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.     

A survey of aged horses in Queensland, Australia. Part 1: management and preventive health care

Objective To describe management practices and routine preventive care of aged horses in Queensland, Australia, including effects of owner characteristics, affiliation to an equestrian group and retirement of the horse. Methods Owners of horses were contacted via Equestrian Australia (EA) and asked to complete a questionnaire about their aged horses (e.g. age, breed, sex and colour); their use and management, including preventive health care; and use of equine healthcare providers. Results Horses aged 15 years or greater represented one-third of the total horses owned in the population sample. The median age of the horses was 20.7 years (range 15–44 years). Basic husbandry and preventive health care varied depending on demographic region, age of the horse and its use. Affiliation with EA was associated with the breed and use of the horse, but not with management or preventive health care other than frequency of hoof care visits. Retired horses had reduced basic husbandry and preventive health care compared with non-retired horses. There was reduced preventive health care in rural compared with urban areas. The majority (61%) of horses in the current study had not been visited by a veterinarian in the previous 12 months. Conclusion Aged horses constitute a large subgroup of the Australian horse population. Although basic management is at a high level for most aged horses, it appears to be reduced following the horse's retirement and in the more rural areas. There was limited veterinary involvement in preventive healthcare strategies for aged horses, especially in rural areas.     

Comparison of owner-reported health problems with veterinary assessment of geriatric horses in the United Kingdom

Reasons for performing study: Previous studies suggest that owners underestimate or incorrectly recognise or report health problems in geriatric horses. However, few studies have directly compared owner‐reported and veterinary assessed disease. Objectives: To compare the findings of veterinary clinical examination of geriatric horses with owner‐reported clinical signs and disease. Methods: A total of 200 horses aged ≥15 years were randomly selected to receive a veterinary examination, from responses to a cross‐sectional postal questionnaire survey. Veterinary examinations were performed within 2 months of questionnaire return, and agreement between owner‐reported data and veterinary clinical findings was assessed. Results: Owners under‐reported many clinical signs and disease conditions detected on veterinary clinical examination. For example, dental abnormalities (detected in 95.4% of horses, reported by 24.5% of owners); cardiac murmurs (detected in 20% of horses, reported by 0.5% of owners); lameness (present in 50% of horses, reported by 23% of owners) and hoof abnormalities (detected in 80% of horses, reported by 27% of owners). Agreement between owner‐reported and veterinary assessed respiratory disease (Kappa 0.02–0.2), body condition score (Kappa 0.24) and coat abnormalities (Kappa 0.42) was poor, fair and moderate, respectively. Range of motion (ROM) of the tarsal and metacarpophalangeal joints was lower in horses with owner‐reported osteoarthritis (P = 0.005 and <0.001, respectively). Conclusions and potential relevance: The low prevalence and relatively poor agreement of owner‐reported disease compared to that detected on veterinary examination suggests inaccurate or under‐recognition, or inaccurate reporting of health problems by owners of geriatric horses, which could lead to a delay in presentation for veterinary treatment. Increased veterinary involvement and improved owner education in the care of geriatric horses should facilitate earlier identification of disease, particularly that which is not readily detectable by owners, and aid management of health and welfare problems.     

Making use of equine population demography for disease control purposes: preliminary observations on the difficulties of counting and locating horses in Great Britain

Detailed knowledge of horse populations can better facilitate effective control of equine diseases. Preliminary studies were undertaken to ascertain the type of information held on the UK's National Equine Database (NED) and to determine the geographical resolution at which mandatorily recorded owner addresses might be a suitable proxy for predicting horse locations. Results indicated that relatively few UK passport-issuing organisations requested details of where horses were kept in addition to owner address details. Examination of data on 1440 horses held on an Animal Health Trust syndromic surveillance database showed that 90% of them were kept within 10 km of their owners. While owner location may provide an indication of where most horses are kept, further work is also needed to evaluate the usefulness of NED as an epidemiological resource in future equine disease control measures.     

Demographics, management, and welfare of nonracing horses in Prince Edward Island

There are no detailed, representative, horse-level data about equine management practices in different parts of Canada. To help address this, the demographics, management, and welfare of 312 nonracing horses in Prince Edward Island were examined in a randomized, horse-level survey during summer 2002. Owners completed a pretested questionnaire, and a veterinarian examined each horse. Owners were experienced caregivers and the horses were generally in good condition. Areas for improvement included parasite control, dental and hoof care, and tail docking. The mean fecal egg count was 428 eggs per gram; 76% of owners never removed manure from the pasture. Sixty-two percent of horses had never had a veterinary dental examination. Many horses had hoof defects (excessively long hooves, 26.8%; hoof wall breaks, 32.0%; and white line disease, 8.5%). Many (54.9%) draft horses had docked tails. These results suggest owners might benefit their horses by receiving education in aspects of equine care.     

Husbandry,Use, and Orthopedic Health of Horses Owned by Competitive and Leisure Riders in Switzerland

The use of horses in competitive sports receives increasing criticism from the public, mainly due to the potential for injury. However, it is unclear if orthopedic and other health issues are more common in competition horses than those in leisure horses. The aim of this study was to assess husbandry, use, and orthopedic health in Swiss riding horses and to compare these aspects between horses owned by self-identified competitive riders (CR) and leisure riders (LR) in Switzerland. A total of 237 owners completed an online survey providing information on their athletic ambitions, their horse’s husbandry, health, training, and tack. Two experienced veterinarians assessed gait irregularities, muscular development, and back pain in the horses and evaluated saddle fit. Compared with horses owned by competitive riders (CH), a higher proportion of horses kept by leisure riders (LH) were kept unshod, under more natural conditions, and turned out with other horses. LH were exercised less frequently, and LR trained less frequently with instructors. CR reported less time since the last saddle check and the use of more training aids during riding. No differences between the two groups could be found in orthopedic health, muscular development, or back pain, but LH had higher body condition scores and a slightly higher proportion of saddles with at least one fit problem. Our data revealed no increased prevalence of the assessed health problems in competition horses compared with leisure horses in Switzerland. However, suboptimal saddle fit and muscular development, back pain, and gait irregularity are frequent in both groups and deserve more attention.     

Coprological prevalence and intensity of helminth infection in working horses in Lesotho

This study aimed to (1) estimate infection prevalence of strongyle, Oxyuris equi and Parascaris equorum species and the intensity of infection with strongyles in working horses in lowland Lesotho and (2) investigate associations between infection and horse age, sex and owner-reported use of anthelmintics. In a cross-sectional survey, fresh faecal samples were obtained from 305 randomly selected horses and worm egg counts performed using a validated field laboratory kit. Details of anthelmintic use were collected using a standardised face-to-face owner questionnaire. Infection prevalence estimates for each species were calculated, as were infection intensity estimates for strongyle species. Logistic regression was used to investigate associations between exposure variables and infection status/intensity. Prevalence of strongyle infection was 88.2%; 11.8% of horses were not infected and infection intensity was low (1–500 eggs per gram (epg)) in 19.7%, medium (501–1,000 epg) in 19.7%) and high (>1,001 epg) in 48.8%. Decreasing strongyle infection intensity was associated with the use of proprietary equine anthelmintic products (OR 0.18, 95%CI 0.11–0.30, p < 0.0001). Prevalence of O. equi infection was 6.2%; the odds of infection with this parasite decreased with increasing horse age (OR 0.84, 95%CI 0.72–0.97, p = 0.02). P. equorum infection prevalence was 21.6%; no statistically significant associations with the investigated exposure variables were found. In conclusion, strongyle infection is endemic in working horses in lowland Lesotho, but proprietary equine anthelmintics assist in managing infection. The apparent lack of age-acquired immunity to P. equorum infection may deserve further investigation. Although O. equi infection is less widespread, measures to protect younger animals may be appropriate.     

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.     

Crib‐biting in US horses: Breed predispositions and owner perceptions of aetiology

Reasons for performing study: Crib‐biting is an equine stereotypy that may result in diseases such as colic. Certain breeds and management factors have been associated. Objectives: To determine: breed prevalence of crib‐biting in US horses; the likelihood that one horse learns to crib‐bite from another; and owner perceptions of causal factors. Methods: An initial postal survey queried the number and breed of crib‐biting horses and if a horse began after being exposed to a horse with this habit. In a follow‐up survey, a volunteer subset of owners was asked the number of affected and nonaffected horses of each breed and the extent of conspecific contact. The likelihood of crib‐biting given breed and extent of contact was quantified using odds ratio (OR) and significance of the association was assessed using the Chi‐squared test. Results: Overall prevalence was 4.4%. Thoroughbreds were the breed most affected (13.3%). Approximately half of owners believed environmental factors predominantly cause the condition (54.4%) and crib‐biting is learned by observation (48.8%). However, only 1.0% of horses became affected after being exposed to a crib‐biter. The majority (86%) of horses was turned out in the same pasture with other horses and extent of contact with conspecifics was not statistically related to risk. Conclusion: This is the first study to report breed prevalence for crib‐biting in US horses. Thoroughbreds were the breed more likely to be affected. More owners believed either environmental conditions were a predominant cause or a combination of genetic and environmental factors contributes to the behaviour. Only a small number of horses reportedly began to crib‐bite after being exposed to an affected individual, but approximately half of owners considered it to be a learned behaviour; most owners did not isolate affected horses. Potential relevance: Genetic predisposition, not just intensive management conditions and surroundings, may be a factor in the high crib‐biting prevalence in some breeds, and warrants further investigation. Little evidence exists to suggest horses learn the behaviour from other horses, and isolation may cause unnecessary stress.     

Owner-reported equine health disorders: results of an Australia-wide postal survey

OBJECTIVE: To establish the prevalence of health disorders reported by horse owners registered with veterinary practices in Australia. DESIGN AND METHOD: Mailed questionnaire-based study of horse owners in Australia conducted in 2001. RESULTS: Data were obtained for 3901 horses belonging to 621 owners. The most prevalent health disorders were non-laminitic lameness (13.0%), skin disorders (6.1%) and behavioural disorders (4.5%). Prevalence of health disorders varied among different age, breed and sex categories within the study population, and disorders were more prevalent in male and older horses. CONCLUSION: The most frequent disorders reported by owners were lameness, skin disorders and behavioural disorders. The disease profile was similar to that described in other owner reported studies conducted in the UK and USA.     

Survey of Feeding Practices, Supplement Use, and Knowledge of Equine Nutrition among a Subpopulation of Horse Owners in New England

Nutrition is a critical component of equine health. Horse owners' knowledge of nutrition is likely to affect their feeding practices. The aim of this study was to survey feeding practices, dietary supplement use, and knowledge about equine nutrition in New England by surveying a subpopulation of horse owners (67/337 or 19.8%) who brought their horses to the Large Animal Hospital at the Cummings School of Veterinary Medicine at Tufts University between July and September 2008. All owners reported feeding hay, with the majority feeding grass or timothy hay. Most owners (96%) reported feeding a concentrate in addition to hay. Approximately 84% of owners reported including at least one dietary supplement in their horse's daily feeding. The most commonly used supplements were chondroprotectives, electrolytes, and multivitamins. Survey questions designed to assess the owner's knowledge of nutrition suggested that many owners may not have a basic understanding of principles of equine nutrition; less than 50% knew the daily water and hay requirements for a horse, and 69% lacked knowledge about the proper use of concentrates in a diet. Most of the surveyed owners consulted multiple sources of information concerning equine nutrition, including veterinarians (n = 36), trainers (n = 27), feed stores (n = 10), and the internet (n = 7). Although the major source of information was the veterinarian, it appears that the communication between horse owners and their veterinarian about optimal feeding practices could be enhanced. This survey demonstrated areas in the veterinarian–client dialog that need to be addressed when evaluating the health and well-being of the horse.     

A Survey of Horse Owner's Compliance with the Finnish Vaccination Program

Finnish Trotting and Breeding Association's electronic database (IT register) in Finland does not include vaccination entries of all horses. Especially, vaccination status of horses outside sport arenas is unclear. Objectives were to investigate vaccination practices of horse owners in Finland, to look for reasons associated with nonvaccination, and to evaluate the accuracy of the other statistics in Finland. The questionnaire study was executed. Horse owners (n = 1,198) told their vaccination practices, vaccinations used, and reasons for nonvaccination. Horses were mainly (85%–95%) vaccinated depending on the number of horses per horse owner. Equine influenza vaccine was mainly favored (94%). One reason for nonvaccination is that the horse is inactive in equine sport arenas (43%). Other reasons (53%) were age, horse does not take part in competitions but stay at home, and the owner decides that the horse does not need vaccination. Differences between age groups (young and old), competition types, and regions were not found by one-variable analysis, but vaccination status of horses outside equine sport arenas differed from horses active in competitions. By logistic regression analysis, it was indicated that purpose of use had influence on vaccination status. Reasons for nonvaccination surveyed in UK were confirmed. The control of the competition rules and possible sanctions exercised in competition venue are better explanatory factors than age, type of competition, and geographic home area. However, the risk to meet a nonvaccinated horse increases when going to the northern part of Finland.     

Needs Assessment: What Are the Barriers to Use of Equine Genetic Testing?

Genetic testing offers precise and accurate data to horse owners concerning their horse’s health and offers potential economic value increases of foal crops via genome-assisted selection. Despite availability of at least 96 commercially available markers, fewer than 20 are commonly used. This project seeks to identify the barriers to the incorporation of genomic tools in diverse equine operations. Based on studies examining public opinion of human medical testing, we expected that lack of genetic education and few industry requirements for testing may contribute to neutral or negative opinions regarding genomic tools for horses. We developed a 20 total question survey to capture demographic information such as facility size, type, and primary breed, as well as horse owner familiarity, use, and outlook regarding equine genetic testing. Question types included multiple choice, Likert-type scale, and open-ended response. Recruitment through county extension agents and breed organizations supplied a broad sampling of the Florida horse industry. Responses were collected from February through May 2019. Data showed that 25% of horse owners had genetically tested their horses (n = 60). Of these consumers, 80% rated the quality of their experience as “excellent” or “good” (n = 15). There was a significant positive association between genetic education and likelihood to genetically test. Most respondents (65%) were interested in receiving information regarding genetic testing. Study participants preferred to find materials on genetic testing through Web-based articles and veterinarians. Results of this study will provide researchers with critical knowledge of their audience’s needs and a roadmap to tailor future educational resources.     

Horse owners'/managers' perceptions about effectiveness of biosecurity measures based on their experiences during the 2007 equine influenza outbreak in Australia

Following the first ever equine influenza outbreak in Australia in 2007, a study was conducted involving 200 horse owners and managers to determine their perceptions about effectiveness of biosecurity measures and the factors associated with these perceptions. Face-to-face interviews were conducted with horse owners/managers to obtain information about their perceptions of the effectiveness of biosecurity practices, their sources of information about infection control during the outbreak and their horse industry involvement. Two outcome variables were created from horse owners' responses to a 17-item question on the perceived effectiveness of various recommended equine influenza biosecurity measures: (a) a binary outcome variable (Low/High biosecurity effectiveness) and (b) a continuous outcome variable (the proportion of the 17 measures considered 'very effective'). These outcomes were used in binomial logistic and linear regression analyses, respectively, to determine factors associated with perceptions of biosecurity effectiveness. Variables with a p-value <0.05 in multivariable models were retained in the final models. The majority (83%) of the 200 horse owners and managers interviewed believed that more than half of the recommended equine influenza biosecurity measures were very effective for protecting their horses from equine influenza infection in the event of a future outbreak. Interviewees that were more likely to judge on-farm biosecurity measures as effective were those who received infection control information from a veterinarian during the outbreak, did not experience equine influenza infection in their horses, and those on small acreage premises (homes with horses on site). Greater levels of preparedness for a future equine influenza outbreak and greater interest in information about infection control were associated with a better perception about effectiveness of biosecurity measures. This study identified factors associated with horse owners' and managers' perception of effectiveness of biosecurity measures. These findings should be considered in the design of infection control programs.     

A brief note on the information-seeking behavior of UK leisure horse owners

Equine welfare charities have identified the education of (primarily novice) horse owners as the principal route to tackling the majority of equine welfare problems in the United Kingdom. To reach and educate owners effectively, we must understand where they seek advice about issues that arise when owning or caring for a horse. Questions regarding information-seeking behavior were included in an Internet survey completed by a convenience sample of 1,326 UK leisure horse owners, recruited online and through electronic and postal mail shots to equestrian clubs and establishments. The questions asked where the owners sought advice regarding 4 different subject areas: horse behavior, health, stable care, and training. Respondents were asked to select their main sources of information from a list of 7—books/magazines, vet/farrier, instructor, Internet/forums, friends/family, tack shops, and other. Although books/magazines were the most frequently used information source across all 4 subject areas overall, there were differences between the 4 subject areas in the most commonly selected sources (χ² = 992, P < 0.001) and the number of sources consulted (χ² = 254, P < 0.001). Vets/farriers were the source consulted most frequently for health advice (Z = ?13.32, P < 0.001), instructors for training advice (Z = ?3.93, P < 0.001), and books/magazines for advice regarding both behavior (Z = ?9.49, P < 0.001) and stable care (Z = ?8.26, P < 0.001). Despite the survey mode and that many participants were recruited online, Internet/forums were only the third to the fifth most used of the 7 information sources, depending on the subject area. Logistic regression analyses identified significant associations between owner demographics (age, self-rated skill level, and self-reported rider type) and the likelihood of selecting a particular source for advice regarding a specific subject area. The findings have important implications for those trying to reach the horse-owning population to disseminate research findings and ultimately improve the welfare of their horses.     

Owner Compliance to an Environmental Management Protocol for Severe Equine Asthma Syndrome

Severe equine asthma (SEA) syndrome is a chronic recurrent respiratory disease, common among adult horses. The disease occurs in genetically susceptible individuals after their exposure to organic dust. Thus, environmental management has proved essential in controlling airway challenge and disease exacerbation. This is a demanding process that can only be achieved through the horse owners’ cooperation. One year after initial diagnosis of SEA in a group of 39 horses, owner compliance to an environmental management protocol was evaluated. The overall compliance to the protocol was poor and the horses’ clinical health and need for pharmacological management was related to the successful implementation of the environmental recommendations provided on disease diagnosis.     

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.     

Aging Equines: Understanding the Experience of Caring for a Geriatric Horse with a Chronic Condition

This study evaluated the experience of 1,448 people in the United States who currently care for or had previously cared for a geriatric horse and how that experience was qualified by the presence or absence of a chronic condition in the horse. An anonymous, online questionnaire was distributed to a cross-country sample to investigate the burden of caregivers from the perspective of owners of geriatric horses. Traumatic events and veterinary care decisions were also explored. Findings from the study supported the hypothesis that owners of geriatric horses with a chronic condition experienced higher levels of physical and emotional care burden, regardless of the age of the geriatric horse. Attachment levels reported by participants were high, regardless of the health status of the horse. This exploratory study provides the equine practitioner a greater understanding of the care burden experienced by owners of geriatric horses, particularly of owners of geriatric horses with a chronic condition, who rely on their veterinarian to guide their management and health care decisions. Veterinarians can help prepare and support clients as they navigate the complexities of caring for an older horse with a chronic condition.     

A case-control study of risk factors for equine influenza spread onto horse premises during the 2007 epidemic in Australia

The 2007 epidemic of equine influenza in Australia provided an opportunity to investigate the effectiveness of on-farm biosecurity measures in preventing the spread of a novel pathogen in a largely naive population. We conducted a case-control study of 200 horse premises from highly affected regions of the state of New South Wales (NSW), to investigate risk factors for the spread of equine influenza onto horse premises, specifically, non-compliance with biosecurity measures recommended to horse owners by the relevant animal health authority, the NSW Department of Primary Industries. The study was restricted to cases occurring during the first seven weeks of the epidemic, a period prior to vaccination and the relaxation of some movement restrictions. Case and control premises were selected from a laboratory testing dataset and interviews were conducted with horse owners and managers on premises between July and November 2009. The proximity of premises to the nearest infected premises was the factor most strongly associated with case status. Case premises were more likely than control premises to be within 5 km and beyond 10 km of an infected premises. Having a footbath in place on the premises before any horses were infected was associated with a nearly four-fold reduction in odds of infection (odds ratio=0.27; 95% confidence interval: 0.09, 0.83). This protective association may have reflected overall premises biosecurity standards related to the fomite transmission of equine influenza. Compliance with certain on-farm biosecurity practices seemingly prevented horses on premises in high risk areas being infected with equine influenza during the 2007 outbreak in Australia. In future outbreaks, in addition to broader disease control measures, on-farm biosecurity practices should be adopted by horse owners and managers to prevent equine influenza spread.