[Shark attacks in New Caledonia from 1958 to 2020: a review of cases]. / Attaques de requins en Nouvelle-Calédonie de 1958 à 2020 : revue de cas.

Background and objectives: Recent shark attacks in New Caledonia have prompted local authorities to elaborate a risk-management plan. The objective of the present paper is to produce detailed data on shark attacks that occurred in New Caledonian waters for the last few decades, as well as on the injuries of the victims, in order to inform rescue and medical services as well as authorities in charge of educating the public and providing security. Methods: Incidents involving sharks and humans in New Caledonia for the last six decades were included into a database. Sharks were tentatively identified to species according to the shape, size and other external characteristics of injuries to the victims, together with witness accounts. The severity of shark bites was evaluated against the scale proposed by A.K. Lentz and co-authors (Am Surg. 2010;76:101-6). Results: Sixty-seven shark-attack cases were recorded in New Caledonia from 1958 to 2020, of which 13 were lethal. The majority of the attacks concerned spearfishers and freedivers collecting invertebrates (58.5% of total). In the last decades, shark attacks may have increased towards bathers, swimmers and snorkelers (18.5%), and people taking part in water sports including surf, kitesurf, windsurf and SUP foil (14%). One scuba diver was also attacked (1.5%). Twenty attacks including 8 lethal ones were ascribed to the tiger shark Galeocerdo cuvier; 14 attacks including 2 lethal ones to the bull shark Carcharhinus leucas; 2 attacks including 1 lethal to the great white shark Carcharodon carcharías. The lethality of attacks was almost one in five, above the global average. Conclusions: Feeding incentive appeared to be a frequent factor triggering attacks. The education of the public should be promoted as a preventive measure aiming to reduce the risk of such accidents.

Tiger Shark Attack on a Scuba Diver in New Caledonia.

Herein we report an unprovoked shark attack on a scuba diver in New Caledonia. The species responsible for the attack was identified as a tiger shark (Galeocerdo cuvier), based on both the victim's testimony and forensic examination. The victim suffered significant loss of soft tissues from one thigh, which resulted in hemorrhagic shock. Even though the event occurred at a remote location, miles away from the nearest hospital, appropriate first aid, immediate deployment of an alert system, and prompt helicopter transfer by an emergency rescue team allowed the victim to be transferred to an intensive care unit in stable condition and to undergo surgery within 4 h of being bitten. Early coverage of exposed bone was performed, followed up with negative pressure dressing, antibiotic treatment, hyperbaric oxygen therapy, and a split skin graft. In spite of the massive muscular loss incurred, the victim was able to regain her ability to walk within 6 wk of the incident. Shark attacks on scuba divers are rare and seldom reported, especially in New Caledonia.

Rapid screening and multi-toxin profile confirmation of tetrodotoxins and analogues in human body fluids derived from a puffer fish poisoning incident in New Caledonia.

In August 2014, a puffer fish poisoning incidence resulting in one fatality was reported in New Caledonia. Although tetrodotoxin (TTX) intoxication was established from the patients' signs and symptoms, the determination of TTX in the patient's urine, serum or plasma is essential to confirm the clinical diagnosis. To provide a simple cost-effective rapid screening tool for clinical analysis, a maleimide-based enzyme-linked immunosorbent assay (mELISA) adapted for the determination of TTX contents in human body fluids was assessed. The mELISA was applied to the analysis of urine samples from two patients and a response for the presence of TTX and/or structurally similar analogues was detected in all samples. The analysis by LC-MS/MS confirmed the presence of TTX but also TTX analogues (4-epiTTX, 4,9-anhydroTTX and 5,6,11-trideoxyTTX) in the urine. A change in the multi-toxin profile in the urine based on time following consumption was observed. LC-MS/MS analysis of serum and plasma samples also revealed the presence of TTX (32.9 ng/mL) and 5,6,11-trideoxyTTX (374.6 ng/mL) in the post-mortem plasma. The results provide for the first time the TTX multi-toxin profile of human samples from a puffer fish intoxication and clearly demonstrate the implication of TTX as the causative agent of the reported intoxication case.

Fatal tiger shark, Galeocerdo cuvier attack in New Caledonia erroneously ascribed to great white shark, Carcharodon carcharias.

To understand the causes and patterns of shark attacks on humans, accurate identification of the shark species involved is necessary. Often, the only reliable evidence for this comes from the characteristics of the wounds exhibited by the victim. The present case report is intended as a reappraisal of the Luengoni, 2007 case (International Shark Attack File no. 4299) where a single shark bite provoked the death of a swimmer by haemorrhagic shock. Our examination of the wounds on the body of the victim, here documented by so-far unpublished photographic evidence, determined that the shark possessed large and homodontous jaws. This demonstrates that the attacker was a tiger shark, not a great white shark as previously published.

Latrodectism in New Caledonia: first report of presumed redback spider (Latrodectus hasselti) envenomation.

We describe a recent case of presumed redback spider (Latrodectus hasselti) envenomation observed near Noumea in New Caledonia. This is the first local reported case in this archipelago, where L. hasselti is currently considered a native species. We highlight the challenge of providing appropriate analgesia in this situation and believe that the use of specific redback spider antivenom should be considered in New Caledonia.