Scuba Diver Issue 5 - 2014 SG
Scuba Diver Issue 5 - 2014 SG
Scuba Diver Issue 5 - 2014 SG
SCIENCE
IN DIVING
uw3some.com/sdaa
PLUS!
PPS 1473/11/2012(022874)
Publisher
Editor
Australia Features Editor
Associate Editor
Field Editor
mide.com.my
thailanddiveexpo.com
DESIGN
Graphic Designer Justin ONG | justin@ScubaDiverAA.com
Contributing Designer Eric WONG | eric@ScubaDiverAA.com
Web/IT Officer Jonathan SOH | jonathan.soh@ScubaDiverAA.com
CIRCULATION & PRODUCTION
Senior Circulation/Distribution Manager Victor OW | victor@ScubaDiverAA.com
Circulations/Administration Executive Sheila DEVI | sheila@ScubaDiverAA.com
Contributors Imran AHMAD, Lia BARRETT, Pierre COUSTEAU, Justin
GILLIGAN, John GRAINGER, Foued KADDACHI, Tasneem
KHAN, Umeed MISTRY, Darja TJIOE, Vinny TURNER, Sian
WILLIAMS, Steve WOODS
Media partners:
Fifty Fathoms
In association with:
MEDIA CORRESPONDENTS
North America
Germany
Hong Kong
Japan
Malaysia
Thailand
China
TM
WORLD HEADQUARTERS
Asian Geographic Magazines Pte Ltd., 20 Bedok South Road, Singapore 469277, Tel: +65 6298 3241,
Fax: +65 6291 2068, Email: info@ScubaDiverAA.com
AMERICAS REPRESENTATIVE OFFICE
DivePhotoGuide, 84 Perry Street, New York, NY 10014, USA
Singapore
China
READ MORE, DIVE MORE
AUSTRALASIA is published every three months. Asian Geographic Magazines Pte Ltd
Printed in Singapore by KHL Printing Co Pte Ltd.
MICA (P) 035/05/2013, PPS 1473/11/2012(022874); ISSN 0729-5529
Newsstand Distribution
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Interlink Tel: (+1 239) 949 4450
BEUCHAT-DIVING.COM
www.uw3some.com/ADEX
April1012
SUNTEC CITY
S I N G A P O R E
ADEX 2015 is dedicated to the lovable dolphin. Except for human beings,
dolphins have few natural enemies. However, some dolphin species face
an uncertain futre, expecially several river dolphin species such as the
Ganges and Yangtze river dolphin, which are critically endangered, if not
already extinct! Were rooting for this friendly, freewheelin cetacean and
celebrating one of Earths most intelligent animals!
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CONTENTS
Destinations
Features
BEYOND 18
STUCK IN REVERSE 54
SCIENCE IN EDEN
By Umeed Mistry and Tasneem Khan
In Indias pristine Andaman
Islands is a research station
that supports interdisciplinary
research, development, and
conservation, whose doors
are open to tourists looking
for a diving experience that
goes deeper
By Pierre Cousteau
Harnessing the power of the
people: How logging your dives
can contribute to a vital body
of research that is mapping the
health of the ocean
By Imran Ahmed
Getting things back-to-front
and just right for more than just
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Macro looks like its here to stay
ENCOUNTERS 26
REEFS ELECTRIC!
By Sian Williams
A little island in Indonesia is
taking reef restoration to the
next level, using renewable
energy to power electric reefs
that are resilient to bleaching
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AUSTRALIA 34
SOCIAL NETWORKING
By Justin Gilligan
New technology is shedding
light on the intricacies of shark
societies in Jervis Bay
Editor
BODY MATTERS 46
By Darja Tjioe and Alice Grainger
The science behind some of the
weird ways our bodies react to
being deep underwater, and
what, if anything, we can do
about them
On the Cover
Find Alert Diver facing page
64, packed with essential
information from the Divers
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experts in dive safety, training
and accident management
E VERFLE X WE TSUIT
Suited for the extraordinary.
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FOR AN UNFORGET TABLE EXPERIENCE, EVERFLEX IS THE PERFECT FIT.
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DIAMOND SPAN
THERMAL LINING
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PUCK PRO
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XTRAORDINARY DIVES
Pulse of
the Ocean
MOALBOAL, CEBU,
PHILIPPINES
By Victor Tang
The resident sardine shoal
at Pescador Island has been
enthralling scuba divers for
years. This wonder of nature
has since moved and now
lives right on the Moalboal
shoreline, making them even
more accessible than before.
Hovering in their midst,
swaying to their pulse as
they evade their omnipresent
predators, brings a diver right
into the heart of the majesty of
our oceans.
Tiny Mama
Sunflowers
BANCO DI SANTA CROCE,
SORRENTO, ITALY
By Pietro Cremone
I was diving at my favourite
site, shooting macro. I found
a wonderful wall completely
covered by these stunning sea
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shot in a traditional manner.
But I was in the mood to try
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decided to open up my aperture
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Sometimes the most common
shots can give you great
satisfaction, especially if you
decide to try something new
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PUERTO GALERA,
PHILIPPINES
By Beth Barklage Watson
Solitary
Making Contact
UMKOMAAS, KWAZULUNATAL, SOUTH AFRICA
By Gianluca Afflitti
This was one of those lucky
days. Diving in the clear,
winter waters, the noise of
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grouper, who came over,
unafraid, seemingly with
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equipment.
silver
cinema of dreams
www.seacam.com
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1. In a stunning piece of natural art,
fringing mangroves stand against
another stunning island sunset
at Eastern Mayabunder, Middle
Andaman Island
Image Tasneem Khan
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Diversity, interaction and action. At
Twins Island in South Andamans, a
breathtaking variety of coral, huge
numbers of fusiliers and countless
invertebrate life forms
Image Umeed Mistry
NAVIGATOR
*HWWLQJWKHre:
Port Blair, the capital city of the is connected to
mainland India by air and sea. There are multiple daily
flights from Chennai and Calcutta with Kingfisher Airlines,
Jet Airways or Indian Airlines.
The ANET base in Wandoor (South Andaman Island)
is a 26 km drive from the capital city of Port Blair. Taxis
and local buses ply this route regularly. Buses leave Port
Blair for Wandoor every half an hour and stop. The ANET
base is a 10 to 15 minute walk down the single road that
leads to the North Wandoor beach. Contact ANET if you
require assistance.
(TXLSPHQWDQGWUDLQLQJ
Many sites in the Andaman Islands have strong currents
through the year.
Most dive operators in the Andamans have supervised
dive groups led by certified dive-masters. Solo diving and
diving in unguided buddy pairs is not the norm. Many of
the sites that see the most action average a max dive
depth of 2528 metres. Well maintained, state-of-theart dive equipment is easily available for rent from most
ENCOUNTERS
By Sian Willams
REEFS ELECTRIC!
In Lombok, they are catapulting
reef restoration into the 21st
century, with basic chemistry, solar
panels and a little bit of manpower.
SDAA
26
it is possible to see
Here
some of almost everything
SODFHV\RXFDQVWLOOQGSDWFKHVRIFRUDOUXEEOHRQZKLFK
QRWKLQJZLOOJURZ5XEEOHVKLIWVZLWKWKHFXUUHQWVDQG
waves, making recolonisation by coral recruits very
GLFXOW:LWKRXWKHOSWKHVHUHHIVFRXOGWDNHPDQ\
GHFDGHVRUPRUHWRUHFRYHU2QODQGWKHHHFWVRIWKLV
annihilation can be seen with beaches eroding away,
KDYLQJORVWWKHLUHVVHQWLDORVKRUHSURWHFWLRQIURPZDYH
action the coral reefs.
planted on these
Corals
structures can grow up to
SDAA
28
ENCOUNTERS
After only a few days a layer of
calcium carbonate develops, coating
the steel structure and providing an
ideal substrate for coral recruits
Image Foued Kaddachi
1
dissipating wave and current energy, and are helping to
stem coastal erosion beaches are returning.
The reefs around the Gilis now demonstrate areas of
DEVROXWHO\SULVWLQHFRUDOVDQGDKHDOWK\DEXQGDQFHRIVK
species. There is still an ongoing campaign to turn the
*LOLVLQWRD0DULQH3URWHFWHG$UHDDQGZLWKJRRGUHDVRQ
large areas of the reefs here are covered with a rare type
of blue coral, found in few other places in the world in
such healthy abundance.
GREEN REEFS
Even though the reefs around Gilis are healthy, colourful
and diverse, growing development on the islands has
led to an increase in anchoring and associated damage,
DQGDQHYHUJUHDWHUQHHGIRUUHVWRUDWLRQSURMHFWVVXFKDV
%LRURFN,QUHFHQW\HDUVWKHZDUPFOHDUVKOOHGZDWHUV
have led to an incredible boom in the dive industry here.
Slowly, more and more people are beginning to catch on
WKDWWKHUHLVIDQWDVWLF\HWKDVVOHIUHHGLYLQJULJKWRWKH
beach. Protecting the natural resource that underpins this
industry is vital.
I had intended to visit Gili Trawangan for about six
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3URJUDPPHFDUULHGRXWWKURXJK7UDZDQJDQ'LYHDQG
the Gili Eco Trust. But after completing my two weeks of
training, learning how the Biorock technology works and
how successful the project has been around the Gilis, I
swiftly made it my aim to stay and volunteer for as long
as possible.
To enrol on this reef restoration course, students
QHHGOLWWOHRUQRNQRZOHGJHRI%LRURFNRUDQ\VFLHQWLF
EDFNJURXQGIRUWKDWPDWWHU$OOWKH\QHHGLVDKHDOWK\
GHVLUHWRJLYHVRPHWKLQJEDFNWRWKHRFHDQ,QWKHUVW
ZHHNZHWUDLQHGLQFRUDOLGHQWLFDWLRQDQGOHDUQHGKRZ
to recognise a whole variety of sponges, algae, fans and
feather stars. In the second week we began the gruelling
task of designing, measuring, cutting and welding locally
sourced steel in the heat of a tropical rainy season. We
installed 32 Biorocks, which, when put in place, created
the form of a huge manta ray. Creative, yes, but, more
SDAA
30
LPSRUWDQWO\WKLVZDVWREHWKHYHU\UVWVRODUSRZHUHG
SHUFHQWVXVWDLQDEOH%LRURFNUHHI
Floating on a pontoon four metres above the structures
are two large solar panels, enough to power the whole reef,
as well as a few other structures that were installed some
\HDUVDJR7KHUHVXOWVDUHDVWRQLVKLQJ$IWHUMXVWRQHZHHN
of being hooked up to the solar panels, limestone accretion
was visible as a thick, healthy white layer covering the
rebar the perfect substrate for our transplanted corals to
cement to.
7KHUHHILVWKULYLQJZLWKLQDIHZVKRUWPRQWKV$
VFKRRORIUHVLGHQWMXYHQLOHEDWVKQRZIROORZV\RXDURXQG
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between the bars. Crabs can be seen crawling all over the
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1RWRQO\LV0DQWD5HHIQRZDSHUIHFWKRPHIRUVRPH
RQFHVWUHVVHGEURNHQFRUDOVEXWLWLVDOVRDQHGXFDWLRQDO
snorkelling site. Big slates with messages of how to take
care of and protect the ocean were donated by various
ENCOUNTERS
NAVIGATOR
Getting there:
You can get to the Gilis via Bali or by flying directly
into Lombok from Jakarta. A number of fast boats
leave from Balis Padangbai, Nusa Lembongan and
Sanur; some of them go via Senggigi. The fast boats
take around an hour and half. If youre arriving in to
Mataram, you will need to take a bus to Pemenang
and from there take a cidomo (horse drawn cart) to
Bangsal harbor. Public boats from Bangsal harbour
to the Gilis run between 8am and 5pm every day, and
only leave when they are full.
SDAA
32
Corals on the Biorocks grow around six times faster than they do without the technology.
Mature Biorock structures in the Gilis are now well-established reefs
Image Alexandra Jernberg
INVIGORATE.
INNOVATE.
INSPIRE.
www.nauticam.com
AUSTRALIA
By Justin Gilligan
SOCIAL
NETWORKING
SDAA
34
were so many
There
sharks there it was
unbelievable, hundreds of
them were all sitting there
RQWKHVHDRRU
)RUVWHUDQG6HDO5RFNV)LQJDO,VODQGR3RUW6WHSKHQV
%DUH,VODQGR6\GQH\DQGWKURXJKRXW-HUYLV%D\
The diving in Jervis Bay has been rated amongst the
best in Australia. Shallow seagrass meadows provide
a haven for a diverse suite of colourful characters
such a weedy seadragons and pyjama squid. The kelpdominated, shallow, rocky reef gives way to boulder
HOGVHQFUXVWHGLQVHDWXOLSVVSRQJHVDQGDVFLGLDQV
Large blue groupers, schools of old wives and inquisitive
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GHYLOVKDUHVRPHRIWKHKLGGHQJHPVWREHIRXQGZLWKLQ
the Port Jacksons domain.
During one exploratory dive in Jervis Bay, Nathan
recalls discovering a huge aggregation of Port Jackson
VKDUNVRWKHVRXWKHUQVLGHRIWKHED\7KHUHZHUHVR
many sharks there it was unbelievable. Hundreds of them
ZHUHDOOVLWWLQJWKHUHRQWKHVHDRRULQVPDOOJURXSV,WZDV
a remarkable encounter for our team, Nathan says.
SDAA
36
RECORDING PROXIMITY
:HDUHWU\LQJWRGHPRQVWUDWHKRZWKHVKDUNVLQWHUDFW
Nathan says. The social structure of a population is closely
connected to their behaviour, ecology, and evolution.
To do so, the team are using proximity receivers, a new,
acoustic technology that records and stores information
AUSTRALIA
A range of morphometric
measurements, such as total length
are recorded from each shark before
release
1
2
38
2. Omni-directional ultrasonic
receivers are used to record the
identification number, along with
arrival and departure times when
tagged sharks swim within range of
the receiver
AUSTRALIA
NAVIGATOR
Getting there:
Huskisson is the main gateway to Jervis Bay and
is a two-and-a-half hour drive south from Sydney
international Airport.
Equipment and training:
An open water dive certification is the minimum
requirement to assist with this research.
CHILDREN
OF THE SEA
The Search
Pierre-Yves Cousteau exploring
the reefs of the Maldives on the
uw3some Expedition, 2014. You can
join him in collecting data that will
contribute to saving the seas we love
Image Aaron Wong
CITIZEN SCIENCE
Cousteau Divers has a wide range of activities, structured
DURXQG WKUHH PDMRU D[HV 6FLHQFH &RPPXQLW\ DQG
0XOWLPHGLD DQG RQH ZRUG ,QWHUDFWLYLW\ 7KH PDLQ IRFXV
at this stage is to harness the power of the hundreds of
thousands of recreational divers around the world to
engage with us through a revolutionary citizen science
LQLWLDWLYH
*HWWLQJ LQYROYHG LV HDV\ %DVHG RQ PHWKRGV WKDW DUH
as simple as observing aquatic life you encounter and
then logging your dives, you, and any recreational diver,
can contribute to a global monitoring programme of
WKH RFHDQV %\ FROOHFWLQJ DQG FROODWLQJ \RXU XQGHUZDWHU
observations, we will be able to establish a near real-time
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Cousteau Divers is the beginning of a lifetime of adventure
DQG LQYHVWLJDWLRQ OHQGLQJ \RXU GLYHV D YLWDO SXUSRVH
-RLQ XV
Pierre-Yves Cousteau
EUROPEAN HANDMADE,
QUALITY, RELIABILITY...
SUBAL AUSTRIA
FEATURE
By Darja Tjioe
FINDING
YOUR INNER WHALE
Our bodies can do what our minds cannot fathom.
While the incredible and often bizarre characteristics
of the oceans creatures are a never-ending source of
fascination for us, as a species human beings are also
capable of exhibiting some extraordinary physiological
attributes. Some of these talents, presumably buried deep
within the genome, typically go unnoticed in our day-today lives and are only manifest when we are faced with
unusual circumstances.
To illustrate this, imagine putting your face into water.
The water temperature should be about 21 degrees Celsius
or less. What happens? First, your face will feel cold.
Second, of course, you wont be able to breathe. (Clearly,
\RXZRQWEHDEOHWRVXVWDLQWKLVH[SHULPHQWLQGHQLWHO\
In reasonably short order, however, if all is well and you
are a fairly typical example of our species, your heart rate
should drop to about three-quarters of its normal rate.
That, in itself, is actually a rather extraordinary thing.
The phenomenon is part of something known as the
PDPPDOLDQGLYLQJUHH[,WH[LVWVLQDOOPDPPDOV
aquatic mammals such as seals and dolphins in particular,
and even some diving birds, but also in land-dwelling
mammals, including humans. Its our bodies involuntary
response to immersion in cool water. Are we, if only for a
brief moment, accessing the bodys evolutionary memory
RIZDWHU"$IWHUDOOEHIRUHZHZHUHERUQZHZHUHRDWLQJ
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designed for being in water?
SDAA
42
VORZHGKHDUWUDWHVRIGXFNVVXEPHUJHGLQZDWHUDOVR
noting that bleeding the duck reduced its diving capability.
Some years later, one of Berts students, Charles Richet,
deduced the reduction in metabolic rate during diving
based on the fact that oxygen stores alone could not
account for the length of the dives achieved by the animals.
Despite the inhumane nature of these experiments,
WKH\ZHUHDOVRKLJKO\HHFWLYHDWVKRZLQJWKHH[LVWHQFHRI
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wasnt recorded until the 1950s, when Norwegian Per
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in other animals, including humans. In a 1963 paper in
6FLHQWLF$PHULFDQ, he called it the master switch of life.
In the 1960s, the very idea of freediving any deeper
than 50 metres was dismissed as impossible and
dangerous. Scientists insisted that it couldnt be done,
largely because of the pressures to which the body would
be exposed. Imagine that for every 10 metres you dive
down, your body has to withstand another one bar of
pressure. At 100 metres, your lungs would be reduced to
less than 10 percent of their size at the surface. Thus, it was
claimed that beyond 50 metres, the pressure would cause a
divers lungs, or even the entire ribcage, to collapse.
Unsurprisingly perhaps, all this talk of limitations only
seemed to motivate certain extraordinary individuals to
prove the theories wrong. Italian Enzo Maiorca was the
UVWWRGLYHWRPHWUHVFORVHO\IROORZHGE\)UHQFKPDQ
SDAA
44
FEATURE
Photo Chris Simanjuntak
FEATURE
BODY MATTERS
THE SCIENCE
BEHIND THE NARC
Have you ever wondered why you need
to pee as soon as you hit 15 metres? Or
why diving gives you a mouth thats dry
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head around the freaky phenomenon
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SDAA
46
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UDQJHRIGHSWKV$ORQJZLWKDVHQVHRIMR\DQGZHOOEHLQJ
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EODFNRXWVDQGVLOO\EHKDYLRXU6RPHGLYHUVHYHQFODLP
QRWWRH[SHULHQFHQDUFRVLVDWDOO3K\VLFDOGLHUHQFHVDQG
VXVFHSWLELOLW\DVLGHQHYHUIHHOLQJDWKLQJVHHPVDOLWWOH
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going deep to get the hit
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LV$70DQGWKHQLWURJHQLVQRZUHVSRQVLEOHIRUDURXQG
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RIWKHEUDLQVQHUYHFHOOVFDXVLQJLQWHUIHUHQFHZLWKWKH
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5HFHQWO\VSHFLFW\SHVRIUHFHSWRUVLQQHUYHFHOOVKDYHEHHQ
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LGHDRIQHUYHWUDQVPLVVLRQEHLQJDOWHUHGLQDUHDVRIWKH
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EXWDOVRIURPRQHGD\RUHYHQRQHGLYHWRWKHQH[W6RPH
IDFWRUVWKDWLQXHQFHWKHHHFWVRIQDUFRVLVDUHKDUGZRUN
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GD\EHIRUHIHDUGHVFHQWUDWHIDWLJXHDQGLOOQHVVDQG
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Under pressure
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RQWKHVXUIDFHZLWKQRWKLQJEXWWKDWELJEOXHWKLQJDERYH
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ZKLFKJXUHVRU$70:LWKQLWURJHQPDNLQJXSDURXQG
SHUFHQWRIWKHDLUWKDWZHDUHEUHDWKLQJWKHDPRXQWRI
WKLVSUHVVXUHWKDWWKHQLWURJHQLVUHVSRQVLEOHIRUH[HUWLQJLV
$70:HFDOOWKLVWKHpartialSUHVVXUH
$VZHWDNHWKLVDLUXQGHUZDWHUWKHSDUWLDOSUHVVXUHRI
WKHQLWURJHQLQFUHDVHVDVWKHDPELHQWSUHVVXUHLQFUHDVHV$W
,QGLYLQJFLUFOHVVRPHSHRSOHUHIHUWRWKLVDVWKH0DUWLQL
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DQGLVYHU\PXFKGHSHQGHQWRQSK\VLRORJLFDOGLHUHQFHV
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,QWKHVDPHZD\WKDWEHLQJDOLWWOHGUXQNLVXQOLNHO\
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DQGSRVVLEO\RWKHUV)RRGIRUWKRXJKW"
IS DIVING DOING
YOUR HEAD IN?
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GRVDQGGRQWV
2. Bad breathing
Do breathe and breathe properly. No need
to hyperventilate throughout your dive, but try
not to economise your air by skip-breathing.
Skip breathing is the act of holding the breath
for a second or two after the inhalation, and
increases the build-up of carbon dioxide in
your body. This stimulates receptors in the
blood vessels in the brain, increasing the
blood flow to the area which causes splitting
headaches.
SDAA
48
,VLWFRPIRUWDEOHRU
GR\RXORRNOLNHD
7HOHWXEE\RQVWHURLGV"
1. Dehydration
Do drink and drink and then drink some
more. Water that is! One of the major
causes of post (and pre-) dive headaches
is dehydration. Especially in tropical diving
destinations, where we tend to forget to adjust
our daily intake to the change in climate.
Dont overdo it in the bar, especially
if you have early morning dives planned for
the next day. Alcohol dehydrates and the
headache you feel is not going to get any
better down there. And if you do have one
cocktail too many, give the diving a miss.
5. Congestion
Dont dive with a head cold. Having your
sinuses full of nastiness will make equalising
them near impossible and you could end
up with the sensation of a knife stuck in
your forehead. Using decongestants is not
recommended practice, either and the effects
can wear off underwater anyway, leaving you
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set of problems. Leave the diving until you can
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a sinus headache easily as it usually
manifests in your forehead, behind your eyes
or in your cheeks.
Do take any post-dive headache
seriously. Your body is telling you something,
and most probably that you are doing
something wrong! If its a regular thing, get
yourself checked by a hyperbaric doctor. If its
a one-time thing, take it easy, take care of it
and try to figure out why it happened. If your
headache comes with excessive fatigue, joint
pain, nausea, dizziness, or any other potential
symptoms of DCI, DO seek medical help
immediately.
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INNERSPACE
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MARINE MEDICINES
REVOLUTIONISING DCS TREATMENT
A SEA OF SOUNDS
NITROX
A rare opportunity to
interact with dolphins
in perfect conditions at
Little Bahama Bank
Settings: 1/250s, f/11
Image Bob Talbot
CONTENTS
Chief Executive Officer
Chris Wachholz
John Lippmann
- Perspectives
- Letters
Stephen Frink
06 | DIVE SLATE
Content Coordinator
Coordinator Instructor
Certifications & Sales
Memberships & Certifications
Marketing Coordinator
Training
Accounts
By Michael Stoker
10 | DIVE FITNESS
SWIM TRAINING FOR
SCUBA DIVERS
Text by Gary Hall Sr.
Images by Stephen Frink
Scott Jamieson
12 | RESEARCH, EDUCATION,
AND MEDICINE
Melissa Cefai
John Lippmann, David Natoli and Tim
Vernon-Smith
Anny Limbek
- Skills in Action
PREPARE TO GET FOUND
By Jack Connick
- Expert Opinions
PERFLUOROCARBONS
Text by Brian Harper W-EMT, DMT &
Petar Denoble, MD, DSC
24 | LIFE AQUATIC
Alert Diver is published as a separate, independent magazine within Scuba Diver
AUSTRALASIA (SDAA) magazine. DAN Asia-Pacific is not responsible for the content
provided elsewhere within SDAA, and therefore this content should not be assumed to
represent the views, policies or practices of DAN Asia-Pacific or Alert Diver magazine.
30 | GEAR
NITROX
Email: info@danap.org
For more information on membership, insurances and training programmes, visit our
website: www.danap.org
FROM THE
SAFETY STOP
PERSPECTIVES
Two Challenges We Must Solve
Since I started and over the past year of
working with DAN Asia-Pacifics Founder,
John Lippmann, and our unsung volunteer DAN
hotline DES physicians, it has become clear that
we have two glaring challenges:
1. More needs to be done to improve oxygen first
aid preparedness, and
2. Remote medical clinics and their physicians
need help to better assess injured divers
and provide early care prior to the divers
transport to a chamber.
What is Oxygen First Aid Preparedness?
It means having the right equipment,
knowing how to use it and very important in
Asia-Pacifics very remote locations having an
adequate supply.
Today, more dive operators have O2 equipment
and know how to use it, but too often they dont
have enough oxygen.
Having a quality DAN O2 kit with a small
cylinder is great for the initial emergency but
transport often cannot be made for several hours or
the next morning. In these circumstances we have
regularly had the diver breathe oxygen overnight,
using a free-flow non-rebreather (NRB) mask,
which is standard issue in all DAN Oxygen kits.
You too, can make a difference in improving
safety by your choice of resorts and dive
operators. You can encourage them to be better
prepared by asking:
1. Do they have an oxygen kit?
2. How many hours oxygen supply do they have?
3. Is their staff trained in oxygen first aid?
In the next issue of Alert Diver magazine I will
discuss the other issue of remote clinics ability
to assess divers and provide early care, and, DAN
and the dive industrys efforts to address both.
Safe diving,
Chris Wachholz,
CEO, DAN Asia-Pacific
LETTERS
From our members
Steve Douglas
Special Event:
Early Care of the Injured Diver, sponsored by
DAN Asia-Pacific and Hyperbaric Health in cooperation with the Asian Hyperbaric and Diving
Medical Association (9th August, Kuala Lumpur).
The programme is most relevant to those who
may be called upon to attend to injured divers,
e.g. dive operators, dive guides, instructors, and
interested lay persons. The objective being to offer
easy access education to improve the early care of
the injured diver.
Registration is Free of Charge and pre-booking
is required as numbers are limited. Contact
bob@hyperbarichealthprojects.com
Country
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DIVE SLATE
WATER PLANET
A GROWING CACOPHONY
The ocean is 10 times louder today than it was
just 50 years ago. Transoceanic commerce is
a major cause; some 95,000 merchant ships
ply the seas with large cavitating propellers
and throbbing engines that can be heard
throughout the ocean. As seven billion humans
become ever more dependent on fossil fuel, the
noise of deep-water seismic-exploration ships
towing arrays of air guns can increasingly be
heard blasting away every 10 to 15 seconds,
hour after hour, day in and day out for
months at a time. As deep-water fossil fuel
is discovered and exploited, the sounds of
seafloor-mounted wellheads and processing
equipment screech and hum across vast tracts
of the ocean bottom. Navies have their own
repertoire of noises including low- and midfrequency sonars, the noise of their ships and
occasional explosions from torpedoes, mines
and projectiles.
Humans are a noisy species, and this is
nowhere more evident than in the ocean.
The impacts are becoming more apparent in
the form of catastrophic marine-mammal
strandings, compromised and depleted fisheries
and high stress levels in animals that can lead
to biological dysfunction. Because we know
so little about how sea animals hear and what
they do with sound, we have a very limited
understanding of the impact of our noise.
In some cases the sounds we make might
not be such a problem; the ocean with its
crashing waves, grinding ice, pounding rains
and billowing hydrothermal vents can be a
noisy place, and animals have adapted and
evolved to account for these sounds over the
millennia. But the sounds we bring into the
sea are quite different from these naturally
occurring noises. Thus, we must learn how the
din of our ocean enterprises affects the seas
inhabitants, or we risk creating an environment
in which their survival is uncertain.
LEARN MORE
Dig into the sound library, and
read more at www.OCR.org.
As coastal and deep-water
ocean areas open up to fossilfuel, wind and tidal-energy
development, biologically
disruptive noise is a potential
consequence. Attend public
hearings about these proposed
projects to find out if and how
this issue is addressed.
DIVE FITNESS
THE DAN GUIDE TO
HEALTHIER DIVING
Plan ahead
From the date of your next dive trip, count back
three months to start a swimming fitness
programme. Swim fitness is best achieved with
gradual improvement.
10
Kick underwater
The kicking motion underwater is different
from that used on the surface, and underwater
you can learn to achieve thrust with both the
upward and downward kicks. Plus, breath-hold
sessions conducted while kicking underwater
are good anaerobic training. Blackout in the
water is not restricted to freedivers, so most
coaches prefer underwater swims be conducted
with close supervision. Each year recreational
swimmers die by pushing too hard to get to the
end of the pool that is ever so slightly beyond
their capabilities. Hyperventilation should
be avoided to reduce (but not eliminate) the
likelihood of blackout.
3
1 Underwater swims are
great anaerobic training, but
you may need to work up to
it. It is advisable to conduct
breath-hold practice under
close supervision as blackouts
are not restricted to freediving
RESEARCH, EDUCATION
& MEDICINE
12
Thanks to proper
treatment, and DANs support,
Meghan made a full recovery
Image Stephen Frink
RESEARCH, EDUCATION
& MEDICINE
SKILLS IN ACTION
14
DISCUSSION
Jim took a strobe light with him, and that act of
preparation probably saved his life. An audible
signalling device louder than his whistle, such
as a DiveAlert, might have gotten him rescued
much sooner. Inflating his SMB completely and
waving it for attention may have helped, too,
and a waterproof marine radio with a GPS, such
as the Nautilus Lifeline, would have stacked the
odds more heavily in his favour.
Dont dive without a good light, an SMB
and a powerful audible signalling device. If you
dont carry all the gear you might need to attract
attention on every dive whether its a nobrainer dive or not you could be lost at sea. If
the boat crew doesnt keep an eye out for divers
INTERNATIONAL UNDERWATER
SPORTS & TRAVEL EXPO 2014
SEPTEMBER
EPTEMBER 19-21
19 21
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FREE DIVING
SPEAKERS
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QING LIN, WILLIAM TAN, YORKO SUMMER, ZHU KE DING (COLIN)
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RESEARCH, EDUCATION
& MEDICINE
FROM THE
MEDICAL LINE
18
Long-Term Implications
There are a few treatment options for blebs or
recurrent pneumothorax that merit mention. We
should stress from the outset, however, that none
of the following treatments alter the medical
recommendation regarding fitness to dive with
a history of spontaneous pneumothorax. Blebs
can be removed by surgery. Another approach,
called pleurodesis, introduces a substance into
the pleural space that causes scarring and
permanent obliteration of the pleural cavity.
However, after experiencing any form of
pneumothorax or treatment, an injured person
should not dive until cleared by a physician
familiar with dive medicine.
For the reasons explained above,
physicians trained in dive medicine would be
* Vicodin, a particular
mixture of a codeine
derivative and paracetamol
is not available in Australia
and many other countries
outside the USA. However,
the advice would apply to
similar drugs which are
widely available.
ASK US ANYTHING
DAN is here to answer all
your medical questions. You
can call the DAN AP office
during regular business hours
(Monday - Friday, 9 a.m. to
5 p.m. AEST) by calling +613-9886 9166. You can also
submit an email through the
DAN AP website.
RESEARCH, EDUCATION
& MEDICINE
FROM THE
MEDICAL LINE
Perfluorocarbons
PFCs could prove to be an invaluable
first line treatment for DCI in the field
Text by Brian Harper W-EMT, DMT, and Petar Denoble, MD, DSC
20
LIQUID BREATHING
The quest for liquid suitable for breathing began
after World War I in the course of research into
the treatment of poison-gas inhalation. Early
attempts at using saline solutions applied to the
lungs of dogs failed. The topic was resurrected
after World War II with the introduction of
nuclear submarines. The subs operated in very
deep water, and if they became disabled at depth
their crews could not survive escape. Breathing
a liquid medium was studied as a possible way
to increase the depth from which crewmembers
could be rescued.
In 1962 J.A. Kylstra and colleagues
published the paper Of Mice as Fish, an
account of a study that showed mammals
could breathe a liquid medium. Mice survived
immersed in physiological salt solutions and
compressed to 160 atmospheres (atm), which
is the pressure 1.6 kilometres (one mile) below
the surface of the sea. All the animals died
of respiratory acidosis because it took great
effort to move liquid in and out of lungs,
and only minimal ventilation was possible.
Thus, for liquid breathing to provide sufficient
oxygenation and removal of carbon dioxide, a
liquid with a large carrying capacity for these
gases was needed. PFCs met these requirements.
Leland C. Clark and Frank Gollan of
Birmingham University showed in 1966 that
small mammals could survive for an hour
completely submerged in PFCs. But further
studies demonstrated gas exchange in healthy
lungs is impaired in a liquid medium relative to
a gas medium. This impairment combined with
liquids disturbance of normal lung mechanics
brought an end to the quest for liquid breathing.
A BLOOD SUBSTITUTE
The quest for a substitute for precious blood
always in short supply was also under
way. Supplying oxygen is just one of bloods
many vital functions, but for short-term
blood replacement (which could save lives in
emergencies) oxygen-carrying capacity is the
primary concern. PFCs have been considered
for that purpose since the early 1960s. At
atmospheric pressure and body temperature,
PFCs dissolve large amounts of gases
oxygen and carbon dioxide in particular.
Unlike the binding and release of oxygen from
haemoglobin in the blood, the dissolution of
oxygen in PFCs is entirely passive. When PFC
emulsions are administered intravenously, they
are loaded with oxygen in the lungs, where the
oxygen pressure is high, and release oxygen in
tissues where the oxygen tension is low. It is
this characteristic of PFCs that is the subject of
ongoing research.
The oxygen-carrying
capacity of PFCs promotes
oxygen delivery to tissues that
might not be getting enough.
Their particles are also so
small that they can deliver
oxygen to places that may
be blocked
22
FEATURE
LIFE AQUATIC
AN ENORMOUS
PHARMACEUTICAL VISTA
According to chemists at Cornell University
Medical Center, the ocean has tremendous
pharmaceutical potential, in part because it
contains billions of organisms that do not
exist on land. In a recent survey conducted by
the National Cancer Institute, two percent of
terrestrial specimens studied contained new
compounds, while almost fifty percent of the
marine samples revealed chemical novelties.
Currently, more than half of all cancer research
is focused on finding cures from marine sources.
Coral reefs are particularly valuable
storehouses of genetic material; estimates of
the number of plants and animals living in
reef ecosystems range from 600,000 to more
than nine million species. According to Shirley
Pomponi, executive director of the Cooperative
Institute for Ocean Exploration, Research
and Technology, Coral reefs have enormous
biodiversity, and as such they hold unlimited
potential for the discovery of chemicals that can
be developed into drugs. Coral reefs are now
being discovered even in the deep ocean. These
resources are totally untapped, and marine drug
research is constantly evolving.
FUNDING FOR
MARINE MEDICAL RESEARCH
To procure these substances, marine
pharmaceutical expeditions are under way
around the world. The process of bringing a
new drug to market is long and expensive; the
pharmaceutical industry reports it can take
as long as 15 to 20 years and cost as much
as USD800 million. First, compounds must be
harvested, extracted and then isolated or purified
for lab study. Researchers employ screening
techniques to evaluate therapeutic activity and
identify the specific chemicals responsible for
the desired activity. Organic synthesis is used
to ensure a supply. If the results of preliminary
tests are positive, clinical trials are conducted
on human subjects and the company applies
for a patent. The Pharmaceutical Research
and Manufacturers of America notes that for
every 5,000 novel compounds found to have
biomedical potential, only five make it into
The biodiversity of
coral reefs is unmatched in
terrestrial ecosystems
Image Ron and
Valerie Taylor
FEATURE
LIFE AQUATIC
US
FE
26
Algae
Algae range in size from microscopic, singlecelled organisms to 45-metre-long kelp stalks.
In 1981, researchers at the Harvard School of
Public Health discovered that feeding Laminaria,
a genus of kelp, to laboratory animals partially
immunised them against breast cancer tumours.
Pharmacologists at the John A. Burns School of
Medicine in Honolulu discovered that the Undaria
pinnatifida kelp, popularly known as wakame,
enhanced immune cell activity and helped
prevent and even cure lung cancer when injected
into mice. Doctors at the Johns Hopkins School
of Medicine believe that an acid in certain types
of algae resembles the transmitter substance that
activates animal nerve cells, and they hope to
apply it to studies of neuromuscular disorders.
Algal toxins were known by humans as long
ago as ancient Egypt. In the Old Testament, Moses
described the waters turning to blood and stinking
from dying fish. Scientists today speculate Moses
was describing an incident of red tide, in which
reddish dinoflagellates reached such proportions
they killed the fish in the water by using up the
available oxygen and producing a neurotoxin
that renders filter-feeding shellfish poisonous
to humans. This same toxin has been found to
inhibit the growth of most types of bacteria and
is currently being used experimentally to combat
bacterial diseases.
Martek Biosciences Corp. is studying another
algae derivative an unusual fatty acid similar
to that in the retina and the brains grey matter.
Its initial commercial use will be as an additive
for infant formula. Marine pharmacologists
have also extracted alginic acid from algae and
seaweeds and have made salts (alginates) with
a variety of medicinal properties. Some help
Pufferfish
A delicacy in Japan, where it is called fugu, the
pufferfish is another carrier of a potent marine
neurotoxin. Chefs must undergo extensive
training to learn to prepare it safely. Pufferfish
contain tetrodotoxin, a powerful blocking
agent that acts on muscles, sensory nerves
and motor nerves and is 275 times more toxic
than cyanide. The skin, gonads and viscera
of the pufferfish are so deadly to humans
that death can occur within 15 minutes of
ingestion. Oddly, this same deadly toxin is also
commercially available in an antispasmodic
drug for people with seizure disorders and to
help relieve the agony of terminal cancer.
Cone Snails
Cone snails, beautifully patterned creatures that
most divers know not to touch, fend off their
would-be attackers by ejecting a venomous tooth
that penetrates the predators skin with a lethal
toxin. The toxin is a muscle relaxant that causes
breathing to slow down and potentially stop.
Scientists at the University of the Philippines
discovered that one protein in the toxin of the
snail Conus geographus interfered with nerve
function in such a way as to make it a potential
painkiller. Derivatives of this toxin are being
used for patients whose muscles are in a state of
convulsion or who have nerve damage.
Filipino pharmacologists have also
discovered a cone-snail poison that is 1,000
times more powerful than morphine in treating
certain kinds of chronic pain. The snail-derived
drug, Prialt was developed by Elan Corp., which
later sold it to Azur Pharma. Prialt impairs
nerve transmission in the spinal cord and blocks
certain pain signals from reaching the brain.
Scientists predict that many more cone-snail
toxins will be drug leads since there are 500
known species of this animal.
Hagfish
The hagfish is an interesting creature in that it
has three hearts, only one of which is controlled
by direct nerve connections to the brain. A
chemical, eptatretin, stimulates and coordinates
the beating of the other two. When mice with
damaged cardiac nerves are given eptatretin,
normal heartbeat is restored. Researchers are
studying the feasibility of using eptatretin instead
Molluscs
While many molluscs such as clams, oysters
and scallops are most often thought of as
menu items, some contain extracts that make
for effective antiviral drugs. These have been
shown to protect laboratory mice infected with
influenza and the polio virus. An extract from
the quahog clam helps shrink tumours, and
an extract from the New Zealand green-lipped
mussel is being widely sold for its supposed
beneficial effect on arthritic conditions. Even
the lowly sea slug has its assets scientists
studying it believe its nervous system holds
clues to better understanding bipolar disorder.
Sponges
28
Corals
Stony corals build limestone structures that are
in some ways similar to human skeletons. After
undergoing chemical modification, coral has
been used successfully in bone grafts, primarily
of the face and skull. Plexaura homomalla, a
gorgonian, is a particular coral species that shows
great promise. The outer layers of these corals
contain prostaglandins chemicals that stimulate
many physiological functions in humans such as
contraction of the womb during labour. Plexaura
homomalla has the highest known concentration
of prostaglandins in nature.
A species of sea whip coral,
Pseudopterogorgia elisabethae, produces
compounds called pseudopterosins, which
have demonstrated effectiveness as antiinflammatories and wound healers. They are
able to moderate the activity of a key enzyme
involved in inflammation, and they can do
Bryozoans
Another up-and-coming star in marine
biotechnology is bryostatin, an anticancer
drug from the bryozoan Bugula neritina, a
common invertebrate moss animal. The
organism grows in shallow water almost
anywhere, yet only three known populations
of Bugula actually make bryostatin 1, a potent
drug involved in dozens of clinical trials as a
treatment for everything from leukaemia to
Sea Squirt
Scientists have unearthed several promising
drugs from sea creatures called tunicates. More
commonly known as sea squirts, tunicates
are a group of marine organisms that spend
most of their lives attached to docks, rocks
or the undersides of boats. To the untrained
eye they look like nothing more than small,
colourful blobs, but tunicates are evolutionarily
more closely related to vertebrates like us
than to most other invertebrate animals. One
tunicate living on coral reefs and in mangrove
swamps in the West Indies turned out to be the
source of an experimental cancer drug called
ecteinascidin. PharmaMar, a pharmaceutical
company based in Spain, now holds the
licenses for ecteinascidin 743 (trabectedin,
Yondelis), which was authorised by the
European Union in September 2007 for the
treatment of patients with advanced soft-tissue
sarcoma (tumours of the muscles, tendons and
supportive tissues).
GEAR
Nitrox
A valuable tool, not a magic potion
Text by Eric Douglas
Images by Stephen Frink
30
CONCLUSIONS
Today, nitrox mixes are readily available and
prepared across a range of concentrations.
It has a lot to offer divers, but it isnt magic;
rather, its a useful tool that provides benefits
if used correctly. When diving according to
air tables or using the air setting on a dive
computer, nitrox can reduce decompression
stress on a diver. When used with an equivalent
air depth, this safety margin is lost, but bottom
time can be extended.
Nitrox is becoming more popular and
accessible to recreational divers all the time,
but it is not something to be taken lightly. It
requires special training to be used properly and
safely, so before you dive with it, be sure to get
the necessary training and gain the appropriate
certification.
OUT ON
SEPT 15, 2014
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Official publication of
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