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ACTIVITY: Surfing CASE: GSAF 2004.07.28 DATE: Wednesday July 28, 2004 LOCATION: The incident took place in the Atlantic Ocean at Rodanthe, Dare County, North Carolina, USA. 36º62'50", -75º43'33" NAME: Cathy Delneo DESCRIPTION: She is a 28-year-old female, 5'2" female, weighing 138 pounds. She was wearing a two-piece blue, green and yellow Speedo sport bikini, four small stainless steel hoops in her left ear, and a leash on her right ankle. She had no injuries prior to the incident and did not have her menstrual period. SURFBOARD: A 7'6" Planet Blue trifin with a while underside and three black fins. BACKGROUND WEATHER: Electrical storms moved through the area during the morning, and it was an overcast day. At the time of the incident, the air temperature was in the 70s. MOON PHASE: Full Moon, July 31, 2004 SEA CONDITIONS: The waves were heavy and the surfing was poor. The water was grey and murky. No channel was present and the sea temperature was 67ºF (estimated). ENVIRONMENT: The surfer did not observe any baitfish in the area and was not aware of any fishing. None of the surfers, including Cathy, saw the shark. DISTANCE FROM SHORE: 100 feet DEPTH OF WATER AT INCIDENT SITE: Seven feet DEPTH AT WHICH INCIDENT TOOK PLACE: Five feet TIME: Between 17h20 NARRATIVE: I was surfing with three other people across from the Pea Island wildlife refuge. We had tried to go surfing earlier in the day but had not been able to due to thunderstorms in the morning and most of the afternoon. We got into the water around 4 or 4:30 and had been surfing a while before the incident. The water seemed fairly cold and I was about to get out because I was not wearing my wetsuit.

At around 5 or 5:30 p.m., I was knocked off my board by a wave and then was tossed about in the surf. I went limp and covered my head. When I came to the surface I noticed that I was gasping a lot. That seemed a bit strange since I am very comfortable in the water. Then I realized that I was in pain and it seemed to be coming from my right calf. I swept my hand over my calf and realized my skin had been torn open and was very piece-y feeling (shredded). Uncertain if she was bleeding heavily, she applied compression to the wound and yelled for help. Her boyfriend assisted her onto her surfboard and pushed her inshore. I think the shark probably thought I was going to hurt it. I fell off my board due to the wave and I probably fell pretty close to the shark. It didn t bite twice and it probably noticed that I wasn t threatening so it went away again. It took me at least 10 minutes to get out of the water, so it had ample time to bite me again if it had wanted to. INJURY: The wound on the inside of my right calf measured about 6.7 to 7 cm across and varied in depth. There were two triangular flaps of skin that were created by the bite and the area was jagged. The injury did not bleed significantly. The damage was only to the skin and subcutaneous tissue. The first picture (001) was taken in the emergency room in Nags Head, NC on July 27, 2004 and the second (02) was taken at the same time from another angle, said the surfer. The third image (003) was taken just prior to surgery the next morning, after the skin had pulled back a bit. A skin graft performed the next day failed within a week and, due to a persistent bacterial infection, four surgeries were needed to close the wound. DAMAGE TO SURFBOARD: No damage FIRST AID: Care was rendered on the beach by friends: Timothy and Pat Roche and Jesse Reugg, and then an EMT and paramedic. She was transported to the Outer Banks General Hospital s Emergency Room by ambulance, arriving there 90 minutes after she was injured. TREATMENT: An ambulance was called and she was taken to Outer Banks Hospital in Nags Head, North Carolina. (Ambulance personnel told her this was the same beach where two previous attacks took place (I.e., 2001.09.03.a & b - Natalia Slobonskaya and Sergi Zaloukaev). Then she was transferred by ambulance to Norfolk General Hospital. Dr. Ragsdale saw me on the night of the incident, and then performed surgery the next morning, said the surfer. The skin graft he did failed within about one week. After surgery, Dr. Ragsdale told me that the wound appeared to be a bite - especially as a chunk of skin was missing from the center when he tried to piece the edges back together. He said that it looked as if something had torn away the skin, the edges were jagged and the wound was of varying depths, reported the surfer. After a week, however, the wound became necrotic and she was treated in the Burn Unit at New York Presbyterian Hospital (NYPH) where she underwent three additional surgical procedures. The first surgical procedure was a primary closure, which had to be re-opened in a second surgery due to necrotic tissue, reported the surfer. The second surgery at NYPH was a debridement in which tissue was removed from the wound bed and surrounding area. A vacuum was put on my leg during the second surgery and remained on for about two weeks. During that time silver nitrate was put into the wound as an antimicrobial agent. The third surgery at NYPH was another skin graft, which was successful. The surfer spent a total of 28 days in hospital.

Asked when she first felt real pain, Cathy replied, Quite a while. I took pain-killers after about three hours. It was uncomfortable after about an hour. SPECIES INVOLVED: Not identified. The wound indicates the shark had serrated teeth, but there are insufficient tooth impressions to make a solid determination at this time regarding the species involved. CASE INVESTIGATORS: Clay Creswell, Marie Levine, Ralph Collier A large overwash area north of Rodanthe (3-16-00)

Another view of the overwash area looking west (3-16-00) Access roads in Rodanthe that have been covered with sand as a result of overwash from the ocean. Sand and water often travel down these small roads during storm events, contributing to flooding and sand deposition on NC 12. (3-16-00)

The blue arrow is unrelated to this incident. This photo is included only to show the approximate distance from the shore to the breaking waves. Cathy is uncertain of her distance from shore, but says she was in the area where the waves were breaking. Rodanthe, NC on September 28, 2003 showing hurricane damage and a fishing pier. Will find out where incident took place relative to pier.