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Topic:Human Health

The relationship between human health and horses encompasses various aspects of interaction, including therapeutic, occupational, and zoonotic elements. Equine-assisted therapy is utilized in some therapeutic settings to support mental and physical health in humans, leveraging the horse's role in facilitating emotional and physical rehabilitation. Occupational health considerations arise for individuals working with horses, addressing potential risks such as injuries and allergic reactions. Additionally, zoonotic diseases, which can be transmitted between horses and humans, are an area of concern for public health, necessitating research into prevention and control measures. This page compiles peer-reviewed research studies and scholarly articles that explore the multifaceted connections between human health and horses, focusing on therapeutic applications, occupational health, and zoonotic disease dynamics.
CE Module: A Systematic Narrative Review of Stable Staff and Trainers’ Occupational Health and Well-Being in Thoroughbred Horse Racing: An International Perspective.
Workplace health & safety    March 8, 2026   Volume 74, Issue 4 175 doi: 10.1177/21650799251414962
No abstract available
Pharmacokinetics of Topical Administration of Altrenogest in Mares and Implications for Human Health.
Journal of veterinary pharmacology and therapeutics    February 26, 2026   doi: 10.1111/jvp.70040
Loy J, Sornalingam K, Cawley A, Scrivener C, Keledjian J, Noble GK.Altrenogest is a synthetic progestogen widely used in equine reproductive management. Adverse effects to altrenogest have been reported in people with cutaneous exposure reported as the highest exposure pathway. Despite these reports, there has been no quantitative research to determine the capacity for altrenogest to be absorbed through skin. This study aimed to determine if cutaneous application of oral altrenogest results in systemic absorption in mares and to evaluate the influence of application site. A randomized, two-period, two-treatment crossover study was undertaken in eight mares. M...
Mental health challenges in the Irish thoroughbred horse breeding industry: Prevalence and associated risk factors.
Acta psychologica    February 12, 2026   Volume 264 106436 doi: 10.1016/j.actpsy.2026.106436
McDonald C, Cullen S, O'Connor S, Warrington G, Pugh J, McGoldrick A, Nolan C, Losty C.The thoroughbred horse breeding industry contributes significantly to the Irish economy. However, staff shortages threaten the economic sustainability of the industry, as well as the welfare of both horses and workers. Previous research on the staffing crisis faced by the broader horseracing industry has highlighted mental health concerns as a factor. Furthermore, the influence of workplace context on mental health has been widely recognised in organisational psychology. The aim of this study was to assess prevalence rates of Common Mental Disorders (CMDs) in Irish thoroughbred horse breeding ...
A Systematic Narrative Review of Stable Staff and Trainers’ Occupational Health and Well-Being in Thoroughbred Horse Racing: An International Perspective.
Workplace health & safety    December 16, 2025   Volume 74, Issue 4 164-174 doi: 10.1177/21650799251388471
Tobin G, Cullen S, Dunne A, Warrington G, Pugh J, McGoldrick A, Nolan C, Losty C.Stable staff and trainers are essential to racing yards and horse welfare, yet limited research focuses on this vital workforce that the thoroughbred industry heavily relies on. This systematic narrative review synthesizes existing literature on the occupational health and well-being of stable staff and trainers in the thoroughbred horse racing industry. Methods: A systematic narrative review was conducted across PubMed, Google Scholar, and Scopus using relevant keywords. Manuscripts reporting occupational or mental health data on stable staff and/or trainers and had the full-text available we...
Analysis of Staphylococcal Diversity in the Skin Microbiota of Healthy Riding Horses.
Antibiotics (Basel, Switzerland)    October 16, 2025   Volume 14, Issue 10 1037 doi: 10.3390/antibiotics14101037
Wesołowska M, Szczuka E. In animals, staphylococci constitute a significant part of the normal skin microbiota and mucous membranes. There is limited information available on staphylococci isolated from healthy horses. These skin-associated bacteria can be easily transferred between animals and horse riders via direct contact. Patients undergoing hippotherapy (i.e., medical or therapeutic sessions with horses) are especially at risk of being colonized by horse skin-associated bacteria. However, it remains unclear whether equine skin is colonized by antimicrobial-resistant (AMR) opportunistic pathogens, which may be o...
What if Horses Were Humans? Comparing Rein Tension and Bit Pressures to Human Pressure Pain Thresholds.
Animals : an open access journal from MDPI    October 15, 2025   Volume 15, Issue 20 2989 doi: 10.3390/ani15202989
Musial F, Weiss T.Bit pressure and rein tension-induced mouth pain in horses have recently become a significant welfare concern, fueling debates within the equestrian community and beyond. Evidence indicates that bits can cause pain-related behaviors and even oral lesions. Although studying pressure-induced pain in animals is challenging, the similarities in the physiology of pain processing (nociception) across mammals suggest that it is reasonable to assume that pain perception in humans and horses is principally comparable. Therefore, we compared human pressure pain detection thresholds (PPDTs) to reported r...
Introduction of West Nile virus lineage 2 leads to neuroinvasive cases in humans and horses in Sicily, 2022-2023.
Veterinary research    September 25, 2025   Volume 56, Issue 1 177 doi: 10.1186/s13567-025-01575-z
In Italy, West Nile virus (WNV) has been consistently causing disease in humans, horses, and birds since 2008; it was initially confined to the northeast of the country and then spread gradually to the western and southern regions. WNV lineage 1 (WNV-L1) virus was the only lineage that circulated in Italy until 2011, but it was progressively replaced by WNV lineage 2 (WNV-L2). WNV disease in humans was not observed in Sicily, southern Italy, until 2016, when the first case of West Nile neuroinvasive disease (WNND) due to WNV-L1 was reported. Our results demonstrate the introduction of WNV-L2 i...
Horsing Around: A Retrospective Study of Equestrian Related Eye Injuries in the Emergency Department.
The Journal of emergency medicine    September 10, 2025   Volume 79 446-452 doi: 10.1016/j.jemermed.2025.09.009
Moran C, Harrington M, Barnett J, Wayman L, Bond J.Equestrian activities pose significant risks for ocular and ocular adnexal injuries, particularly from horse kicks and falls from horse riding. Objective: This study characterizes the spectrum of horse-related ocular trauma, analyzes outcomes, and provides recommendations for management of these injuries. Methods: A retrospective review was conducted at a large academic medical institution in the southeastern U.S. using ICD codes to identify horse-related ocular trauma cases. Demographics, injury mechanisms, clinical presentation, treatment, and long-term sequelae were analyzed. Results: Fifty...
Cushing’s Disease in the Animal Kingdom: Translational Insights for Human Medicine.
International journal of molecular sciences    September 4, 2025   Volume 26, Issue 17 8626 doi: 10.3390/ijms26178626
Massardi E, Gaudenzi G, Carra S, Oldani M, Rybinska I, Persani L, Vitale G.Cushing's disease (CD) is a rare neuroendocrine disorder caused by ACTH-secreting pituitary adenomas, presenting significant diagnostic and therapeutic challenges. Given the evolutionary conservation of the hypothalamic-pituitary-adrenal axis, this review explores the translational value of spontaneous CD forms in dogs, horses, cats, small mammals, and rats, as well as of experimental models in mice, rats, and zebrafish. Dogs are the most studied, showing strong molecular and clinical similarities with human CD, making them valuable for preclinical drug and diagnostic research. While equine an...
Equine Asthma in a Comparative Perspective: Cardiovascular and Neurological Manifestations of Asthma Across Different Species.
Animals : an open access journal from MDPI    August 12, 2025   Volume 15, Issue 16 2371 doi: 10.3390/ani15162371
Dlugopolska D, Siwinska N, Noszczyk-Nowak A.Asthma is a multifactorial respiratory disease that naturally occurs in horses, humans, and cats, presenting common clinical signs and species-specific mechanisms. This review addresses the impact of asthma on the cardiovascular and neurological systems, with a primary focus on horses. It highlights the need for new biomarkers beyond the respiratory system due to diagnostic difficulties in animals. A comprehensive literature search was conducted using PubMed and Google Scholar, focusing on cardiovascular and neurological manifestations of asthma in humans, horses, cats, and experimental animal...
Wastewater surveillance as a tool for understanding West Nile virus transmission and distribution in Oklahoma.
The Science of the total environment    May 21, 2025   Volume 983 179707 doi: 10.1016/j.scitotenv.2025.179707
Kuhn KG, Shelton K, Sanchez G, Zamor R, Bohanan K, Nichols M, Morris L, Robert J, Austin A, Dart B, Bolding B, Maytubby P, Vogel J, Stevenson B.West Nile Virus (WNV) is the most widespread and frequently reported mosquito-borne disease in the US, with a high risk of outbreaks. Accurate surveillance of WNV is complicated by many mild or asymptomatic infections, resulting in human cases being under-reported and disease distribution and transmission not being well understood. In this study, we investigated how wastewater surveillance can be used for monitoring WNV in Oklahoma. We analyzed samples collected from wastewater treatment facilities in 16 counties during July 1 to September 31, 2023, for the presence of WNV genetic material and...
‘It’s only a flesh wound’ – Understanding the safety culture in equine, production animal and mixed veterinary practices.
Preventive veterinary medicine    April 22, 2025   Volume 241 106541 doi: 10.1016/j.prevetmed.2025.106541
Tulloch JSP, Schofield I, Jackson R, Whiting M.The veterinary industry has some of the highest rates of non-fatal work-related injuries, yet safety culture remains unexplored. Utilising a survey distributed to all UK employees of a consolidated group of veterinary practices, this study aimed to describe the prevalence of work-related injuries in equine, production animal, and mixed veterinary practices, and to understand the behaviours of injured persons. There were 144 respondents. Over 90 % of clinicians experienced injury during their careers, versus a third of non-clinical staff. Injuries to equine veterinarians were predominately ki...
Wild horses: Tartar warfare and the history of civilization.
Annals of science    April 12, 2025   1-26 doi: 10.1080/00033790.2025.2490050
Giovannetti-Singh G.In 1644, the Manchus, a Tungusic population from northeast Asia, conquered Ming China, establishing the Qing Empire. Four years later, Crimean Tartar horsemen joined a major uprising against the Polish-Lithuanian Commonwealth, gravely destabilizing one of Europe's largest states. These near-simultaneous incursions by ostensibly nomadic, horse-riding 'Tartars' into firearm-defended sedentary states generated extensive historiographical reflection on the role of nomads and their warhorse-centred armies in shaping human history. This article explores how the Jesuit Martino Martini drew on these T...
Equestrian Trauma in an Urban Environment: A Retrospective Analysis in a Level I Trauma Center.
Cureus    April 2, 2025   Volume 17, Issue 4 e81609 doi: 10.7759/cureus.81609
Swezey E, Szydziak E, Angus LDG, Mehta V, Cardozo-Stolberg S.Equestrian trauma is recognized as a high-risk injury mechanism with the potential for significant morbidity and mortality. Although horse-related injuries are more frequently seen in a rural environment, they can also occur in urban settings. Urban physicians should be mindful of these potential cases. Methods: A retrospective review was performed on all patients treated at Nassau University Medical Center, East Meadow, New York, for equestrian-related trauma from January 1, 2000, to December 31, 2024. Results: Twenty-nine equestrian trauma patients ages 10-70 were included, with injuries ob...
A Literature Review on Equine Bedding: Impacts on Horse and Human Welfare, Health, and the Environment.
Animals : an open access journal from MDPI    March 5, 2025   Volume 15, Issue 5 751 doi: 10.3390/ani15050751
Masebo NT, Benedetti B, Mountricha M, Lee L, Padalino B.Bedding is an important component of equine accommodation management. Choosing the right bedding is important for stable management and its selection may include considerations such as the sourcing of the material, the capital investment and ongoing costs, delivery, storage, installation, ongoing labour and maintenance, removal and disposal. Furthermore, it is crucial that the consequences for the health and welfare of horses and humans and the impact on the environment should also be considered. This review aimed to outline the advantages and disadvantages of different horse bedding types, fo...
‘We just make do’: the use, comfort and functionality of personal protective equipment in the UK mounted police.
Ergonomics    February 19, 2025   1-12 doi: 10.1080/00140139.2025.2466014
Hudson S, Blackburn J, Fish M, Ousey K.Police officers wear personal protective equipment (PPE) to reduce their risk of injury while on duty. Despite the unique policing activity of riding a horse, little is known about the PPE used by mounted officers. The aim of this research was to assess the use, comfort, and functionality of mounted police PPE. Twenty officers from three UK Mounted Sections were recruited. Semi-structured interviews and range of movement assessments were conducted. Interview data was analysed using reflexive thematic analysis. Three main themes were generated: and Much of the PPE worn by mounted officers is ...
Motorcycle and Equestrian Trauma: An ACS TQIP Comparative Study.
Journal of trauma nursing : the official journal of the Society of Trauma Nurses    January 27, 2025   Volume 32, Issue 1 15-22 doi: 10.1097/JTN.0000000000000828
Ross DE, Ghodasara SK, Roskam JS, Gaccione AG, DiFazio LT, Bilaniuk JW, Nemeth ZH.Motorcycle and equestrian accidents can share similar trauma mechanisms and can result in serious injuries. Objective: This study aims to analyze variations in injuries and safety standards through types, severity, and outcomes of traumatic injuries in both motorcycle and equestrian riders. Methods: Using the 2020 ACS TQIP database, we split patients into two groups based on their primary injury. We chose codes V28 and V80.0 to identify non-collision fall or throw injuries for motorcycle and equestrian accidents respectively. A total of 17,730 motorcycle and 5,461 equestrian patients were iden...
Companions in antimicrobial resistance: examining transmission of common antimicrobial-resistant organisms between people and their dogs, cats, and horses.
Clinical microbiology reviews    January 24, 2025   Volume 38, Issue 1 e0014622 doi: 10.1128/cmr.00146-22
Caddey B, Fisher S, Barkema HW, Nobrega DB.SUMMARYNumerous questions persist regarding the role of companion animals as potential reservoirs of antimicrobial-resistant organisms that can infect humans. While relative antimicrobial usage in companion animals is lower than that in humans, certain antimicrobial-resistant pathogens have comparable colonization rates in companion animals and their human counterparts, which inevitably raises questions regarding potential antimicrobial resistance (AMR) transmission. Furthermore, the close contact between pets and their owners, as well as pets, veterinary professionals, and the veterinary clin...
Factors associated with time to return to horse racing following a clavicle fracture in jockeys competing in Great Britain: A review and analysis of medical records.
PloS one    January 23, 2025   Volume 20, Issue 1 e0317724 doi: 10.1371/journal.pone.0317724
Newton LJ, Dobbin N, Goodwin P, Crampton JS.Competitive horse racing is the second largest sport in Great Britain by spectator attendance, employability, and revenue. It is a lucrative yet hazardous sport, with high injury rates, particularly from falls. Clavicular fractures are one of the most common injuries reported, yet their management, especially regarding return to racing, is under-researched. The purpose of this study was to explore the factors associated with the time to return to competition following a clavicular fracture in jockeys competing in Great Britain. Methods: This review of medical records utilised data from the Bri...
Workday Habits and Fatigue of American Jockeys.
Journal of occupational and environmental medicine    December 23, 2024   Volume 67, Issue 4 260-267 doi: 10.1097/JOM.0000000000003303
Keener MM, Vice GC, Tumlin KI, Heebner NR.The study aims to characterize the workday habits of American jockeys and evaluate the relationship between workday habits and fatigue through changes in postural stability (balance) across their workday. Methods: Thirty-seven jockeys participated in prerace and postrace day testing. Jockeys completed questionnaires on workday habits and a 2-minute balance test with triaxial accelerometers on the unstable surface and sacrum. Results: The median caloric intake during their workday was 263.8 kcal. Wilcoxon signed rank tests reported no significant changes in balance across the workday. Statistic...
Eastern Equine Encephalitis Virus: The Importance of Metabolism and Aging.
International journal of molecular sciences    December 12, 2024   Volume 25, Issue 24 13318 doi: 10.3390/ijms252413318
Kordowitzki P.Eastern equine encephalitis virus (EEEV) is a mosquito-transmitted alphavirus that, among humans, can cause a severe and often fatal illness. The zoonotic EEEV enzootic cycle involves a cycle of transmission between and avian hosts, frequently resulting in spillover to dead-end vertebrate hosts such as humans and horses. Interestingly, it has been described that the W132G mutation of the very low-density lipoprotein receptor (VLDLR), the receptor of EEEV, significantly enhanced the VLDLR-mediated cell attachment of EEEV. The patient's metabolism plays a pivotal role in shaping the complex lan...
Distinct molecular epidemiology of resistances to extended-spectrum cephalosporins and carbapenems in Enterobacter hormaechei in cats and dogs versus horses in France.
The Journal of antimicrobial chemotherapy    December 12, 2024   Volume 80, Issue 2 567-575 doi: 10.1093/jac/dkae448
Haenni M, Châtre P, Drapeau A, Cazeau G, Troncy J, François P, Madec JY.Enterobacter hormaechei is an important pathogen in humans and animals, which, in addition to its intrinsic AmpC, can acquire a wide variety of genes conferring resistances to extended-spectrum cephalosporins (ESCs) and carbapenems (CPs). In France, human clinical outbreaks of E. hormaechei resistant to ESC or carbapenem were reported. Objective: To study E. hormaechei isolates from cats and dogs (=59) as well as from horses (n = 55) presenting a non-susceptible phenotype to beta-lactams in order to determine which clones, resistance genes and plasmids are circulating in France. Methods: E. ho...
Promoting mental health in military veterans. Methodology and evaluation tools in a pilot study involving an Equine-Assisted Intervention.
Rivista di psichiatria    December 9, 2024   Volume 59, Issue 6 298-305 doi: 10.1708/4386.43838
Military veterans exposed to stressful or traumatic events may experience adjustment difficulties in the post-deployment period, developing a high risk of mental health-related issues. Promising complementary practices such as Equine-Assisted Therapy (EAT) are now widely used, although standardized protocols are missing. The present study aimed to develop an EAT standardized intervention. Methods: A total of 16 veterans were enrolled for the study (11 veterans for the EAT group and 5 veterans for the control group). The EAT lasted 9 months and both a quantitative (State-Trait Anxiety Inventory...
Stakeholder Views on the Potential Benefits and Feasibility of an Equestrian Industry-Specific Health, Safety and Welfare Management System.
Animals : an open access journal from MDPI    November 28, 2024   Volume 14, Issue 23 3450 doi: 10.3390/ani14233450
Chapman M, Fenner K, Thomas MJW, Thompson K.With the growth of the equestrian industry, risk exposure and the obligation to maintain the health, safety, and welfare of humans and horses remain front and centre. As there has been no apparent reduction in non-fatal human horse-related injuries, we asked industry stakeholders to discuss their current management and risk mitigation practices and highlight potential barriers to improving these processes. Semi-structured interviews were conducted with 20 stakeholders from Australian equestrian work- ( = 9) and non-work- ( = 11) related organisations to determine the potential benefits and fea...
Does Equestrian Helmet Type Affect Head Injury? A Study on Equestrian Helmet Use Among Collegiate Athletes.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine    November 5, 2024   Volume 35, Issue 6 646-651 doi: 10.1097/JSM.0000000000001297
Gould S, Crawford AE, Picken L, Serrano D, Gabriel F, McGwin G, Chandran A, Schrum K.To characterize helmet use, head injury risk, and to examine rider-related factors that influence these variables. Methods: Cross-sectional study. Methods: The University of Alabama at Birmingham Equestrian Sports Medicine Collaborative. Methods: In total, 357 equestrians competing at the collegiate level participated in this study. Unassigned: χ 2 tests were used to evaluate potential associations between a rider's experience level, riding style, and use of helmet designed with MIPS with number of falls, past head injuries, and helmet use frequency. Methods: Data regarding helmet use and equ...
A 15-day pilot biodiversity intervention with horses in a farm system leads to gut microbiome rewilding in 10 urban Italian children.
One health (Amsterdam, Netherlands)    September 24, 2024   Volume 19 100902 doi: 10.1016/j.onehlt.2024.100902
To provide some glimpses on the possibility of shaping the human gut microbiome (GM) through probiotic exchange with natural ecosystems, here we explored the impact of 15 days of daily interaction with horses on the GM of 10 urban-living Italian children. Specifically, the children were in close contact with the horses in an "educational farm", where they spent almost 10 h/day interacting with the animals. The children's GM was assessed before and after the horse interaction using metabarcoding sequencing and shotgun metagenomics, along with the horses' skin, oral and fecal microbiomes. Targ...
Prevalence and risk factors associated with nasal carriage of methicillin-resistant staphylococci in horses and their caregivers.
Veterinary research    September 9, 2024   Volume 55, Issue 1 108 doi: 10.1186/s13567-024-01364-0
Bullone M, Bellato A, Robino P, Nebbia P, Morello S, Marchis D, Tarducci A, Ru G.Antimicrobial resistance is a global threat, and pet-associated strains may pose a risk to human health. Equine veterinarians are at high risk of carrying methicillin-resistant staphylococci (MRS), but specific risk factors remain elusive, and few data are available for other personnel involved in the horse industry. The prevalence, characteristics, and risk factors for nasal carriage of MRS in horses and their caregivers were studied in northwestern Italy. Nasal swabs from 110 asymptomatic horses housed at 21 barns and 34 human caregivers were collected. Data on barns, horses, and personnel w...
Equine-assisted therapy in quality of life and functioning of people with active epilepsy: A feasibility study.
Epilepsy & behavior reports    August 22, 2024   Volume 28 100707 doi: 10.1016/j.ebr.2024.100707
de Andrade Santos FO, Souza-Santos C, Passos AA, Nunes de Santana Campos R, Martins-Filho PR, Arida RM, Teixeira-Machado L.People with active epilepsy, which is often associated with specific neurological conditions, endure significant impairments in quality of life (QoL) and functioning, particularly those in middle-income countries. Physical intervention plays an essential role in addressing these challenges. This study investigated the impact of equine-assisted therapy (EAT) on QoL, functional independence, sleep quality, antiseizure medications, and frequency of seizures among people with epilepsy (PWE), with or without additional neurological conditions. Fourteen participants aged 4-34 years old diagnosed wi...
Environmental Conditions in Equine Indoor Arenas: A Descriptive Study.
Journal of equine veterinary science    August 16, 2024   105165 doi: 10.1016/j.jevs.2024.105165
McGill S, Coleman R, Hayes M.Indoor arenas do not always include mechanical ventilation or stirring fans and occupancy by horses and humans can be sporadic and inconsistent, which creates a challenging space for understanding and predicting variations in temperature, moisture, and airflow. To understand the interior environment within indoor arenas, monitoring was conducted at 15 facilities within 200 kilometres of Lexington, KY. Environmental monitoring of dry bulb temperature, relative humidity, dew point temperature, air speeds, and solar radiation took place over 7 days in the winter and summer to examine temporal var...
Are equine-assisted services beneficial for military veterans with post-traumatic stress disorder? A systematic review and meta-analysis.
BMC psychiatry    August 1, 2024   Volume 24, Issue 1 544 doi: 10.1186/s12888-024-05984-w
Provan M, Ahmed Z, Stevens AR, Sardeli AV.Equine-assisted services (EAS) involves the use of horses within therapy, learning or horsemanship sessions and has been used with military veterans suffering from post-traumatic stress disorder (PTSD). This study systematically reviewed existing research on the use of EAS in the treatment of PTSD in military veterans and evaluated its effectiveness. A systematic review was performed, in May 2023, with searches and data extraction carried out from three separate databases (PubMed, JSTOR and Science Direct) related to testing the effect of EAS on PTSD outcomes in veterans. A risk of bias assess...
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