Decompression sickness practices in lobster diving among the indigenous Miskito people, who face great economic pressures. At that time it was estimated that in the country over 2000 divers had been injured and 300 others had died since the 1970s. In the United States, it is common for medical insurance not to cover treatment for the bends that is the result of recreational diving. This is because scuba diving is considered an elective and "high-risk" activity and treatment for decompression sickness is expensive. A typical stay in a recompression chamber will easily cost several thousand dollars, even before emergency transportation is included.
Isobaric counterdiffusion in the literature by Harvey in 1977 as divers switched from a nitrogen mixture to a helium mixture (diffusivity of helium is 2.65 times faster than nitrogen), they quickly developed itching followed by joint pain. Saturation divers breathing hydreliox switched to a heliox mixture and developed symptoms of decompression sickness during Hydra V. More recently, Doolette and Mitchell have described ICD as the basis for inner ear decompression sickness and suggest "breathing-gas switches should be scheduled deep or shallow to avoid the period of maximum supersaturation resulting from decompression". It can also happen when saturation divers breathing hydreliox switch to