{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:44:39Z","timestamp":1792154679621,"version":"4.4.0"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness & Environmental Medicine"],"abstract":"\n Introduction<\/jats:title>\n There is uncertainty about the number of shark bites on humans in Florida (FL).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The International Shark Attack File (ISAF) and Global Shark Attack File (GSAF) databases (2016\u20132024) were compared with the non-inpatient FL Ambulatory and Emergency Department Patient Data database (AHCA) (2018\u20132023) and the National Emergency Medical Services (EMS) Information System (NEMSIS) (2016\u20132024).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Between 2016\u20132024 there were 244 FL shark encounters reported in ISAF (mean 27.1 per year), 214 in GSAF (mean 23.8 per year), and 293 in a merged ISAF and GSAF (mean 32.6 per year). Between 2020\u20132023, there were 373 FL shark encounters reported in AHCA (mean 62.2 per year) compared with 114 encounters reported in NEMSIS (mean 22.8 per year) for 2020\u20132024. The rate ratio for AHCA FL shark encounters compared to the merged ISAF and GSAF was 1.91 (95% CI 1.64\u20132.23);\n p<\/jats:italic>\n \u2009<\u2009.001. The percentage of shark encounters in Volusia County, FL, compared with all of FL shark encounters showed no significant differences between the ISAF and GSAF (40.2% and 33.6%, respectively) (\n p<\/jats:italic>\n \u2009=\u2009.16) and between the AHCA and NEMSIS (7.2% and 7.5%, respectively) (\n p<\/jats:italic>\n \u2009=\u20091.0). However, when comparing either ISAF or GSAF with either AHCA or NEMSIS, there were significant differences (\n p<\/jats:italic>\n \u2009<\u2009.001 for all).\n <\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n The AHCA dataset identified about twice as many shark bites as either the ISAF or GSAF. Many FL shark encounters did not require EMS or admission to the hospital. The discrepancy in the number of shark encounters attributed to Volusia County, FL, varied based on the dataset being examined.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10806032261491282","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:53:52Z","timestamp":1791906832000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Shark Bites in Florida Are Underreported: A Multi-Dataset Analysis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4503-8590","authenticated-orcid":false,"given":"Johnathan M.","family":"Sheele","sequence":"first","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9586-5570","authenticated-orcid":false,"given":"Jaeyoung","family":"Park","sequence":"additional","affiliation":[{"name":"University of Central Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Naylor","sequence":"additional","affiliation":[{"name":"University of Florida Program for Shark Research at the Florida Museum of Natural History"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph S.","family":"Miguez","sequence":"additional","affiliation":[{"name":"University of Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bob","family":"Myatt","sequence":"additional","affiliation":[{"name":"Sea Save Foundation, Oxnard, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3637-350X","authenticated-orcid":false,"given":"Samuel W.","family":"Thurmond","sequence":"additional","affiliation":[{"name":"Bureau of Emergency Medical Oversight"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0352-2536","authenticated-orcid":false,"given":"Sarah S.","family":"Spelsberg","sequence":"additional","affiliation":[{"name":"Mayo Clinic Jacksonville"},{"name":"Department of Emergency Medicine residency program, UNC Health Southeastern, Lumberton, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie V.","family":"Simon","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3427-400X","authenticated-orcid":false,"given":"Kerry","family":"Bachista","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41597-022-01453-9"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0020-1383(01)00041-9"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348211024171"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0211049"},{"key":"e_1_3_3_6_2","unstructured":"Naylor G. Yearly Worldwide Shark Attack Summary. International Shark Attack File. Florida Museum of Natural History. Updated February 18 2026. Accessed July 6 2026. https:\/\/www.floridamuseum.ufl.edu\/shark-attacks\/yearly-worldwide-summary\/."},{"key":"e_1_3_3_7_2","unstructured":"Global Shark Attack File. Shark Research Institute. Accessed July 6 2026. https:\/\/www.sharkattackfile.net\/index.htm."},{"key":"e_1_3_3_8_2","unstructured":"Florida. International Shark Attack File. Florida Museum of Natural History. Accessed July 6 2026. https:\/\/www.floridamuseum.ufl.edu\/shark-attacks\/maps\/na\/usa\/florida\/."},{"key":"e_1_3_3_9_2","unstructured":"ISAF Case Classifications. International Shark Attack File. Florida Museum of Natural History. Accessed July 6 2026. https:\/\/www.floridamuseum.ufl.edu\/shark-attacks\/about\/isaf-case-classifications\/."},{"key":"e_1_3_3_10_2","unstructured":"Welcome. International Shark Attack File. Florida Museum of Natural History. Accessed July 6 2026. https:\/\/www.floridamuseum.ufl.edu\/shark-attacks\/about\/isaf-case-classifications\/."},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.06.059"}],"container-title":["Wilderness & Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032261491282","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10806032261491282","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032261491282","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:48:09Z","timestamp":1792151289000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10806032261491282"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,13]]},"references-count":10,"alternative-id":["10.1177\/10806032261491282"],"URL":"https:\/\/doi.org\/10.1177\/10806032261491282","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,13]]},"article-number":"10806032261491282"}}