharges, there is a period when the shocks lose their power and the ray is ‘recharging its batteries’. These batteries are used for defence and to stun prey. The main danger is to children as female rays give birth to their young in shallow water and a child disturbing one could be severely shocked and may drown as a consequence. Symptoms & treatment: After the initial shock, recovery is usually uneventful. Avoidance: Shuffle the feet along when wading in shallow water and estuaries. Fishes that bite Sharks According to Compagno and Ebert (1989), the pattern of shark attacks off southern Africa can be positively correlated with sea temperature. This is related to the greater number of people using the sea for recreation in warm-temperate and subtropical waters, and also to the diversity and abundance of dangerous sharks in warmer waters. The greatest risk area is the east coast of southern Africa, off Natal. Attacks on swimmers, surfers and divers along the west and southern coasts, from Namibia to Transkei, occur at a lower rate, though there have been recent attacks off Mossel Bay and East London. Very few attacks have been recorded on the west coast from Namibia to Cape Town although great white sharks and spotted sevengill sharks are common in those waters. Even the most powerfully armed sharks will not automatically attack people in the water; however, all large sharks, over about 2 m long, must be considered as potentially dangerous with the exception of a few very large species such as the basking shark Cetorhinus maximus which feeds on tiny crustaceans and the whale shark Rhincodon typus, a suction filter-feeder which follows plankton blooms. The most dangerous sharks may be the opportunistic feeders, a few of the requiem shades with their blade-like teeth, particularly the huge, striped, blunt-snouted tiger shark Galeocerdo cuvier, oceanic whiptail shark Carcharhinus longimanus which often investigates offshore divers, the blue shark Prionace glauca found all along the South African coast which is a danger to victims of maritime accidents; the great white shark blue shark massive Zambezi shark Carcharhinus leucas, and the great white shark Carcharo- don carcharias which often investigates divers and boats without attacking. Symptoms & treatment: The modem view is that it is best to treat casualties of shark attack on the beach, allowing 30-60 minutes for the victim’s anti-stress mechanisms to come into play, before moving him/her to hospital. Efficient beach management is therefore vitally important. Get the victim ashore as quickly as possible. Move him or her no further up the beach than is required to avoid wave action. Immediately place the victim in the head down position using the slope of the beach. Apply a tourniquet to stop the bleeding, or a clean piece of cloth to the open wound to allow the blood to clot and leave this dressing undisturbed. Record the time when the tourniquet was first applied as it must be released for five minutes after an hour, except in cases where a limb has been amputated. Do not give the injured person warm drinks or alcohol though sips of water may be given. Cover him/her with a towel and provide shelter from the sun. Immediately get someone to call a doctor and ambulance and provide as much information on the attack and size and site of the wound as possible. Comfort and reassure the victim and keep a constant check on his/her breathing. Once medical help arrives, morphine (15 mg) is advocated. Avoidance: When there is a danger of immediate shark attack, try to remain calm and create as little disturbance as possible in the water. Make for a life raft or any other available floating object and climb completely out of the water as soon as possible. If you are not within reach of a boat or raft, swim steadily towards safety, keeping the shark continuously in view. A hard blow on the snout may drive the shark away but use the fist to do so only if nothing else is available as shark skin is abrasive and may cause bleeding wounds to the hands which will further attract sharks. There is no evidence that dangerous sharks can be driven away by shouting. When swimming in areas where shark attacks have previously been recorded or where sharks are known to occur, observe the following precautions: > do not swim or dive alone at any time; > do not swim at night or when the light is poor and never spear fish at night; > no female should enter the water whilst menstruating; DANGERS OF THE SEA & SHORE 10 > do not enter the water if you have a fresh injury however minor — the sense of smell in most dangerous sharks is acute and they can detect the presence of minute quantities of blood from a distance; > do not dive or swim in discoloured water and note the temperature of the water: the risk of attack increases in water with a temperature of 20° C or higher; > do not spear, disturb or interfere with sharks and never spear fish if there are sharks in the vicinity. To swim with or tow a speared fish is to invite attack; > do not trail arms or legs from a boat, raft or float. Barracuda Sphyraena jello The barracuda is an aggressive carnivorous fish widely distributed in tropical and sub-tropical waters. It may swim in schools and is attracted to bright coloured objects, diver’s bubbles and speared fish. However, authenticated reports of attacks on scuba divers in South Africa are scarce. Live fishes landed on the rocks or in a boat can inflict painful wounds. ( Symptoms & treatment: As for shark attack, above. Avoidance: Do not swim or dive in areas where barracuda are prevalent and do not spear barracuda. Rockcods (Serranidae) and red steenbras Petrus rupestris Rockcods, especially the yellowbelly rockcod Epinephelus marginatus are popular angling fish and much sought after by spearfishermen. Although they have sharp teeth and enlarged canines, they do not usually present a danger, except when their territory is invaded. The gills are armed with formidable gill rakers, so it is unwise to attempt to carry a rockcod by inserting a hand into its mouth or gills. The red steenbras has been implicated in attacks on men at sea, especially survivors from shipwrecks. It is easily identified by its dark red fins, a light red to bronze body colour and outer row of canines. It is not normally dangerous to anglers or divers, but on no account eat the liver. Moray eel Gymnothorax undulatus Moray eels with their long muscular bodies, powerful jaws and strong, knifelike teeth can inflict painful and dangerous bites which rapidly turn septic. However, morays are not normally aggressive towards people. The main danger is to divers 11 who reach into a crevice which turns out to be a moray’s ‘den’. Moray eels have been known to drown divers by grasping a hand or leg and refusing to let go until either the muscles at the angles of its jaws are cut or it is killed. Symptoms and treatment: A jagged wound which will become gangrenous if not properly treated results from a moray bite. Stop the bleeding by applying local pressure and if necessary, a tourniquet. Call a doctor who may administer intravenous fluids. A tetanus injection is absolutely necessary. Avoidance: Moray eels may be poisonous to eat and are best left alone. Be careful when retrieving speared morays which appear to be dead. Divers should avoid poking hands into crevices and should always carry a knife. Venomous fishes: fishes with spines There are thousands of fishes with fin spines and about 200 species of fishes with venomous spines. In many cases, the spines are equipped with venom glands from which toxic fluids are ejected into the victim. Venomous fishes are usually sedentary bottom dwellers and their spines are defence organs. Dogfish sharks (Squalidae) Venomous sharks are limited to those species possessing dorsal fin spines. The spotted spiny dogfish Squalus acanthias is a common species, easily recognised by its white spots. It has a sharp strong spine immediately anterior to each dorsal fin accompanied by a glistening whitish venom gland in a shallow groove behind the top part of each dorsal spine. The small, shortnose spiny dogfish Squalus megalops is extremely common and occurs in vast schools, often close inshore. The shortspine spiny dogfish Squalus mitsukurii is found along the entire South African coast from Nambia to Natal and is very common offshore. Symptoms & treatment: Immediate intense, stabbing pain that persists for hours. Swelling around the wound and tenderness for several days. Dogfish stings have been known to be fatal to man. Irrigate the wound. Soak the injury in hot (but not boiling) water for 30 minutes to 1 hour. If the wound is on the face, use hot compresses. Avoidance: Dogfish sharks whip their tails back and forth in defence. Stings often occur from the careless handling of dogfish. Watch out for the dorsal fin spines when removing these sharks from a spear, hook or net as they have been known to give a sudden jerk and drive the sting into the angler’s flesh. DANGERS OF THE SEA & SHORE Stingrays and devil rays Found in shallow, sandy areas in tropical and temperate seas, and often caught by anglers, stingrays represent areal and constant danger, being the most important single group of ven¬ omous fishes. Most stingrays have one or more saw-edged spines or stings on the upper tail. The sting is sheathed with poisonous tissue and used as a defence weapon. All stingrays are live-bearing. The common blue stingray Dasyatis chrysonota which has bright blue blotches and branching lines on a golden disc is found in the surf zone, close inshore, often off sheltered sandy beaches and in shallow bays. It moves inshore off beaches in summer and offshore in winter. The huge honeycomb stingray Himantura uarnak with its beautiful reticulated pattern is found in tropical waters (east coast from East London to Natal and Mozambique), inshore in estuaries and may enter fresh water. Four species of devilray (Mobulidae) occur in South African waters. These are large, heavy-bodied rays recognised by the pair of unique, flat head fins, the large, angular pectoral disc, and tiny teeth. The devilray has a slender, whip-like tail with a small sting sometimes present just behind the dorsal fin. The commonest stingray wounds are on the lower part of the leg. Extraction of the spine results in laceration due to the serrations and the backward-pointing barbs. Symptoms and treatment: Stingray wounds are either of the laceration or punc¬ ture type. Large wounds will require surgical closure. The area around the wound swells, becoming ashy in appearance, then cyanotic (blue-tinged) and finally reddened. The victim feels a constant pulsating pain increasing in strength for about 30 minutes and decreasing over the next 6-48 hours. The wound may bleed profusely. Ulceration and secondary infection is common. Other symptoms are a fall in blood pressure, vomiting, diarrhoea, sweating, rapid heart beat and muscular paralysis. Stingray venom depresses respiration. Treatment must be immediate. Lay the patient down and rest the affected area in an elevated position. Irrigate the area with salt water, exploring the wound to remove any pieces of the sting’s poisonous sheath. If this is not done, poisoning will continue. Relief of pain is the most urgent need. Marine venoms are rapidly denatured by heat, and speedy heat treatment is therefore the most effective first aid. The wound should be immersed in hot water, as hot as bearable as tested by the uninjured hand/foot (about 50° C). Be careful of scalding. Bandaging and ligatures do not help and if used may increase the local 13 tissue damage and pain. Obtain medical assistance. A simple injection of local anaesthetic solution through the puncture wound will block the pain. (The anaes¬ thetic solution must not contain adrenaline.) Antitetanus agents should be admin¬ istered by a medical doctor and antibiotics will be needed in the case of secondary infection. Avoidance: Strong footwear gives protection from submerged rays if accidentally trodden upon. Shuffle your feet in shallow water. Net fishermen and trawlermen should be on the lookout for venomous fishes when sorting or handling the catch. Rabbitfishes (Siganidae) Rabbitfishes are a group of spiny- rayed fishes which closely resem¬ ble the surgeonfishes. They are known from Durban northwards and are plentiful herbivores of the tropical Indo-Pacific, highly es¬ teemed as food. They are oval, moderate sized, apparently scaleless fishes with 12 to 13 dorsal spines, 7 anal spines and each pelvic fin with 2 spines, all of which have associated venom glands. Usually it is the first dorsal spine that makes the wound as a sudden movement of the fish drives this spine forward. Symptoms & treatment: Severe pain which extends to the regional lymph glands. Clean the wound. Administer the hot water treatment for marine venom, as described for stingray wounds above. Avoidance: Highly esteemed as food, but anglers should be careful when handling these fish. As a general rule of thumb while diving, do not touch fishes which do not swim away from you. Surgeonfish and unicorns (Acanthuridae) Triggerfish (Balistidae) Surgeonfishes and unicomfishes are herbivores commonly seen swimming around reefs in tropical waters, typically in shoals, or feeding on algae. The convict surgeon Acanthurus triostegus has a small tail spine contained in a deep groove in the peduncle. The bluebanded sur¬ geon has a long tail spine contained in a deep groove. These fishes can¬ not erect their caudal spines at will. When the fish is excited its move¬ ments cause the tip of the spine on the convex side of the body to be¬ come exposed. Should the tip snag Naso lituratus DANGERS OF THE SEA & SHORE 14 anything moving behind the spine it will become erected and the sharp edge will cut into that object. Unicom fishes of the sub-family Nasiinae have more than one spine on each side. A surgeonfish is capable of inflicting a deep, painful wound. The first dorsal spine of the boomerang triggerfish Sufflamen bursa can be locked upright by the second spine. As wounds inflicted by such fishes tend to bleed profusely, there may be anti-coagulant present in the mucus on the knife. Symptoms and treatment: Surgeonfishes produce painful puncture wounds or cuts, but the pain generally subsides after about 12 hours and no further treatment is necessary. Avoidance: Spearfishermen should be prepared to be speared themselves. Avoid these fishes in nets or enclosed waters. Scorpionfishes (Scorpaenidae) Scorpionfishes are widely distributed throughout all tropical and most tem¬ perate seas and 80 members of the family have been implicated in poi¬ sonings to man. All members of the family have a bony ridge which ex¬ tends across the cheek from the eye to the gill cover. Many species are strik¬ ingly coloured, camouflaged to match their surroundings and several are of unusual shape. Most species have scaly bodies, 3 prominent anal spines, a large pectoral fin and a head with numerous ridges and spines, often with leaf-like flaps. They are most often found in or around rocks, coral reefs or kelp beds. Some species bury themselves in the sand and almost all species have the habit of lying motionless and partially concealed for long periods of time. This habit makes them dangerous to man. When scorpionfishes are disturbed, their vertical and pectoral fins are fully extended. Some scorpionfishes like the jacopever Helicolenus dactylopterus are of commercial value. The false stonefish Scorpaenopsis diabolus is commonly en¬ countered. Its pectoral fins display a bright red/yellow warning flash. The venom apparatus consists of 11 to 13 dorsal, 3 anal and 2 pelvic spines. The venom is produced in glands situated in a groove running up the side of each spine from the base to tip. Symptoms & treatment: Usually a single spine penetrates. The victim feels intense, pulsating pain in the area of the injury, often a finger. The wound has a red or blue ‘halo’ and surrounding tissues become swollen. The pain soon radiates to include the whole limb. Nausea, vomiting, weakness, urgency to urinate, conjunc¬ tivitis, increased perspiration and headache many all occur. The victim may thrash Scorpaenopsis gibbosa 15 about in pain. Pain subsides in 3-8 hours but swelling and tenderness persist. Usually no lasting after effects. Lay the victim down with the wounded part of the body elevated above the rest. Wash the wound, using sea water and remove foreign material if any. The venom is heat sensitive and the affected part of the body should be placed in or bathed in very hot water (50°C). Continue this treatment until the pain subsides. Meanwhile, have someone call a doctor. A local anaesthetic may be given whilst a local antibiotic will help prevent secondary infection. A tetanus injection should be administered by the doctor. Avoidance: Divers should be careful where they put their hands and knees. Pterois miles Turkeyfishes and firefishes There are seven species of firefishes and turkeyfishes in South African seas, the commonest, the devil firefish Pterois miles reaches west of Algoa Bay. Pterois can be aggressive and are known to rotate the body with rapid, darting movements and stab the in¬ truder with their dorsal or pectoral spines. All the fin-spines are venom¬ ous. The firefish’s brightly coloured feather-like fin rays are a clear danger signal. Symptoms & treatment: No pain at first, followed by extreme torture. Treatment as for scorpionfishes, above. Avoidance: Do not touch these fish whether in nets or free swimming, and avoid cornering them in such a way that they are forced to attack you. Stonefish Synaceja verrucosa The stonefish is widely distributed and common on reefs north of Zululand. A sluggish fish, it lives in rocky or coral areas and generally resembles a lump of dead coral or rock so perfectly that it is very difficult to see. It frequently lies half buried in the sand. This is the most venomous of our fishes. The 13 dorsal, 3 anal and 2 pelvic spines are sharp, stout and shorter than those of the scor¬ pionfishes, and have grooves up the &SITY, i Synaceja verrucosa UNP UBRARW DANGERS OF THE SEA & SHORE 16 sides from near the base of the tip. Spines are covered by a thick, warty skin and each has 5-10 mg of venom associated with it. The position of the first 3 dorsal spines is more or less vertical, and should a victim tread on a stonefish, the thick skin is pressed down onto the venom glands, so forcing the venom into the victim through the perfect natural syringe needle. Stonefish venom acts as a myotoxin on various muscles including skeletal, invol¬ untary and cardiac muscle. Symptoms & treatment: Agonising pain is the usual symptom and may lead to unconsciousness and drowning. Blanching of the area is followed by cyanosis (blue-tinge), gross swelling and paralysis extending up the limb. Extensive tissue damage follows. If necessary, rescue the victim from the water. Call for a doctor immediately. Render immediate first aid. There is a danger of respiratory failure and cardiac arrest. Use the hot water treatment as given for stingray (p. 12). Do not use a tourniquet unless death is feared. If the patient loses consciousness external cardiac massage and respiratory resuscitation should be applied and continued until a doctor arrives. In all cases, seek immediate medical help. Stonefish antivenom: This antivenom is prepared by hyperimmunizing horses with the venom of the stonefish Synanceja trachynis. The antivenom should be given by intramuscular injection, or intravenous infusion by a doctor. The initial dose depends on the number of punctures, e.g. 1 or 2 punctures, 2000 units (contents of 1 ampoule). Antivenoms should be protected from light at 2° to 8°C, and not frozen. The antivenom cannot be given to a victim allergic to equine antiserum. Avoidance: Wear thick-soled shoes when in areas where these fishes are likely to occur and be very careful when pulling oneself along or out of rocky areas. Stargazers (Uranoscopidae) Uranoscopus archionema These are bottom-dwelling fishes that have 2 spines projecting back¬ wards from just above the pectoral fins. The spines are defence weapons with venom glands attached. Two types occur in South Africa in depths of 40 metres and more: stargazer Uranoscopus archionema from the Cape to Zanzibar and spotted stargazer Pleuro- scopus pdeudodorsalis from the Cape to Algoa Bay. Symptoms & treatment: The hot water treatment, as for stingray (p. 12). Avoidance: Fish handlers, collectors, divers and trawlermen are the most likely victims. Do not touch stargazers whether they are found in nets, on lines or free swimming. Take care when handling fishing nets. 17 Sea catfish and eel catfish (Ariidae and Plotsidae) Three species of sea catfish occur in South African seas, the tropical catfish Ariodes dussumieri re¬ corded from the Western Indian Ocean southwards to Maputo, and two members of Galeichthys, the white sea catfish Galeichthys feliceps found all around the South African coast, and the black sea catfish G. ater found from the south coast to Port Al¬ fred. These fishes frequently oc¬ cur in estuaries and in brackish water. The sea catfish has the body and forked tail of the traditional fish, unlike the eel catfish which has a long, tapering eel-like body with second dorsal and anal fins joined to the caudal. The two spe¬ cies of eel catfish known from South Africa are Plotosus nkunga, a solitary species living among plants in cooler places, and the horizontally striped P. lineatus, a small black-and-white fish often found in shoals moving as a tightly knit group over areas of level sea-bed or sandy lagoons. They use their oral barbels to grovel in the sediment and detect food items. Catfish inflict a sting by means of one of 3 spines: a single dorsal spine, or one of 2 pectoral spines which all have backward-pointing indentations and are venom¬ ous. Symptoms and treatment: The sting may be lethal. The victim experiences instantaneous throbbing pain for an hour or so. The puncture wounds may be badly lacerated when the toothed spine is withdrawn and bleed profusely, the blood coagulating in lumps of jelly. Wounds are slow to heal and if left untreated by a doctor, gangrene sets in. Heat destroys the venom — using the heat treatment as described for stingray wounds (p. 12) gives immediate relief as does infra red heat from a lamp admin¬ istered for 20 minute sessions. Systemic antibiotics must be used in the case of secondary infection. Avoidance: Trawlermen are often victims. Take care when handling fishing nets, wear shoes when walking through shallow water and shuffle your feet. DANGERS OF THE SEA & SHORE 18 Yellow-bellied sea snake Pelamis platurus (Hydrophiidae) This is a pelagic sea snake that occurs throughout the Indo-Pacific from False Bay at the Cape, eastwards to California. It is the only sea snake reaching Africa and is sometimes thrown ashore on our south coast. Identify it by its flattened paddle¬ like tail — boldly barred in orange or yellow and black — and sharply zoned body, blue/black on top and yellowish on the belly. It has adapted to a saline envi¬ ronment by developing saline excreting glands under the tongue. It produces its young alive at sea. Sharks are the most significant predators of sea snakes. Although sea snake venom is approximately 2-10 times as toxic as that of the cobra (one ‘drop’ about 0.03 ml, is enough to kill 3 adults), they have the ability to withhold their venom when biting and only about one quarter of those bitten by sea snakes ever show signs of poisoning. The venom is a heat stable, non-enzymatic protein which blocks neuromuscular transmission, and may cause tubular damage in the kidneys. Symptoms and treatment: The victim may be without obvious symptoms at first but then develops a ‘thick’ tongue, thirst and dry throat. Generalised stiffness and aching develops, becoming paralysis which affects nearby muscle groups. Lockjaw and paralysis of the eyelids are characteristic. Respiratory distress and cardiac arrest may occur. Remove surface venom but do not cut or suck wounds. Immobilise and calm the victim. Delay the movement of the venom from the bite by applying a pressure bandage (but not a tourniquet). Give reassurance and immediately call a doctor. Mouth-to-mouth respiration may be needed. There is a sea snake antivenene but it is dangerous to persons who are allergic to it. It must only be administered by a doctor. Polyvalent land snake antivenene can be used in an emergency if there is no sea snake antivenene available. Sedatives are usually given and the victim will have to be hospitalised for at least 24 hours so that possible damage to the kidneys can be diagnosed in time. Avoidance: Sea snakes are sometimes found stranded in tidal pools or washed up on the beach. They are inquisitive and aggressive if handled or trodden upon. They are attracted by fast-moving objects such as divers who are being towed by a boat, and are known to congregate and become troublesome. They are also found in trawling nets. Handle sea snakes with extreme caution. 19 Poisonous to eat — ichthyosarcotoxic poisoning Ciguatera poisoning Ciguatera is usually a non-fatal disease caused by eating a variety of fish associated with coral reefs in tropical and subtropical regions. The term is derived from a marine snail Cittarium (Livonia) pica called cigua in the Caribbean and was first used to describe neurological and gastrointestinal disorders resulting from eating the snail. The principal toxin is ciguatoxin. The toxicity of ciguateric fish shows great individual, regional and seasonal variation. In general, the viscera are more poisonous than the flesh and larger fish are more likely to be toxic than smaller members of the same species. Ciguateric fish in any particular area may change in toxicity over a period of one to several years. Most commonly implicated are the twinspot snapper Lutjanus bohar, moray eel, grouper, barracuda and the surgeon- fishes. Symptoms and treatment: Symptoms will be noted from 2 to 12 hours after eating the fish and will include: headache, double vision and dilated pupils, tingling and numbness on the mouth, red itchy rash on the arms, dull ache in the elbow, sensory inversion (cold objects feel hot), anorexia, cramping, hair and nail loss, diarrhoea and muscle pains lasting up to 4 days. Total recovery may take weeks or even months. If the victim is conscious induce him/her to vomit by inserting fingers down the throat. Give reassurance. Urgent hospitilisation is required for treatment of convulsions and respiratory paralysis. Avoidance: It has been suggested by the ichthyologist, Jack Randall, that ciguatera tends to break out in areas of the reef where some form of ecological disturbance has recently taken place. This is thought to be due to the recolonising activities of a dinoflagellate which is found living on blue-green algae. Any large fish is a potential danger, particularly if it inhabits reefs. Pelagic school fishes are least affected. The viscera — liver and gonads —of tropical marine fishes should never be eaten. If in doubt, cut the fish into thin fillets and soak them in several changes of water, but do not use the rinse water for cooking purposes. Puffer fish poisoning (family Tetraodontidae) Puffer or fugu poisoning may occur fol¬ lowing the eating of certain puffers. Puffers have strong, beak-like jaws con¬ sisting of 4 plates, 2 above and 2 below. They can inflate their bodies into round, mostly spiky balls, by swallowing air or DANGERS OF THE SEA & SHORE 20 water. They are amongst the most poisonous of all marine animals, the poison being concentrated in the gonads (and roe/eggs), liver, intestines and skin. The appear¬ ance and amount of toxin in the fish — the deadly neurotoxin tetrodotoxin — is related to the reproductive cycle, and appears to be greatest just before spawning. Arothron hispidus is a predator on the crown-of-thoms starfish Acanthasterplanci, itself venomous. In Japan puffer poisoning constitutes a serious problem because there fugu is a delicacy. The attraction seems to lie in the delicate flavour that traces of tetrodotoxin impart to food or drink, and to a tingling sensation in toes and fingers accompanied by feelings of warmth. Symptoms and treatment: The first sign that something is wrong is a tingling sensation in the lips, tongue and throat within 10-45 minutes after eating the fish. More serious symptoms include excessive salivation, extreme weakness, nausea, vomiting, twitching of the muscles and convulsions. 60% of victims poisoned by puffers die. Death is usually due to respiratory failure. Act immediately if puffer poisoning is suspected. Administer an emetic. Induce vomiting (use mustard in warm water if necessary). Mouth-to-mouth respiration may be lifesaving. Call a doctor immediately. Avoidance: AH puffers from around the South African coast should be regarded as poisonous to eat. Also, do not eat porcupinefishes. When in Japan eat fugu only if prepared by a licensed ‘puffer cook’. Cooking does not inactivate the poison but it is partly water soluble and soaking of meat tom into small bits in water for at least 4 hours may remove it. Overdose of Vitamin A — Hypervitaminosis A There are a number of marine fishes, such as red steenbras Petrus rupestris, which concentrate vitamin A in their livers. The livers of sharks, especially that of the great white shark, and some of the larger groupers are likely to have high vitamin A concentrations. The livers of seals, sea lions, porpoises and dolphins are also poisonous. Symptoms & treatment: The symptoms are similar to those of arsenic poisoning. They may occur up to 7 days after a single overdose of Vitamin A and include drowsiness, headache, malaise and weakness, blurred vision, nausea, vomiting and abdominal pain. Serious cases will result in epileptic convulsions, a confused state of mind, gross peeling of the skin on palms and soles, and tender swellings of the bones. The vitamin is gradually excreted and blood serum concentration eventually returns to normal over a few days or weeks. There is little that can be done by way of first aid. Victims should have plenty of rest and avoid foods with Vitamin A. Medical monitoring is necessary. Avoidance: Do not eat the livers of these or any unfamiliar species. 21 Paralytic shellfish poison PSP This type of poisoning results from eating bivalves e.g. mussels and scal¬ lops, which have become infested with the dinoflagellates associated with blooms of red tide, especially Alexan- drium excavatum. The poison is the neurotoxin, saxitoxin, which is accu¬ mulated and concentrated by the shell¬ fish as they filter these organisms from the water. Some species of tropical crabs belonging to the family Xanthi- dae, which reaches its greatest diver¬ sity on tropical reefs, may also be poisonous. A crab’s toxicity is gov¬ erned by its diet. Within an individual species of crab, toxicity may be seasonal, limited to specific geographical areas or possibly only involve a few crabs or perhaps a single crab. Other forms of PSP, also caused by species of single-celled algae are diarrhetic shellfish poisoning (DSP), amnesic shellfish poisoning (ASP) and neurotoxic shellfish poisoning (NSP). They are named after the hallmark symptoms associated with them. Symptoms and treatment: There is a latent period which varies from 20 minutes to many hours. Tingling, then numbness is the first sensation, occurring around the mouth and hands and spreading over the body, followed by weakness in upper and lower limbs and a floating sensation. Difficulty in speech, vision, swallowing and breathing may all occur. Before the victim becomes paralysed in any way it is essential to make him/her vomit. If artificial respiration has to be given, be sure that the airway is cleared of vomitus and that the patient is not allowed to develop a bluish colour. Get immediate medical assistance. Avoidance: The unexplained presence of dead sea creatures along the beach is an indication that something in the sea is poisonous. You can’t see if shellfish are poisonous by looking at them. Avoid eating the dark meat (digestive organs), gills or siphons, and the white meat which is generally free of toxin must be well washed. If in doubt, throw it out! All poisons known from crabs are water soluble and heat stable so when a crab is cooked, the poison dissolves more readily in the water, leaving the crab flesh comparatively free of toxin. Most crab poisonings occur when the crab is eaten as a soup. Take heed of RED TIDE warnings on radio and television. Take no seafood from rocks and beaches contaminated with red tide. DANGERS OF THE SEA & SHORE 22 Scombroid poisoning Scombroid and other fishes with dark flesh (tunas, bonitos, mackerels, wahoos), which are normally safe to eat, become poisonous if handled incorrectly. If left for several hours at room temperature, or in the sun, the histidine in their muscular tissues changes by bacterial action into saurine — a histamine-like substance. The taste of affected fish will be sharp or peppery. Raw fish fillets wrapped in plastic or similar material that excludes oxygen can also become toxic. Symptoms & treatment: Nausea and vomiting, severe headache, throbbing of cranial arteries, palpitations, dry mouth, followed after 2 hours be generalised red colour, itching and blister formations over the whole body, inflamed eyes and common cold symptoms. Symptoms disappear within 12-16 hours but severe cases can last for days. Get the victim to vomit immediately and treat any other potential victims in the same way. Antihistamines are of benefit. Ensure fluid and electrolyte replace¬ ment. Calm the victim and call a doctor. Avoidance: Check that your ‘fresh’ fish is fresh. Tuna that is caught for human consumption should be immediately stored on ice. For long-term storage, freeze within 8 hours. Allergic reaction to shellfish, prawns or crayfish This is an immedaite hypersensitivity reaction to a protein in the shellfish. The victim will have been previously exposed to the same or similar protein and developed an antibody reaction. Symptoms develop after the second and sub¬ sequent exposures. Some people are allergic to crab meat. Symptoms & treatment: Redness, itching (particularly of ears), rashes, abdominal cramp, difficulty in breathing, choking. Drink lots of milk and call a doctor. Avoidance: Never eat any form of seafood again, once you have had an allergic reaction. Poisonous to handle — ichthyotoxic fish Ichthyotoxic fish lack a venom apparatus such as spines or teeth but produce toxins in secretory cells or glands and discharge them into the water. These toxins are often called fish mucus toxins and have been detected in the Tetraodontidae (blaasops, puffers and tobies), Grammistidae (striped rockcods or soapfishes), Gobiidae (gobies) and Soleidae (soles). Some species of soapfish and a species of moray eel exude large amounts of mucus that is irritating to human skin. These toxins are produced for defence. Fish Handler’s Disease is known throughout the world wherever fish are handled and is caused by the organism Erysipelothrix insidiosa. 23 Fish skin dermatitis is caused by an irritant found in the skin and flesh of tuna and mackerel. The irritant is more concentrated in spoiled than in fresh fish and appears in workers who handle the fish without wearing gloves. Symptoms & treatment: The skin develops a purplish-red circular area which spreads outwards with painful swelling. Ulceration and secondary infection may result. Treatment is with topical steroids and antibiotic ointments. Avoidance: When handling marine animals, wear thick, tough gloves and treat even small cuts seriously. Coral cut Stony corals belonging to the phylum Coelenteratahave calcareous outer skeletons and often cause lacerations because of their razor-sharp edges. This can be danger¬ ous because not only is the coral covered by infected slime, but pieces of coral or other foreign bodies may remain in the wound. Secondary infection is common. Remember that corals can also sting. Symptoms & treatment: The main reaction to a coral cut is the appearance of red welts, lesions and itching around what may appear to be a superficial wound. (Contact dermatitis can also occur without a person’s having direct contact with coral, because other organisms which may be armed, e.g. sea slugs who have ingested nematocysts, may release venom into the aquatic environment.) All cuts and wounds must be treated vigorously to prevent secondary infection and ulcera¬ tion. Scrub the lesions with a soft brush or towel using soap and water. All foreign particles must be removed. Apply isopropyl alcohol and while the wound is still wet, sprinkle the powder contents of a tetracycline capsule on it. Pat into a paste with an applicator and allow to dry to form a crust. If this is done, no bandage is necessary. Alternatively, having thoroughly cleaned the wound with antiseptic soap, apply Betadene. Do not use mercurochrome as infection can develop under. Avoidance: When in the vicinity of corals, try to avoid them. Wear gloves, rubber-soled canvas shoes or a completely-soled flipper and do not handle corals. At the seaside Sea Bather's Eruption This is an allergic reaction caused by the larvae of the sea thimble Linuche unguiculata , a tiny jellyfish. The sea thimble lives in tropical and subtropical waters and spawns in spring. Swimmers collect the larvae inside their clothing and are stung by the nematocysts hours or even days later. Rubbing or exposure to fresh water triggers the nematocysts to fire. It is not the toxin itself that causes the rash, but an allergic reation in the individual which can develop with several exposures. DANGERS OF THE SEA & SHORE 24 Symptoms & treatment: A severe rash develops with red bumbs on the body, particularly on areas covered by clothing — such as swimming costumes and snorkelling gear — sometimes accompanied by nausea, chills, fever and head¬ aches. Dry off thoroughly and remove your bathing costume before showering. Treat with calamine lotion. Swimmer's Itch This is caused by a larval worm known as a cercaria. The worm may burrow into human skin after leaving its marine snail host, on its way to its final host, a sea bird. Symptoms & treatment: A rash develops on the exposed parts of the body. Shower with soap and water. If rash persists, consult a chemist. Marine dermatitis Dermatitis (skin infections) can also be caused by contact with sponges and blue-green algae which affects parts of the body covered by bathing suits. Males are especially affected on the scrotum and females on the breasts. Symptoms & treatment: A severe rash develops with blisters. Symptoms start within a few hours after swimming, may persist for a few days and then disappear. Consult a chemist. A calamine-based lotion may give some relief. Avoidance: People swimming in algae abundant waters should shower with soap and water and wash their bathing suits immediately after swimming. Sandworm Sandworm is a mite that burrows under the skin (usually the foot) and causes considerable irritation. It leaves a narrow inflamed raised winding track where the parasite moves along, just under the skin. Scratching rapidly causes these tracks to turn septic. The mite occurs in sandy ground above the high tide mark. Treatment: Ask your chemist for Vermox and apply it regularly to the tracks. Sunburn The sun is a real and obvious danger to anglers and beach lovers. Recurrent sunburn over a number of years results in permanent damage to the skin. However, a gradually-acquired tan gives the skin a measure of protection against sunburn but the amount of sun your skin can tolerate before burning depends on your skin type i.e. a very fair skin will tend to bum immediately. Follow these sensible guidelines and protect yourself from disfiguring forms of skin cancer: > When first exposed to the sun (e.g. at the beginning of your holiday) wear a good sun-filter cream with a Sun Protection Factor of over 17. In South Africa, the SPF rating has been standardised so that an expensive sunblock advertising SPF17 will supply the same protection as the No. 17 of a cheaper brand. Apply 25 it half an hour before exposure to the sun. After the initial tanning is safely completed, you can reduce the SPF in the sunblock you use. > Protect sensitive areas of the skin such as nose, lips, ears, shoulders, back and ankles. When going fishing, wear an angler’s cap with long flaps down the sides, or a wide-brimmed hat. Long-sleeved shirts and sunglasses are also helpful. Overalls afford excellent protection for anglers. > Sunbathe only during the cooler part of the day. It is not advisable to take pure Vitamin A as protection against the sun. Use Beta-carotene for sunburn prevention as it reduces to retinol in the intestines and is not toxic. Once sunburn has occurred, treat the affected area with cold water compresses and apply soothing lotions such as a calamine-based lotion. Avoid further sun exposure until the skin has healed. Angling injuries Accidents whilst cleaning fish Frequently while scaling a fish an incautious movement results in a dorsal, anal or pelvic spine Thyrsites atun snoek jabbing the hand. Some ser¬ rated preopercle edges can cut one to the bone. Fishes with strong spiky gillrakers such as rockcods and the common South African hake cause nasty lacerations unless handled very carefully. Be extra careful when handling sharks supposed to be dead. Recently a young boy was seriously injured when his father handed him a ‘dead’ shark. The teeth of some fishes such as red steenbras and the snoek possess an anticoagulant and bites bleed profusely. Treat these wounds immediately. Clean the wound in hot water and apply a local antiseptic ointment such as Betadene. Deep cuts must be stitched within 12 hours and precautions against tetanus taken. Accidents with fish hooks When a fish hook becomes embedded in the finger, local anaesthesia and minor surgery may be required. Commercial hook-removing sets are available for sale in some countries. However, a piece of string 100 cm long will also do the trick. The method makes the hook retrace its passage through the tissues, by applying forces which make it go exactly into reverse along its pathway. Treatment: The piece of string about 100 cm long is looped double, and the ends are wrapped around the operator’s index finger. The loop, 45 cm long, is dropped over the shank of the hook. The victim’s impaled finger is placed on a firm surface, the eye pointing to the operator’s left (if the operator is left-handed, reverse all / DANGERS OF THE SEA & SHORE 26 directions.) The operator grasps the eye and shank of the hook betweeen his left thumb and index finger, and presses it down. This disengages the barb pain¬ lessly. The loop of string held by the operator’s right hand is then pulled out horizontally, in the line of the shank. This brings the loop to the centre of the curve of the hook, where it may beheld by the tip of a finger of the left hand of the operator. A smart pull with the op¬ erator’s right hand, with a good follow- through, will remove the hook painlessly. Larger hooks need a double loop and longer loop length, but large snapper hooks will have to be removed by a doctor. Avoidance: It is advisable to use a hook disgorger or pair of pliers to remove the hook from a fish’s mouth. Fisherman's litter Dead carcasses of fish such as sharks, skates (barbs in the tail) and sea catfish (sharp spines) discarded by fishermen can rep¬ resent a hazard to other people, as well as giving offence. Fish that are not required should be returned, alive if possible, to the sea — not killed and thrown aside. To remove a hook from a catfish, slide the fingers over its forehead so that the forefinger and middle finger are on either side of the dorsal spine, and hooked just behind the two lateral spines, and use a hook disgorger. Small sharks can be held just behind the head from the back and thus subdued whilst the hook is removed. Be careful of the spines of the elephantfish Callorhyn- chus capensis. It has a large groove spine on its dorsal fin with 2 serrated ridges towards the back between which is a venom gland. A stab from this spine is very painful. To safely retrieve a hook from this slippery fish, grip it with a towel just behind the mouth on its bottom side, or hold it on its lower jaw with your thumb in its mouth. Callorhynchus capensis 27 Fishing from rocks Do as JLB Smith always did and sit quietly on the rock, watching the water and noting the wave patterns. Work out an escape route, going with the current, should you be washed off the rock. Along the south Cape coast where cliffs plunge into the sea, freak waves can rise up to 15 metres out of an apparently calm sea. If you can avoid it, don’t turn your back on the sea. Fishing where there is a NO FISHING signboard In October 1994, an angler from Port Elizabeth was badly burnt and narrowly escaped death after his graphite rod touched an overhead railway power line, triggering a 25 000 volt shock through his body near an off-limits fishing spot. He had ignored the prominent “No Fishing” signboard erected by the Municipality. All that remained of the fishing rod were a few bristles and some spatterings of melted plastic. The moral of this story is obvious! Swimming, and crossing estuaries Backwash is a great danger along South African beaches and swimming near a river mouth is not advisable. Strong backwashes often cut channels at an angle to the beach. Watch the waves to see the pattern of the backwash. They normally operate in a semi-circle — so if the current is too strong, don’t panic. Deep water frequently occurs between the beach and a submerged sandbank. To reach safety, swim across the current (not against it) at right angles to the beach straight out to sea, and aim for a sandbank on which to rest. Never dive headfirst into a pool or from a rock into the waves even if you think you know the area well. The sand along our beaches is altering all the time. Banks can build up in a matter of hours and between tides, holes can develop in the sand over which the waves are sweeping. When planning to cross an estuary, first consult a tide table. Select the crossing site with a view to boulder-hopping but beware of slippery rocks and logs. Every year many people drown in rivers, dams and the sea, often after drinking alcohol. Don’t drink and swim. Keep a look out for rubber ducks and other motorized craft and swim in designated swimming areas. Children and boats Never let children and young people sit up front on the bow of the boat. Should the boat dip or lunge suddenly they can be thrown off and seriously injured by the hard fibreglass or metal hull and the propellor blades as the boat passes over them. The greatest danger comes from falling off the front of a boat, particularly at high speed. ‘Lifejackets’ are just that and should be securely fastened. A badly fitting jacket or one of the wrong size may actually impede swimming. Wear the life jacket when planing. DANGERS OF THE SEA & SHORE 28 In the event of a collision, driver and passengers may be flung from the boat and, if knocked unconscious, will drown without a lifejacket. If the boat is sinking and you have to jump overboard, discard your shoes, fold your arms in front of your chest in such a way that one arm will hold the life jacket in place, and block your nose with the other hand. Survival chances are better if you stay with the boat instead of swimmimg away from it. Use a lifejacket when paddle skiing up heavy surf or strong currents. How to save a person from drowning Statistics recently published by the SAP show that in 1994,1010 people died from drowning in South Africa, yet our coastline claims only 15% of these victims. The statistics further show that lifesavers perform approximately 108 rescues a month, so it is obvious that without their efforts, the death rate by drowning in the surf would rapidly escalate. It takes only 15 seconds to drown: if there’s water, there’s a chance of drowning. Drowning is the same as suffocating in that death results from lack of oxygen. When rescuing a drowning person be aware that the victim may panic and clutch onto you in such a way that swimming is difficult. If this happens, bring a hand up between the victim’s arms and push his/her head backwards. In difficult cases, flex your hip and knee and use your lower leg to push against his/her chest until he/she lets go. If the drowning person is cooperative, tell him/her to place their hands on your shoulders from behind and hold on. Swim breastroke and tow the victim to safety. If the victim is unconscious, however, you will have to swim backwards or sideways with your hands on either side of his/her head to support it. Mouth to mouth resuscitation must begin as soon as possible, following these steps: > Clear out the victim’s mouth and throat; lift the chin and tilt the head backwards so that the throat is in line with the breastbone and the chin is pointing upwards; > Close the nose, cover the victim’s mouth with yours and blow in an ordinary breath until you see his/her chest rise; > Remove your mouth so that the air can escape from the victim’s mouth, then blow another breath in through his/her mouth — about 16 breaths a minute. > Have someone call a doctor — victims of near-drowning incidents often have delayed reactions though they appear to have recovered. Basic heart massage If a drowning victim’s heart has stopped beating, mouth to mouth respiration will be useless. Call a doctor immediately. If there is no pulse at the wrist, a bluish colour to the body, and enlarged pupils which do not react to light, then the victim’s heart has stopped beating. 29 Place the patient on his/her back on a hard surface. Give the front of the chest one or two forceful thumps with the side of a fisted hand to restore normal rhythm. If there is no response: > take up a position at the right side of the chest and place the heel of your left hand on the patient’s breastbone with the middle finger across the chest in line with the nipples; > place the right hand over the left; > with arms straight, rock backwards and forwards rhythmically to depress the breastbone (60 compressions per minute), about 4 - 5 cm in an adult and 2 - 3 cm in a child. If one person is administering both the mouth-to-mouth respiration and the cardiac massage, give 2-3 breaths to every 15 heartbeats. Further reading Highly recommended: Don’t Die in the Bush, P.M. Leary, Struik, Cape Town, 1994. This indispensable little book deals with most outdoor emergencies. Highly recommended: Two Oceans: A guide to the marine life of Southern Africa, G. Branch et al., David Philip, Cape Town, 1994. Recommended for the identification of sharks and rays: Guide to the Sharks and Rays of Southern Africa, L. Compagno et al., Struik, Cape Town, 1989. Recommended for young readers: Deadly and Dangerous. Questions & Answers; Susan Matthews, Struik, Cape Town, 1994. Recommended: The South African Fisherman, I. Whibley and P. Garratt, Struik Timmins, Cape Town, 1989. (See: “Angler’s First Aid”) References Dangerous Marine Animals, B. Halstead, Cornell Maritime Press, Maryland, 1959. Poisonous and Venomous Marine Animals of the World, revised edition, B. Halstead, The Darwin Press, Princeton, 1978. Poisonous marine animals, Findlay E. Russell, Academic Press, London, 1965. Marine Toxins and other Bioactive Marine Metabolites , Y. Hashimoto, Japan Scientific Societies Press, Tokyo, 1979. Toxic Plants and Animals. A Guide for Australia, ed. J. Covacevich, P. Davie & J. Peam, Queensland Museum, South Brisbane, 1987. The Fishes of Australia’s South Coast ed. M. Gomon, J. Glover & R. Kuiter, State Print, Adelaide, 1994. (See ‘Harmful Fishes” pp 921-932) 30 INDEX Accidents with boats. 27 Accidents whilst cleaning fish. 25 Accidents with fish hooks . 25 Allergic reaction to seafood. 22 Allergic reaction to seawater. 23 Anemone stings .2 Barracuda . 10/19 Bluebottle stings.1 Boats. 27 Bristleworm stings.6 Ciguatera poisoning . 19 Cone shell stings.4 Coral cut wounds. 23 Crab poisoning. 21 Crown-of-thorns starfish stings.6 Dermatitis - skin rash. 23/24 Devil firefish — poisonous fin-spines. 15 Devilray — sting on the tail. 12 Dogfish sharks — fishes with venomous spines. 11 Drowning — rescue. 28 Eel catfish — venomous spines . 17 Electric rays .7 Elephantfish — dangerous spines. 26 Estuaries—crossing and backwash. 27 Fire coral stings.3 Firefish — dangerous spines. 15 Fire hydroid stings.3 Fireworm — stinging bristles.6 Fish mucus toxins causing skin irritations . 22 Fish hooks embedded in the skin. 25 Food poisoning from eating fish . 19 Grouper poisoning.9 Heart massage. 28 Hydroids — painful stings .3 Jellyfish — painful stings.1 31 Moray eel — dangerous bite/food poisoning.10/19 Mouth-to-mouth resuscitation .28 Musselworm — stinging bristles .7 Octopus bite .5 Paralytic shellfish poisoning.21 Puffer poisoning .19 Rabbitfishes — venomous spines.13 Red steenbras — poisonous liver .10 Red tide.21 References and recommended reading .29 Rockcod — dangerous gill rakers .10 Sandworm itch.24 Scombroid poisoning.22 Scorpionfishes .14 Sea anemone stings.2 Sea bather’s eruption — painful rash.23 Sea catfish — stinging spines .17 Sea cucumber causing skin irritation.7 Sea firs stings.3 Sea snake—dangerous bite.18 Sea swallow stings.3 Sea urchin stings.5 Sharks .8 Spiny sharks, dogfish sharks.11 Starfish — dangerous spines.6 Stargazers — venomous spines.16 Stingrays.12 Stonef ishes.15 Sunburn.24 Surgeonfishes.13/19 Swimming .27 Swimmer’s itch.24 Triggerfishes — dangerous spines.13 Tuna poisoning.22 Turkeyfishes — venomous fin-spines .15 Unicornfishes — dangerous spines .13 Vitamin A poisoning .20 32 An invitation to subscribe to ICHTHOS — Friends of the J.L.B. Smith Institute of Ichthyology ICHTHOS was founded in 1982 by Prof. Mike Bruton as a society which would, through the medium of a quarterly newsletter, attempt to bring about a better understanding and appreciation of fishes and aquatic environments. The name ICHTHOS is an abbreviation of "The South African Ichthyological Society". Professor J.L.B. Smith, famous for the discovery of the coelacanth Latimeria chalumnae (1939), always kept open the lines of communication between ichthy¬ ologists and members of the public interested in fishes and in fish research. He gave radio talks and published many articles in the popular press. These are still the guidelines which ICHTHOS follows in its many publications and educational posters. Today the aims of ICHTHOS are: > To encourage easy communication between scientists and interested members of the public; > To further the research carried out by the Institute and to keep the public informed; > To provide anglers with the opportunity to participate in research on fishes by reporting unusual catches and donating specimens; > To play a relevant role in environmental education; > To encourage angling clubs to support sustainable fishing and wise conservation measures. Besides the Newsletter, ICHTHOS offers subscribers discounts on the purchase of books on fishes and aquatic environments and a variety of ‘fishy’ goods such as the very popular fish identification posters sponsored by Irvin & Johnson, T-shirts, videos, stickers and framed prints. Annual subscription rates are: Individual.. Family.. Club or Library. Corporate. Student. R25 R30 R50 R75 R20 For more information or to subscribe write to: ICHTHOS, Private Bag 1015, Grahamstown 6140. Telephone: 0461-27124. NOTES NOTES Date Due