The difficulties involved in ultra-deep diving are numerous. Although commercial and military divers often operate at those depths, or even deeper, they are surface supplied. All of the complexities of ultra-deep diving are magnified by the requirement of the diver to carry (or provide for) their own gas underwater. These lead to rapid descents and "bounce dives". Unsurprisingly, this has led to extremely high mortality rates amongst those who practise ultra-deep diving. Notable ultra-deep diving fatalities include Sheck Exley, John Bennett, Dave Shaw and Guy Garman. Mark Ellyatt, Don Shirley and Pascal Bernabé were involved in serious incidents and were fortunate to survive their dives. Despite the extremely high mortality rate, the "Guinness Book of World Records" continues to maintain a record for scuba diving (although in deference to the death rate it has stopped recording the record for deep diving on air). Amongst those who do survive significant health issues are reported. Mark Ellyatt is reported to have suffered permanent lung damage; Pascal Bernabé (who was injured on his dive when a light on his mask imploded) and Nuno Gomes reported short to medium term hearing loss.