The structure and regulation of the Irish equine industries: Links to considerations of equine welfare

The equine industries in Ireland are vibrant and growing. They are broadly classified into two sectors: Thoroughbred racing, and sports and leisure. This paper describes these sectors in terms of governance, education and training in equine welfare, and available data concerning horse numbers, identification, traceability and disposal. Animal welfare, and specifically equine welfare, has received increasing attention internationally. There is general acceptance of concepts such as animal needs and persons' responsibilities toward animals in their care, as expressed in the 'Five Freedoms'. As yet, little has been published on standards of equine welfare pertaining to Ireland, or on measures to address welfare issues here. This paper highlights the central role of horse identification and legal registration of ownership to safeguard the health and welfare of horses.     

Aspects of the owning/keeping and disposal of horses, and how these relate to equine health/welfare in Ireland

Background

Ireland has long been renowned as a major centre for the breeding, rearing and keeping of horses. Since 2007, however, there has been increasing concern for horse health and welfare standards, and links between these concerns and the structures, governance and funding of the Irish equine industries have been reported. This paper addresses two central issues: firstly the local governance of, trade in and disposal of unwanted horses; and secondly mechanisms employed to improve standards of care given to horses owned by certain communities.

Method

Primary information was gathered through visits to horse pounds run by and on behalf of Local Authorities, to social horse projects, to horse dealer yards, ferry ports, horse slaughter plants and knackeries.

Results

The approach adopted by members of a given group, e.g. ferry ports, is described and differences are highlighted, for example in how different Local Authorities implement the Control of Horses Act of 1986, and how the choice, for example, of disposal route affects the standard of animal welfare.

Conclusions

There is a pressing need for a more centrally mandated and uniformly applied system of governance to safeguard the health and promote the keeping of horses to a higher welfare standard in Ireland. Fundamental to an understanding of why there is insufficient oversight of the keeping and proper disposal of horses is the lack of a comprehensive, integrated system for the registration, identification and tracing of equidae in Ireland.     

Use of qualitative methods to identify solutions to selected equine welfare problems in Ireland

This paper explores the views of those in the Irish equine industry, organisations and government regarding necessary improvements to equine welfare in Ireland at unregulated gatherings and during the disposal process. Three qualitative research methods were employed, namely semistructured interviews, focus groups and a structured, facilitated workshop. Representatives from industry, welfare societies, socially disadvantaged groupings and government engaged with this process and shared their views regarding horse welfare and implementable solutions with merit to address welfare problems. A consensus was achieved that equine welfare in Ireland could be improved by the development of a comprehensive identification system, a Code of Practice for horse gatherings, a horse licensing scheme, ring-fenced funding to promote responsible, humane horse disposal and better means of raising awareness of the value of safeguarding horse welfare for the benefit of all parties.     

Diversity in horse enthusiasts with respect to horse welfare: An explorative study

A reduced level of welfare of horses is related to management factors such as low forage feeding, short feeding time, social isolation, and lack of unrestrained exercise. It has been assumed that welfare problems can be reduced and/or partly prevented by improving the knowledge and skills of horse enthusiasts. It has also been assumed that to improve the provision of information to horse enthusiasts, it is important to explore and gain more insight into horse enthusiasts’ motives, knowledge, and behavior. The aim of this exploratory study was to identify the diversity of horse enthusiasts in the Netherlands, with respect to the way they search and find out information, their emotional involvement with horses, and their attitude, their knowledge, and daily practices with regard to equine welfare. A Web-based survey using a 30-item questionnaire resulted in 4,267 respondents. Most respondents (84.6%) were female; the average age of the respondents was 34.2 (±13.5) years. More than half of the respondents (64.5%) believed that there were welfare problems throughout the whole horse industry. The most important reported source for information was the personal contact with other horse enthusiasts (82.8%), with veterinarians (74.5%), and with farriers (69.5%). It is, therefore, recommended that to disseminate relevant knowledge on equine welfare, particular attention should be paid to the acquisition and dissemination skills within the education programs of veterinarians and farriers. Although most respondents were aware of the issues that can compromise welfare, their knowledge did not always result in appropriate practices. Furthermore, a cluster analysis showed that horse enthusiasts can be categorized into 4 clusters from the way they search and find out information, their emotional involvement with horses, and their attitude, their knowledge, and daily practices with regard to the welfare of horses. To improve the provision of information to horse enthusiasts, it is recommended that the information provision to horse enthusiasts is organized around these 4 clusters of horse enthusiasts.     

Death and Euthanasia as Contemporary Topics in Equine Curricula

Few college-level curricula in equine management classes address the topics of death and euthanasia, even though every horse eventually will experience the process. A comprehensive educational approach includes topics on assessing the need for euthanasia, decision making techniques, acceptable euthanasia methods, physiology of dying, and appropriate carcass disposal options, as well as addressing the emotional context of the human-horse bond and the grief process. Suggested projects for students include the development of an equine euthanasia plan or a quality of life assessment. Since death and euthanasia are integral components in the U.S. societal issues concerning the number of unwanted horses, the slaughtering of horses for human consumption, and the development of minimum welfare standards and regulations, education and research in these subjects will help to effectively resolve these situations and enhance the welfare of horses.     

A cross-sectional study of geriatric horses in the United Kingdom. Part 1: Demographics and management practices

Reasons for performing study: With growing numbers of aged horses, geriatric medicine is becoming increasingly important in equine veterinary practice; however, there is a paucity of information on the UK equine geriatric population. Objectives: To describe the demographic characteristics of the equine geriatric population and to assess management practices undertaken by owners of geriatric horses (aged ≥15 years). Methods: A cross‐sectional study was conducted, surveying a randomly selected sample of veterinary registered owners with horses aged ≥15 years, using a self‐administered postal questionnaire. Results: Horses aged ≥15 years represented 29% of the equine population in the study area. The response rate to the questionnaire survey was 80.2%. Management practices were similar to those previously described for the general equine population. However, the level of exercise and feeding practices changed significantly with increasing age. A summary of the demographic characteristics, feeding and management of horses in a sample of the geriatric equine population is presented. Conclusions and potential relevance: The management of geriatric horses has a direct effect on their health and welfare and this study has provided valuable information on the demographics and management of geriatric horses and ponies in the UK. The information can be used to form targeted owner education programmes for geriatric health and should aid in the investigation and prevention of disease.     

Exploring lay perceptions of the causes of crib‐biting/windsucking behaviour in horses

Reasons for performing study: Crib‐biting/windsucking behaviour has important consequences for equine health and welfare. Lay perceptions of health and illness are of interest to medical sociologists, providing important information to medical practitioners, but have infrequently been applied in veterinary research. Objectives: To demonstrate how lay epidemiology can be applied within veterinary research by exploring the lay perceptions regarding the causes of crib‐biting/windsucking behaviour in horses. Methods: Informants were recruited from professional and amateur horse owners who had or had not owned/cared for a horse that exhibited crib‐biting/windsucking behaviour. In‐depth interviews were used to examine perceptions about the development of this behaviour within each group until a ‘saturation’ of themes emerged. Results: The main themes that emerged as causes of crib‐biting/windsucking behaviour were ‘boredom’, ‘stress’ and ‘habit/addiction’. In the group of owners/carers who did not have direct experience of this type of behaviour, ‘copying’ from other horses emerged as a strong theme and they stated that they would not wish to own a crib‐biting/windsucking horse. In contrast, those who had direct experience of horses demonstrating this behaviour did not believe copying was a cause based on their own observations and would not be put off purchasing or caring for another horse displaying this behaviour. Conclusions: Perceptions about what causes crib‐biting/windsucking was influenced by whether or not informants had personal experience of horses demonstrating this behaviour. The three main themes that emerged have some justification based on current research and highlight the need for further investigation into the underlying pathophysiology of crib‐biting/windsucking behaviour. Potential relevance: Qualitative approaches to health, disease and behaviour have an important role in the medical field and are applicable to veterinary research.     

Current practice relating to equine castration in the UK

This study aimed to characterise current practice relating to equine castration in the UK. A questionnaire was posted to all 655 veterinary practices specified to provide veterinary care for horses, or classified as specialist equine practices. Respondents were asked to cite the number of equine castrations performed annually by the practice, describe techniques used for castration, outline anaesthetic/sedative/analgesic drug protocols used and provide details of post-operative medication. There was a 43% response rate to the questionnaire. Considerable variation in techniques and analgesia provision was identified, with the majority of respondents using a number of sedation/anaesthetic protocols rather than a single technique. This characterisation of current practice provides a useful platform from which subsequent investigations into welfare implications of current equine castration techniques can be directed.     

A demographic survey of unwanted horses in Ireland 2005-2010

Background

The Irish Horse Industry expanded during the Celtic Tiger boom years, then contracted in the current economic recession. High value horses were traditionally controlled through sale at public auction, private sales and sales to dealers; these are now also being reduced by decreases in production (> 40%), and increases in retirement, re-homing, euthanasia and disposal through Category 2 plants and abattoirs. The absence or banning of horse abattoirs has been shown to have very significant welfare social and economic consequences in the USA. This study described the currently available data on the demographics of unwanted horses in Ireland from 2005 to 2010.

Results

The majority of horses euthanised by practicing veterinarians are destroyed on medical grounds but the number euthanised at the request of welfare groups and the state, as well as welfare related calls and the number of horses involved in these calls and subsequent visits is increasing reflecting the increasing involvement of the veterinary profession in equine welfare. Welfare groups have limited resources and do not have a tradition of recording data, but they too have reported increasing calls, visits and numbers of horses per visit. Welfare groups provide significant service to equine welfare and the community. Local Authorities report similar trends. Over 300 horses were found dead or required immediate or subsequent euthanasia following welfare group and local authority visits in 2010, which is of national concern. The majority of local authority interfaces with unwanted horses are with urban (60%) rather than rural (40%) horses. Mortality figures are poor indicators of non-fatal neglect. More horses were admitted into the care of local authorities than welfare groups, reflecting significant state and taxpayer investment in the control of low value horses. Category 2 plants and abattoirs represent a significant state investment in licensing and control in the national interest. Abattoirs provide an increasingly important and essential service for the disposal of unwanted horses. Despite the increase in unwanted horses, Ireland is a minority contributor to the EU slaughter total.

Conclusions

There is a need for annual demographic data compilation and review of the numbers of unwanted horses and ponies within the horse industry to assist policy makers and legislators.     

Decreased expression of p63, a regulator of epidermal stem cells, in the chronic laminitic equine hoof

Reasons for performing study: Abnormal epidermal stem cell regulation may contribute to the pathogenesis of equine chronic laminitis. Objective: To analyse the involvement of p63, a regulator of epidermal stem cell proliferative potential, in chronic laminitis. Methods: Epidermal tissues from skin, coronet and lamellae of the dorsal foot were harvested from 5 horses with chronic laminitis and 5 control horses. Tissues were analysed using histopathology, immunofluorescence microscopy and quantitative immunoblotting Results: Hoof lamellae of laminitic horses had a lower frequency of p63 positive cells than control lamellae, particularly in the distal region. Quantitative immunoblotting confirmed reduced p63 expression in the laminitic distal lamellar region. The decreased p63 expression in laminitic epidermal lamellae was most apparent in the abaxial region adjacent to the hoof wall and highly associated with the formation of terminally differentiated, dysplastic and hyperkeratotic epidermis in this region, whereas lamellae from control horses maintained high p63 expression throughout the axial‐abaxial axis. Conclusions: Expression of p63 in equine skin resembles that reported in other species, including man and rodents, suggesting that p63 can serve as a marker for the proliferative potential of equine epidermal stem cells. p63 expression was significantly lower in the chronic laminitic hoof than in that of control horses, suggesting laminitic hoof epithelium has more limited proliferative potential with a shift towards differentiation. This may reflect reduced activity of epidermal stem cells in laminitic hoof. It is proposed that p63 contributes to the maintenance of hoof lamellae and that misregulation of p63 expression may lead to epidermal dysplasia during lamellar wedge formation. Potential relevance: This study suggests that loss of epidermal stem cells contributes to the pathogenesis of equine laminitis. Autologous transplantation of p63‐positive epidermal stem cells from unaffected regions may have regenerative therapeutic potential for laminitic horses.     

The 2011 South Dakota Equitarian Survey and Comparative Analysis of Equine Welfare on a South Dakota Native American Reservation

Economic stress and geographic isolation are barriers to proper veterinary care for horses on Native American reservations. The 2011 South Dakota (SD) Equitarian Survey was distributed to 135 equine veterinarians in SD to detect perceptions of effectiveness and best methodologies for improving reservation equine welfare. There was a positive correlation (P < .005) between the perceived importance and effectiveness of increased veterinary access and the importance of free care and owner knowledge in changing the health and welfare of SD’s reservation equine population. Thirty-nine percent of respondents claimed to have an interest in providing help for reservation equines; those with no veterinary experience on reservations tended not to have interest (P = .05). Previous experience practicing on a reservation impacted how crucial they believed horse owner knowledge or awareness was in changing the health and welfare of reservation equines (P < .04). The most commonly noted health threat and strength were poor nutrition and the absence of internal disease, respectively. In a subsequent analysis, 299 horses on the Cheyenne River Sioux Reservation were observed for welfare indicators and divided into groups by use: saddle, production, bucking stock, and performance. Average body condition score was 5 of 9 and did not differ between the four groups. Coat (P < .001) and hoof (P < .007) conditions varied between groups, with optimal conditions in the performance and saddle horse groups, respectively. Variable hoof, coat, and vaccination practices among the groups of reservation equines present an opportunity for health care education and welfare improvement.     

Australian veterinarians who work with horses: views of the future

OBJECTIVE: To give an account of the views held by Australian veterinarians who work with horses on the future of their professional field. METHOD: Questionnaires were mailed to 866 veterinarians who had been identified as working with horses, and 87% were completed and returned. Data were entered onto an Excel spreadsheet, and analysed using the SAS System for Windows. RESULTS: Their future prospects were believed to be very good or excellent by >60% of equine veterinarians but by only 30% of mixed practitioners seeing < 10% horses. The main factors believed likely to affect these prospects were the strength of the equine industries and the economic climate affecting horse owners, followed by the encroachment of cities into areas used for horses, competition from other veterinarians including specialist centres and from non-veterinary operators, and their ability to recruit and retain veterinarians with interest, experience and skill with horses. Urban encroachment, competition and recruitment were especially important for those seeing few horses. Concerns were also expressed about the competence and ethical behaviour of other veterinarians, the physical demands and dangers of horse work, the costs of providing equine veterinary services and of being paid for them, the regulatory restrictions imposed by governments and statutory bodies, the potential effects of litigation, and insurance issues. For many veterinarians in mixed practice these factors have reduced and are likely to reduce further the number of horses seen, to the extent that they have scant optimism about the future of horse work in their practices. CONCLUSION: Economic and local factors will result in an increasing proportion of equine veterinary work being done in specialised equine centres, and the future of horse work in many mixed practices is, at best, precarious. A key factor influencing future prospects will be the availability of competent veterinarians committed to working with horses.     

A survey of helminth control practices in equine establishments in Ireland

We report the results of a survey to assess the attitudes of horse owners and managers of equine businesses in Ireland to the control of helminth parasites, and the extent to which veterinary practitioners are involved in providing advice on parasite control of horses.Replies to our questionnaire indicated that there is a high level of awareness on the need for helminth control, typically leading to several doses of anthelmintic being administered to each animal every year. While a majority of respondents (61%) were concerned about the issue of anthelmintic resistance, only a few were of the opinion that it was a problem on their establishment. Measures to minimise the development of resistance, such as decreasing the frequency of dosing, optimising non-drug-based control strategies and assessing the need for dosing by faecal egg counts (FECs), were not widely employed in a strategic manner. Just over half (54%) of respondents indicated that they devised worming control programmes based on veterinary advice, and a large majority did not perceive any need for modification of their current worm control programmes.We concluded that there is considerable scope for increased veterinary involvement in the design and implementation of control programmes for helminths in horses, and that veterinarians do not always provide advice in accordance with "best practice" in helminth control.     

Cross-sectional survey of owner knowledge and husbandry practices, tack and health issues affecting working horses in Lesotho

Reasons for performing study: To establish baseline parameters of equine health, owner knowledge and husbandry practices and tack against which benefits to local horses arising from an equine charity's training programme in Lesotho could be measured. Objectives: To describe and investigate associations between owner knowledge and equine husbandry practices, horse health and tack‐related parameters prior to the start of the training programme. Methods: A cross‐sectional survey was undertaken in the catchment area of students attending the first training course. Owners from randomly selected villages were interviewed about horse care using a standardised, structured questionnaire, administered face to face in local language. Horses were clinically examined and tack assessed according to standardised protocols. Results: Clinical examinations were performed on 312 horses and 287 owners were interviewed. Owners had variable knowledge of equine husbandry and limited understanding of appropriate primary and preventive healthcare. Equine health problems identified included ecto‐ and endoparasite infestation, mouth lesions, overgrown and unbalanced feet and tack‐associated wounds. The majority of tack was in poor condition, dirty and ill‐fitting. With the exception of below‐average body condition score, no associations were found between key adverse horse‐related clinical findings and owners reporting their horse as being ‘unhealthy’. Conclusions: Working horses in Lesotho have a range of physical problems, many of which could be ameliorated through targeted owner education. With limited access to veterinary advice and scarce resources, improved availability of affordable local equine trade skills is key to improving equine health. Potential relevance: Findings could be used to inform and direct training programmes to maximise benefits to equine health and to serve as a baseline against which to monitor effects of educational and other interventions.     

Equus caballus papillomavirus‐2 (EcPV‐2): An infectious cause for equine genital cancer?

Reasons for performing study: The aetiology of genital squamous cell carcinoma (SCC) in horses remains unknown, but the similarity to the disease in man, for which papillomavirus infection has been shown to be a causal factor, requires to be investigated in horses. Hypothesis: One or more novel papillomaviruses cause equine genital SCC and its associated premalignant lesions. Methods: DNA was extracted from samples of equine genital SCC and performed rolling circle amplification, in order to identify closed circular DNA viral genomes within the samples. The amplified DNA was subcloned and sequenced and the DNA sequence compared to that of other papillomavirus genomes. Using PCR primers developed from these genomic DNA sequences, studies were then carried out in order to identify the frequency at which the viral DNA could be identified in equine genital cancer samples from horses in both the UK, Australia and Austria. Finally, in situ hybridisation using specific probes developed from this DNA sequence were used to confirm the presence of the viral RNA sequences in the neoplastic cells in these lesions. Results: The full length genome of a novel papillomavirus species was characterised from the equine genital SCC tissue and termed Equus caballus papillomavirus‐2 (EcPV‐2). Viral DNA and RNA was identified in the genital tumour samples, but not in the adjacent histologically normal tissue. EcPV‐2 DNA could not be identified in equine ocular or nasal carcinomas or within the scrotal skin or in most smegma samples obtained from tumour‐free horses. Sequencing of amplicons, generated from the archived equine genital tumours, identified variations within E1 and E6 on DNA and predicted protein level. Conclusions: A novel papillomavirus, EcPV‐2, is likely to play a causal role in the pathogenesis of equine genital epithelial tumours. Potential relevance: Identification of a papillomavirus causal for genital carcinomas in horses may lead to development of a vaccine that could be used to prevent this serious disease in horses. This would be analogous to man, where vaccination against oncogenic papillomavirus species is currently being used to help prevent cervical cancer.     

Detection and Management of an Outbreak of Equine Herpesvirus Type 1 Infection and Associated Neurological Disease in a Veterinary Teaching Hospital

Background: Because of the serious disease sequelae associated with equine herpesvirus type 1 (EHV‐1) infections, awareness and control measures used to control outbreaks are important issues for all horse populations. Objectives: Describe the occurrence and management of an outbreak of EHV‐1 infection at a veterinary hospital. Animals: Horses hospitalized at a referral veterinary hospital. Methods: A horse with myeloencephalopathy associated with EHV‐1 infection (EHM) was admitted for diagnostic evaluation and treatment under strict infection control procedures. We describe the occurrence and management of a nosocomial outbreak of EHV‐1 infections associated with admission of this patient. Results: Despite institution of rigorous biosecurity precautions at the time of admission of the index case, EHV‐1 infections spread to 6 other horses that were hospitalized at the James L. Voss Veterinary Teaching Hopsital, including 2 that served as sources of infection for horses on their home premises after discharge. Infection with EHV‐1 was confirmed by polymerase chain reaction (PCR) and by seroconversion documented by glycoprotein G ELISA. A voluntary quarantine was imposed and admissions were restricted to prevent additional horses from being exposed. Quarantine duration was abbreviated by serial testing of all horses with PCR. Conclusions and Clinical Importance: These findings illustrate the contagious disease risk that can accompany management of horses with EHM. Horses with active nasal EHV‐1 shedding should be isolated in an airspace that is separate from other horses by strictly enforced biosecurity and isolation procedures. Serial testing with PCR may be a useful adjunct to determine when the risk of transmission has been minimized.     

Horses,saddles and riders: Applying the science

An enthusiastic crowd of 400 people gathered at Anglia Ruskin University in Cambridge, UK on 29 November 2014 for the second International Saddle Research Trust Conference on the theme of Horses, Saddles and Riders: Applying the Science. The conference was organised under the auspices of the Saddle Research Trust (SRT) which is a charitable organisation based in the UK established with the intention of stimulating and supporting research into the influence of saddles on the welfare, performance and safety of horses and riders using objective scientific methods. The SRT aims to provide a coordinated, focused approach to research in these areas, to facilitate publication of the findings in scientific journals and dissemination of the results to the equestrian world. This approach allows the SRT to act as a link between research, education and the industry. The trust supports research into all aspects of the interaction between the horse, saddle and rider. Areas of specific recent interest include studying welfare, performance and safety issues related to the use of a saddle, the role of the saddle in equine and human back problems, characterising behavioural issues of horses associated with saddle‐related discomfort, assessing the effects of saddle design on rider performance and health and designing saddles for disabled riders. Further information about the SRT is available on the website www.saddleresearchtrust.com . Sponsors of the conference were World Horse Welfare, a practical and forward‐thinking charity that believes in using scientific evidence to help guide its work, Amerigo saddlers, a company that advocates research as a basis for improving product design, the British Equestrian Federation (BEF) and Horse and Hound.     

A cross-sectional study of geriatric horses in the United Kingdom. Part 2: Health care and disease

Reasons for performing study: Geriatric horses (aged ≥15 years) represent a substantial proportion of the equine population, yet very few studies have investigated the prevalence of diseases within the UK equine geriatric population. Objectives: To describe the provision of routine preventive health care measures, prevalence of clinical signs of disease and the prevalence of owner reported diseases. Additionally, the effect of increasing age on the provision of preventive health care and the presence or absence of clinical signs and disease was assessed. Methods: A cross‐sectional study was conducted, surveying a randomly selected sample of veterinary registered owners with horses aged ≥15 years, using a self‐administered postal questionnaire. Results: As geriatric horses increased in age, there was a reduction in the provision of preventive health care measures, such as vaccination, farrier care and routine veterinary checks. Only 68.7% of horses had received a routine veterinary visit within the previous 12 months. Owners frequently observed clinical signs in their animals, with 77% reporting at least one clinical sign of disease. Increasing age was associated with increased reporting of many clinical signs of disease. Over half (58%) of horses had at least one episode of disease within the previous 12 months, yet only 31% of owners reported that their animal currently suffered from a known disease or disorder. Conclusions and potential relevance: Although owners frequently observed clinical signs in their aged horse, there may be incorrect or under recognition of many diseases and health problems. Reduced frequency of routine preventive health care measures, along with suboptimal owner recognition of health and welfare problems may lead to compromised welfare in the geriatric population.     

Australian veterinarians who work with horses: attitudes to work and career

OBJECTIVE: To describe the attitudes to their work and career of those Australian veterinarians who work with horses. METHOD: Questionnaires were mailed to 866 veterinarians who had been identified as working with horses, and 87% were completed and returned. Data were entered onto Excel spreadsheets, and analysed using the SAS System for Windows. RESULTS: The main attractions of veterinary work with horses were the horses themselves and the equine industries, but working outdoors and with rewarding clients, and the satisfaction of successful outcomes were attractions for many. The list of disadvantages was longer, and included unreasonable and disagreeable clients as well as those who provided inadequate facilities, could not control their horses or did not care for them. The physical demands and risks of injury, the amount of time required, low rates of return and difficulties in collecting payment, were other major disadvantages. Some mentioned concerns about litigation, unethical behaviour, and recruiting and retaining veterinarians competent with horses. For many in mixed practice, the difficulties in affording modern equipment, and of developing and maintaining their own competence with horses, was a real concern. More than three-quarters of the respondents reported that their careers had lived up to expectations and that they would become veterinarians again; 70% of equine veterinarians would become an equine veterinarian again. Almost all (93%) of the respondents were either very glad, or 'generally glad though with some misgivings' that they had done the veterinary course. Older veterinarians reported suffering less stress, and being more content with their career, than younger colleagues. CONCLUSIONS: The advantages of doing veterinary work with horses outweigh the disadvantages for most veterinarians, especially those well advanced in their careers.