Equine welfare encompasses the physical and psychological well-being of horses, focusing on their health, comfort, and overall quality of life. This area of study addresses various aspects, including nutrition, housing, behavior, and management practices, aiming to ensure that horses are kept in environments that meet their physiological and behavioral needs. Research in equine welfare examines factors such as stress indicators, pain assessment, and the impact of human interactions on horse behavior and health. This page compiles peer-reviewed research studies and scholarly articles that explore the assessment, improvement, and implications of welfare practices in equine management.
Everett JB, Schumacher J, Doherty TJ, Black RA, Amelse LL, Krawczel P, Coetzee JF, Whitlock BK.OBJECTIVE To determine the effects of stacked wedge pads and chains applied to the forefeet of Tennessee Walking Horses on behavioral and biochemical indicators of pain, stress, and inflamation. ANIMALS 20 Tennessee Walking Horses. PROCEDURES Horses were randomly assigned to 2 treatment groups: keg shoes (control; n = 10) or stacked wedge pads and exercise with chains (10). Ten days before treatment application, an accelerometer was attached at the left metatarsus of each horse to record daily activity. Horses were exercised for 20 minutes daily, beginning on day -7. On day 0, exercise ceased,...
Burns TA, Dembek KA, Kamr A, Dooley SB, Dunbar LK, Aarnes TK, Bednarski LS, O'Brien C, Lakritz J, Byrum B, Wade A, Farmer R, Tan S, Toribio RE.Cobalt chloride (CoCl ) is administered to racehorses to enhance performance. The purpose of this study was to evaluate the clinical, cardiovascular, and endocrine effects of parenterally administered CoCl . Objective: To describe the effects of weekly intravenous doses of CoCl on Standardbred horses. Methods: Five, healthy Standardbred mares. Methods: Prospective, randomized, experimental dose-escalation pilot. Five Standardbred mares were assigned to receive 1 of 5 doses of CoCl (4, 2, 1, 0.5, or 0.25Â mg/kg) weekly IV for 5Â weeks. Physical examination, blood pressure, cardiac output, and e...
Smith AV, Wilson C, McComb K, Proops L.In the original publication, data availability text was incorrectly published. The correct text should read as below.
DuBois C, Hambly-Odame H, Haley DB, Merkies K.As part of a larger Delphi survey project, equine professionals ( = 14) were presented with twelve short scenarios in which a horse's welfare could be compromised. They were asked to rank each scenario (with 0 indicating no welfare concerns and 5 indicating a situation where immediate intervention was necessary), provide justification for their ranking, and give examples of what might have been the motivation behind the scenario. The wide range within vignette scores demonstrated the diversity of opinion even among a relatively small group of equine professionals. Qualitative analysis of respo...
Individual animals vary in their behaviour and reactions to novel situations. These differences may extend to differences in cognition among individuals. We tested twenty-six horses for their ability to detour around symmetric and asymmetric obstacles. All of the animals were able to get around the barrier to reach a food target, but varied in their approach. Some horses moved slowly but were more accurate in choosing the shortest way. Other horses acted quickly, consistently detoured in the same direction, and did not reliably choose the shortest way. The remaining horses shifted from a faste...
Merkies K, Nakonechny L, DuBois C, Derisoud E.Training practices may impose restrictions on the equine behavioral repertoire through the use of training equipment. Presently, the prevalence of the use of training equipment in Canada is unknown. Through an online survey for horse enthusiasts (n = 654), this study evaluated the prevalence and predominant uses of whips, spurs, and head-control equipment by enthusiasts with direct contact with horses compared to perceptions held by enthusiasts with no direct horse contact using chi-squared analyses. Respondents primarily reported using whips and spurs to augment rider or trainer cues and re...
Hillyer LL, Ridd Z, Fenwick S, Hincks P, Paine SW.While cobalt is an essential micronutrient for vitamin B synthesis in the horse, at supraphysiological concentrations, it has been shown to enhance performance in human subjects and rats, and there is evidence that its administration in high doses to horses poses a welfare threat. Animal sport regulators currently control cobalt abuse via international race day thresholds, but this work was initiated to explore means of potentially adding to application of those thresholds since cobalt may be present in physiological concentrations. Objective: To devise a scientific basis for differentiation b...
Osthaus B, Proops L, Long S, Bell N, Hayday K, Burden F.There are clear differences between donkeys and horses in their evolutionary history, physiology, behaviour and husbandry needs. Donkeys are often kept in climates that they are not adapted to and as such may suffer impaired welfare unless protection from the elements is provided. Objective: To compare some of the hair coat properties of donkeys, mules and horses living outside, throughout the year, in the temperate climate of the UK. Methods: Longitudinal study. Methods: Hair samples were taken from 42 animals: 18 donkeys (4 females, 14 males), 16 horses (6 females, 10 males) and eight mules ...
Holcomb KE.Shade or shelter as protection from extremes of weather is required for horses at agricultural research and teaching facilities and is recommended or required by many states, professional organizations, and industry groups. The focus of this paper is the recent research on the responses of horses to hot, sunny weather, which has begun to provide scientific evidence that characterizes how and when shade is used and any benefits shade confers on horses. These behavioral and physiological findings support provision of shade as a resource for thermal comfort and the expression of normal behavior t...
Grosås S, Østevik L, Revold T, Ottesen N, Ropstad EO.A uveal leiomyosarcoma of a horse is reported. There are few published reports of intraocular tumors in horses. Intraocular tumors challenge animal welfare by causing uveitis, glaucoma, and loss of vision. Knowledge regarding treatment of intraocular tumors with globe preservation is sparse, and further investigations on this topic are required.
York A, Matusiewicz J, Padalino B.This review aims to provide practical outcomes on how to minimise the incidence of transport-related problem behaviours (TRPBs) in horses. TRPBs are unwanted behaviours occurring during different phases of transport, most commonly, a reluctance to load and scrambling during travelling. TRPBs can result in injuries to horses and horse handlers, horse trailer accidents, disruption of time schedules, inability to attend competitions, and poor performance following travel. Therefore, TRPBs are recognised as both a horse-related risk to humans and a human-related risk to horses. From the literature...
Tocci R, Sargentini C, Martini A, Andrenelli L, Pezzati A, Benvenuti D, Giorgetti A.Foot quality is essential to the horse's movement. The barefoot approach favours the animal's welfare. Environment and selection determine hoof characteristics. Methods: Hoof characteristics of eight Anglo-Arabian (AA) and nine Haflinger (HA) horses were studied. After a preliminary visual analysis of feet, nail samples were collected after trimming for physico-chemical analysis. The parameters were submitted to analysis of variance. A principal component analysis and a Pearson correlation were used to compare mineral contents. Results: The hooves of both breeds were healthy and solid. The hoo...
McNeill LR, Bott RC, Mastellar SL, Djira G, Carroll HK.In South Dakota, the status of equid well being is relatively unknown. This study sought to (a) gain understanding about the current perceptions of nonhuman animal well being in South Dakota, with an emphasis on horses and other equids; (b) determine the level of care equids are reportedly receiving and the perceived challenges to equine well being in South Dakota, and (c) determine if people from diverse geographical locations (east or west of the Missouri River) have similar views on the well being of equids in South Dakota. Respondents indicated the current level of equid well being in Sout...
Page P, Ganswindt A, Schoeman J, Venter G, Guthrie A.African horse sickness (AHS) is of importance to health and international trade in horses worldwide. During export from and transit through AHS endemic countries or zones, physical and chemical measures to protect horses from the vectors of AHS virus (AHSV) are recommended by the World Organization for Animal Health. Protection of containerized air transport systems for horses (jet stalls) with alphacypermethrin insecticide-treated high density polyethylene mesh is effective in reducing the Culicoides midge vector attack rate. In order to determine the effect of this mesh on jet stall ventilat...
De Santis M, Contalbrigo L, Borgi M, Cirulli F, Luzi F, Redaelli V, Stefani A, Toson M, Odore R, Vercelli C, Valle E, Farina L.Equine assisted interventions (EAIs) are recently facing an increasing popularity, and are characterized by a wide diversity of practices. However, information on the welfare of animals involved in this kind of activity is often lacking. Horses are highly susceptible to work stressors related to physical constraints and/or to the need to control emotions while interacting with humans. Considerations of the emotional state of horses involved in EAIs have multiple valences: for the safety of humans and animals involved, for the quality and efficacy of interventions, as well as for ethical reason...
Pawluski J, Jego P, Henry S, Bruchet A, Palme R, Coste C, Hausberger M.The hypothalamic-pituitary-adrenal (HPA) axis response to chronic stress is far from straight forward, particularly with regards to animal welfare. There are reports of no effect as well as both decreases and increases in cortisol after chronic stressors. Therefore, the first aim of the present study was to determine how measures of compromised welfare, such as chronic pain and haematological anomalies, related to cortisol levels in domestic horses (Equus caballus). Domestic horses are an informative model to investigate the impact of chronic stress (due to environment, pain, work, housing con...
Aleman M, Weich KM, Madigan JE.Horses are a precocious species that must accomplish several milestones that are critical to survival in the immediate post-birth period for their survival. One essential milestone is the successful transition from the intrauterine unconsciousness to an extrauterine state of consciousness or awareness. This transition involves a complex withdrawal of consciousness inhibitors and an increase in neuroactivating factors that support awareness. This process involves neuroactive hormones as well as inputs related to factors such as cold, visual, olfactory, and auditory stimuli. One factor not previ...
Gronqvist G, Rogers C, Gee E, Martinez A, Bolwell C.Many veterinary and undergraduate equine science students have little previous horse handling experience and a poor understanding of horse behaviour; yet horses are one of the most unsafe animals with which veterinary students must work. It is essential for veterinary and equine students to learn how to interpret horse behaviour in order to understand demeanour and levels of arousal, and to optimise their own safety and the horses' welfare. The study utilised a qualitative research approach to investigate veterinary science and veterinary technology and undergraduate equine science students' i...
Galindo F, de Aluja A, Cagigas R, Huerta LA, Tadich TA.Equids are still used for diverse chores in Mexico and are essential for the livelihoods of numerous families. Appropriate health and behavior are prerequisites for performing work without affecting welfare. This study aimed to assess the welfare of working equids in Tuliman, applying the hands-on donkey tool. This tool evaluates five dimensions (behavior, body condition score [BCS], wounds, lameness, and other health issues) and was applied to 438 working equids (horses, mules, and donkeys). The Kruskall-Wallis test was applied to investigate differences between species and sex. Donkeys were ...
Luna D, Vásquez RA, Rojas M, Tadich TA.Appropriate interventions to improve working equine welfare should be proposed according to scientific evidence that arises from different geo-cultural contexts. This study aims to assess and compare the welfare status of working horses in two administrative regions of Chile and to determine how owners perceive their horses. Horses' welfare status was assessed through direct indicators (direct observation and clinical examination) and indirect indicators (an interview with the owner). Owners' perceptions of their horses were determined through a discourse analysis of their statements. In total...
Popescu S, Diugan EA.The aim of this observational study was to investigate if a relationship exists between the calculated overall individual welfare score (as an indicator of the welfare quality) and the neutrophil:lymphocyte (N:L) ratio (as a stress indicator) in working (draught) and reproduction horses (breeding stallions and broodmares), in two different seasons. The welfare of the horses was assessed by a protocol which included health and behavioural parameters. An individual welfare score was computed, the total and differential WBC count was established and the N:L ratio was calculated for each of the 14...
Lecchi C, Dalla Costa E, Lebelt D, Ferrante V, Canali E, Ceciliani F, Stucke D, Minero M.Circulating microRNAs (miRNAs) are emerging as promising biomarkers for several disorders and related pain. In equine practice, acute laminitis is a common disease characterised by intense pain that severely compromises horse welfare. Recently, the Horse Grimace Scale (HGS), a facial expression-based pain coding system, was shown to be a valid welfare indicator to identify pain linked to acute laminitis. The present study aimed to: determine whether miRNAs can be used as biomarkers for acute pain in horses (Equus caballus) affected by laminitis; integrate miRNAs to their target genes and to ca...
Mellor DJ, Beausoleil NJ.Horses engaged in strenuous exercise display physiological responses that approach the upper functional limits of key organ systems, in particular their cardiorespiratory systems. Maximum athletic performance is therefore vulnerable to factors that diminish these functional capacities, and such impairment might also lead to horses experiencing unpleasant respiratory sensations, i.e., breathlessness. The aim of this review is to use existing literature on equine cardiorespiratory physiology and athletic performance to evaluate the potential for various types of breathlessness to occur in exerci...
Ono A, Matsuura A, Yamazaki Y, Sakai W, Watanabe K, Nakanowatari T, Kobayashi H, Irimajiri M, Hodate K.The aim of this study was to evaluate the influence of rider's skill on the plasma cortisol levels of trekking horses on two courses, walking on field and forest courses (about 4.5 to 5.1Â km each). Three riders of different skills did horse trekking (HT) in a tandem line under a fixed order: advanced-leading, beginner-second and intermediate-last. A total of six horses were used and they experienced all positions in both courses; a total of 12 experiments were done. Blood samples were obtained before HT, immediately after and 2Â h after HT. As a control, additional blood samples were obtained...
Hartmann E, Bøe KE, Jørgensen GH, Mejdell CM, Dahlborn K.Limited information is available on the extent to which blankets are used on horses and the owners' reasoning behind clipping the horse's coat. Research on the effects of those practices on horse welfare is scarce but results indicate that blanketing and clipping may not be necessary from the horse's perspective and can interfere with the horse's thermoregulatory capacities. Therefore, this survey collected robust, quantitative data on the housing routines and management of horses with focus on blanketing and clipping practices as reported by members of the Swedish and Norwegian equestrian com...
Boyd L.Behavior problems in zoo equids commonly result from a failure to provide for needs basic to equine nature. Equids are gregarious, and failure to provide companions may result in pacing. Wild equids spend 60 to 70 per cent of their time grazing, and failure to provide ad libitum roughage contributes to the problems of pacing, cribbing, wood chewing, and coprophagia. Mimicking the normal processes of juvenile dispersal, bachelor-herd formation, and mate acquisition reduces the likelihood of agonistic and reproductive behavior problems. Infanticide can be avoided by introducing new stallions to ...
Sullins KE, McIlwraith CW.Transverse or oblique midshaft tibial osteotomies were created in 11 foals. The osteotomies were repaired during the same procedure using external skeletal fixation in either full splint or 3-dimensional (3-D) tent configurations. Four of the six foals receiving the full splint fixator recovered to full soundness; two were euthanized because of complications. The foals receiving the 3-D tent configuration would not bear weight on the limbs and consequently suffered significant secondary fracture disease. These foals were euthanized for humane reasons before the scheduled termination of the pro...
Jackson K, Kelty E, Tennant M.Equine peripheral caries can be a significant welfare issue in affected horses. Recent work has shown that complete reversal of the condition may be possible if the primary risk factor can be identified and corrected. Determining whether caries are active (deteriorating) or inactive (improving) is of vital importance when formulating a management and treatment plan. A new grading system is proposed that looks at whether caries are likely active or inactive to assist clinicians deciding whether intervention is required. Objective: To examine the reliability of an alternative grading method for ...
Ostermeier S, Palme R, Vervuert I, Glomm B, Feige K, Macho-Maschler S, König von Borstel U, Venner M.In this study, gastroscopy was performed twice in 31 two-year-old Thoroughbred racehorses in training. Salivary cortisol (SC) and fecal cortisol metabolite (FCM) concentrations were determined to measure the stress impact. One gastroscopy was performed at the beginning and one six months later at the end of the horses' first training season. According to the Wilcoxon signed rank test, a mild but significant increase of SC (1st gastroscopy: = 0.0045, 2nd gastroscopy: < 0.0001) and FCM (1st gastroscopy: < 0.0001, 2nd gastroscopy: = 0.0006) values after gastroscopy compared to basal val...
WiÅ›niewska A, Janczarek I, Ryżak M, Tkaczyk E, KÄ™dzierski W.It is not clear, if modern Konik Polski horses have retained the ability to identify sounds in terms of danger. The aim of the study was to identify differences in their behaviour in response to the reproduction of volcanic eruption and sea storm sounds, assumed to be unfamiliar to these horses, as compared to their response to a thunderclap sound, considered by the horses as potentially dangerous. The study included 13 adult mares of the Konik Polski breed, kept under a free-range system. Their behavioural responses to the reproduction of the three natural sounds with an intensity of over 50â...
König von Borstel U, Bernhard V.The objective of this study was to compare the impact of health disorders and reasons for culling on the functional and biological longevity of warmblood breeding stallions using semi-parametric survival analysis accounting for competing risks. Complete breeding records were collected from 455 warmblood stallions serving between 1975 and 2010 at Marbach State Stud in Germany. The median length of life (18.0 years) was twice as long as the median length of service (9.0 years). However, both figures increased significantly over the time period examined (e.g., functional longevity increased from ...
Cox EG, Bell R, Greer RM, Jeffcott LB.The practice of horse rugging has important implications for horse welfare and performance, but in Australia, rugging practices have not been properly documented. The objective of this study was to obtain an understanding of Australian horse rugging practices. An online survey reviewed the management of 2659 Australian horses over 12 months. Of the reported horses a total of 84.8% were rugged, although most owners (69.5%) indicated that they were unsure whether horses needed to be rugged at all. Rugging was felt by 59.8% of owners to be a requirement for horses in competition. Riding and com...
Heleski C, Bauson L, Bello N.Horse training often relies upon negative reinforcement (NR). This study tested the hypothesis that adding positive reinforcement (PR) to NR would enhance learning in horses (n = 34) being taught to walk over a tarp (novel/typically frightening task). Subjects were Arabians, and the same person handled all of them. This person handled half "traditionally" (NR only)--that is, halter/lead were pulled; when horse stepped forward, pressure was released; process repeated until criterion met (horse crossed the tarp with little/no obvious anxiety). The same person handled the other half traditionally...
Tobin T, Harkins JD, Sams RA.Proper veterinary care of horses requires that horses in training have access to modern therapeutic medication. However, the sensitivity of equine drug testing now allows for detection of pharmacologically insignificant concentrations of many therapeutic medications. In 1995, the Association of Racing Commissioners International (ARCI) resolved that members 'address trace level detection so as not to lead to disciplinary action based on pharmacologically insignificant traces of these substances'. The rationale behind this approach is to prevent overly-sensitive testing from inhibiting the prop...
Romness N, Fenner K, McKenzie J, Anzulewicz A, Burattini B, Wilson B, McGreevy P.An evidence-based understanding of dangerous or unwelcome behaviour in horses would greatly benefit both horses and humans who interact with them. Using owner-reported data from the Equine Behaviour Assessment and Research Questionnaire (E-BARQ), the current study investigated in-hand behaviours associated with dangerous or unwelcome ridden behaviours, notably bolting, rearing and bucking. Respondents ( = 1584) to the ridden horse section of the E-BARQ answered 42 demographic questions, followed by 268 behavioural items. Parallel analysis was conducted to group individual behaviours into rotat...
Herbst AC, Coleman MC, Macon EL, Brokman A, Stromberg AJ, Harris PA, Adams AA.Information on the management and health of US senior horses (≥15 years of age) is currently limited. Objective: Provide information on (1) primary use of US senior horses, (2) reasons and risk factors for horse retirement, (3) exercise management, (4) prevalence of low muscle mass and (5) risk factors for, and owner-perceived consequences of, low muscle mass. Methods: Online survey. Methods: Survey responses from 2717 owners of U.S.-resident senior horses (≥15 years of age) were analysed descriptively and inferentially, using ordered and binomial logistic regression, ANOVA and the Kru...
Rosanowski S, Verheyen K.The number of unwanted horses in the UK has increased in recent years. It is therefore important to identify factors that indicate whether a horse can be rehomed and how long it takes to be rehomed. Data from 1 January 2013 until 30 March 2014 were extracted from an equine rehoming charity's database. Exposure variables were examined using multivariable logistic and Cox regression. In total, 791 horses were included in the study and 410 (51.8%) were rehomed during the study period. Median time until rehomed was 39 days (IQR 24-75). Horses whose owner was prepared to transfer ownership were nea...
Oosterlinck M, Gasthuys F, Back W, Pille F.There is ethical debate on the use of ponies for carousel rides at city fairs, as these animals may develop progressive locomotor asymmetry during their career. To investigate this issue, 21 ponies used for carousel rides were walked and trotted over a pressure plate system. Non-directional symmetry ratios and directional asymmetry indices of forelimb peak vertical force (PVF), vertical impulse (VI), stance time (ST) and hoof contact area (CA) were calculated and compared to reference data. In both the carousel and reference groups, most ponies presented higher loading of the right forelimb at...
Passantino A, Giannetto C, Passantino L, Piccione G.The Council of Europe's activities in the field of animal welfare are particularly noteworthy and comprise the elaboration of several norms for the protection of animals. Concerning the specific European Directive, Regulations or Convention for the protection of animals, the Authors underline the missing of specifics recommendations concerning the welfare of sport horses and especially of trotters. Guidelines are reported by regulation of equestrian sports. The paper's purpose is to give practical elements to individuate the welfare state and to promote a clear regulation on welfare, care and ...
Bornmann T, Williams J, Richardson K.The impact of head and neck position (HNP) on horse welfare has received much attention in the scientific literature within the last two decades. Studies have identified physiological and behavioral signs of distress in horses ridden for prolonged time in an HNP with their noseline behind the vertical (BTV), which may compromise their welfare. The objective of this study was to compare potential differences of HNPs shown in horse sales photographs advertised in an Australian horse sales magazine (Horse Deals) from the years 2005 and 2018. In addition, factors potentially impacting HNPs, such a...
van den Boom R, Kempenaars M, van Oldruitenborgh-Oosterbaan MM.Insect bite hypersensitivity (IBH) is the most common cause of pruritus in horses and is a serious welfare issue for affected animals. In this study, the effect of a topical phytogenic ointment on the healing of cutaneous lesions was investigated in a double-blind trial involving 26 horses with I B H. The number of lesions and their total surface area were recorded on days 0, 7, and 21 in horses treated for 3 weeks with either verum or placebo ointment. After unblinding of treatment assignment, the horses that had been treated with the placebo ointment received the verum preparation for an add...
Mata F, Johnson C, Wilding L.The process of domestication of the horse introduced changes limiting accessibility to graze land and roughage while increasing highly digestible carbohydrates content of meal-fedrations. We have tested whether the effect of a higher degree of human contact impacts horses' welfare by assessing the development of sharp enamel points (SEP) and buccal ulcerations (BU) in ridden and unridden horses. We were able to fit logistic regression models significantly differentiating the impact of these two conditions in both groups of horses (p < 0.001 for SEP and p < 0.01 for BU). The impact is higher...
Ward A, Stephen K, Argo C, Watson C, Harris P, Neacsu M, Russell W, Grove-White D, Morrison P.During the lockdown phase of the COVID-19 pandemic, equestrian stakeholders faced a dilemma whereby they were required to balance caring for the welfare of horses with adapting to the restrictions imposed to protect public health. The present study investigated the impact of the pandemic on the wellbeing of a sample of industry stakeholders, including horse owners, equine veterinarians, farriers and welfare centre managers ( = 26) using a qualitative methodology. Findings from the interviews indicated that the mental health and wellbeing of veterinarians and horse owners was negatively affecte...
Ehrmann C, Hartung S, Hirz M, Fey K.A 15-year-old Warmblood gelding was presented with multiple large, ulcerative, and crusty dermal lesions that had been existing for 4 years. Histopathology of a skin biopsy revealed cleft formation at the dermal-epidermal junction beneath the basal cells and above the basement membrane leading to the diagnosis of bullous pemphigoid. Immunosuppressive therapy with dexamethasone and azathioprine was initiated and after 14 weeks full remission of the ulcers was achieved. Scar tissue formation was evident in the areas of the formerly affected lesions. Following medication tapering over a perio...
Ibrahim A, Mahmoud UT, Ali MM, Ragab SMM.This study described the subcapsular technique for primary closure castration in donkeys with special regard to its efficiency and welfare impacts. The study was conducted on twelve adult male donkeys, allocated randomly into two groups; subcapsular castration (SC) and open castration (OC) groups, whether the donkeys were subjected to surgical castration either by subcapsular or open castration techniques, respectively. Testosterone, cortisol, lactate, glucose, total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), triglyceride (TG), and nitric oxide (NO) were measured before an...
Legg KA, Bolwell CF, Gee EK, Gibson MJ, Rogers CW.This study aimed to determine the incidence of, and risk factors for race-day horse falls in Thoroughbred jumps (hurdle and steeplechase) racing in New Zealand. Incidence rates for race-day horse falls in jumps races from 2005/6 - 2018/19 racing seasons (n = 13,648 race day starts) were calculated per 1000 starts. Univariable and multivariable analyses of race-, horse- and jockey-level risk factors for horse falls were conducted using Poisson regression in a generalised linear mixed model. The incidence rate of horse falls in jumps races was 42 (95 % confidence intervals [CI], 39 - 45) per 1...