Risk factors associated with behavioural disorders of crib-biting,weaving and box-walking in Swiss horses

REASONS FOR PERFORMING STUDY: Studies on the prevalence of behavioural disorders in horses and on associated risk factors have revealed inconsistent results. There are many studies on the neuropharmacological, surgical or mechanical therapy of stereotypies, but little is known about their causation. OBJECTIVES: To explore risk factors associated with the occurrence of behavioural disorders in horses. METHODS: A sample of horse owners, selected randomly and representative for Switzerland, was contacted in a postal survey. Answers were provided for 622 stables (response rate 35.2%). Individual data of 2,341 horses were examined with path analysis (multivariable linear and logistic regression), and adjustment made for possible confounding effects due to age and breed. RESULTS: Out of 60 possible risk factors, 11 were associated with the outcome at the univariable level (null-hypothesis path model) and 3 factors remained after the backward logistic regression procedure. Mature Warmbloods and Thoroughbreds, assessed by the owners to be reactive, fed 4 times a day and without daily pasture, had increased odds of displaying crib-biting, weaving and box-walking. Furthermore, indirect associations of 5 factors with the outcome were identified. CONCLUSIONS: The final logistic regression model of risk factors leads to the hypotheses that causal prevention of stereotypic behaviours should be based upon housing and management conditions which allow tactile contact with other horses (e.g. mutual grooming), daily free movement (paddock or pasture), as well as the provision of high amounts of roughage but of little or no concentrates. POTENTIAL CLINICAL RELEVANCE: It is one of the aims of population medicine to prevent the development of behavioural disorders. Further research is needed to test the concluding hypotheses in experimental studies or to verify them in the context of similar observational studies.     

Housing and use of horses in Switzerland: a representative analysis of the status quo

Out of a representative sample of 1861 Swiss horse yards, 622 horse keepers (35.2%) with 2536 horses, ponies and donkeys sent back a questionnaire about general farm characteristics, their horse-specific training, horse stock, housing conditions, intraspecific social contacts, feeding, ability to move freely, use of the horses and management. 83.5% of horses were kept individually (thereof 18.3% tethered, 32.3% in a loose box indoors, 28.4% in a loose box outdoors, and 4.5% in a loose box with permanent access to a paddock or an individual pasture), and 16.5% lived in group housing systems. 36% of the horses had daily access to a pasture, 62.8% depending on the weather, and 1.2% never at all. Individually housed horses pastured significantly less than horses kept in groups. The mean use per week was 4.5 hours, depending on breed, type of use and housing system. Only 50% of the horse keepers were trained with respect to horses or farm animals (e.g. professional training graduation, license, military service, veterinarian, farmer). In Switzerland, horses are still housed and fed in a traditional way, despite considerable recent changes in the amount and type of use (65.1% leisure horses, 34.9% sport and working horses); this may result in health and behavioural problems. Therefore, information and education of horsewomen and horsemen should be emphasized in the future. For the transfer of knowledge, veterinarians are of high importance.     

Factors influencing the development of stereotypic and redirected behaviours in young horses: findings of a four year prospective epidemiological study

Stereotypies are invariant and repetitive behaviour patterns that seemingly have no function, which tend to develop in captive animals faced with insoluble problems and may be indicative of reduced welfare. A 4 year prospective study of the factors influencing the development of stereotypic and redirected behaviours (abnormal behaviour) in a population of 225 young Thoroughbred and part-Thoroughbred horses was conducted between 1995 and 1999. Abnormal behaviour affected 34.7% of the population. Multivariable analysis showed that foals of low- or middle-ranking mares were less likely to develop abnormal behaviour than foals of dominant mares (rate ratio (RR) 0.23, P<0.01; RR 0.48, P<0.01, respectively). Weaning by confinement in a stable or barn was associated with an increased rate of development of abnormal behaviour, compared with paddock-weaning (RR 2.19, P<0.05), and housing in barns, rather than at grass after weaning, was associated with a further increase (RR 2.54, P<0.01). Specific stereotypic and redirected behaviours were then considered as separate outcomes. Crib-biting was initiated by 10.5% of horses at median age 20 weeks, weaving by 4.6% of horses at median age 60 weeks, box-walking by 2.3% of horses at median age 64 weeks and wood-chewing by 30.3% of horses at median age 30 weeks. Wood-chewing developed at a lower rate in horses born to subordinate or mid-ranking mares than in horses born to dominant mares (RR 0.29, P<0.01; RR 0.41, P<0.01, respectively), and at a higher rate in horses kept in barns or stables rather than at grass after weaning (RR 4.49, P<0.001; RR 1A6, P<0.001, respectively). Feeding concentrates after weaning was associated with a 4-fold increase in the rate of development of crib-biting (RR 4.12, P = 0.02). The results of this study support the idea that simple changes in feeding, housing and weaning practices could substantially lower the incidence of abnormal behaviour in young horses.     

Undesired behaviour in horses: A review of their development,prevention, management and association with welfare

Undesired behaviours are a common problem amongst leisure and sporting horses in the UK and have a significant impact on the work of equine practitioners. In most cases, behaviours considered aberrant by owners are normal responses for their horses. Behaviours perceived as ‘naughtiness’ may in fact signify direct actions to avoid pain‐ or fear‐inducing stimuli. Examples that practitioners might deal with include trailer loading problems, avoidance of having saddlery equipment applied or reluctance to leave the yard. Even where no evidence of physical problems or pain can be detected, avoidance behaviours may reflect learnt responses that previously led to success in evading unpleasant consequences. Because owners often misunderstand the reason for such behaviours to develop in their horses, attempts at resolution often involve suppression or punishment based approaches. Although repeated subjugation of undesirable responses may ultimately appear to resolve the overt behavioural problem in some cases, in many others it can lead to a worsening of the problem, the development of alternative avoidance strategies or the horse learning that escaping the source of its pain or anxiety is impossible and ceasing to respond. Some horses develop abnormal or repetitive behaviours, which are not in the ‘normal’ behavioural repertoire. These stereotypic behaviours, sometimes termed ‘vices’, can indicate strategies to cope with a suboptimal environment. Indeed, their performance may serve to improve the situation for the animal. Attempts to suppress or prevent horses showing stereotypies, therefore, will generally exacerbate the underlying welfare problem. When dealing with either stereotypies or avoidance behaviours, it is important to recognise the role of learning in their development and maintenance. Resolution involves both understanding the underlying motivation for showing the behaviour and how it has become reinforced and established over time, for each individual case. The use of environmental change and/or behavioural modification techniques that are both successful and welfare compatible, are important in dealing with undesired behaviour in horses and selection of suitable professionals for referral an important responsibility for the equine practitioner.     

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.     

Evidence of heredity of cribbing,weaving and stall-walking in thoroughbred horses

The investigation involved 1035 Thoroughbred horses aged 3–8 years and raised in Italy. Eighty trainers were interviewed on the occurrence of anomalous behaviour. The incidence of cribbing, weaving and stall-walking in the horses was 2.4, 2.5 and 2.5%, respectively. The incidence of behavioural defects in families containing identified anomalous horses (“probands”) was much higher than in the surveyed population: 30% for cribbing, 26% for weaving and 13% for stall-walking. This would suggest the involvement of a genetic component in the three vices, but due to the limited data available it was not possible to ascertain the inheritance patterns. Imitation of mares by foals was excluded as a main cause of the vices.     

Management factors affecting stereotypies and body condition score in nonracing horses in Prince Edward Island

In North America, there are few representative data about the effects of management practices on equine welfare. In a randomized survey of 312 nonracing horses in Prince Edward Island (response rate 68.4%), owners completed a pretested questionnaire and a veterinarian examined each horse. Regression analyses identified factors affecting 2 welfare markers: body condition score (BCS) and stereotypic behavior. Horses' BCSs were high (mean 5.7, on a 9-point scale) and were associated with sex (males had lower BCSs than females; P < 0.001) and examination date (P = 0.052). Prevalences of crib biting, wind sucking, and weaving were 3.8%, 3.8%, and 4.8%, respectively. Age (OR = 1.07, P = 0.08) and hours worked weekly (OR = 1.12, P = 0.03) were risk factors for weaving. Straw bedding (OR = 0.3, P = 0.03), daily hours at pasture (OR = 0.94, P = 0.02), and horse type (drafts and miniatures had a lower risk than light horses; P = 0.12) reduced the risk of horses showing oral stereotypies. Some of these results contradict those of other studies perhaps because of populations concerned.     

Bite and kick injuries in horses: prevalence, risk factors and prevention

REASON FOR PERFORMING STUDY: Studies on the prevalence and predisposing factors of bite and kick injuries in horses have not been reported in a population-based data sample. OBJECTIVES: To investigate the prevalence of bite and kick injuries in horses and associated risk factors in a representative sample of horses in Switzerland. METHODS: A questionnaire on the incidence of disease and injury, which included the frequency of bite and kick injuries and their association with breed, housing, use and feeding regime, was sent to 2559 horse owners randomly selected throughout Switzerland. RESULTS: The data of 2912 horses with 897 disorders diagnosed by a veterinarian were analysed. There were 231 injuries, 50 (21.6%) caused by a bite or kick from another horse; this number corresponded to 5.6% of all diseases and injuries and concerned only 1.7% of all the horses evaluated. Warmblood, Thoroughbred and Arabian horses had a 4.3 times higher risk of bite or kick injuries than horses of other breeds. Eighteen per cent of injuries were associated with a change in housing management and occurred regardless of whether horses were kept in groups permanently or sporadically. CONCLUSIONS AND POTENTIAL RELEVANCE: A stable group hierarchy and a housing system that provides adequate space and is adapted to horse-specific behaviour are important factors in prevention and kick and bite injuries.     

Behavioural assessment of pain in 66 horses,with and without a bit

Horses can be ridden with or without a bit. Comparing the behaviour of the same horse in different modes constituted a ‘natural experiment’. Sixty-nine behaviours in 66 bitted horses were identified as induced by bit-related pain and recognised as forms of stereotypic behaviour. A prototype questionnaire for the ridden horse was based on 6 years of feedback from riders who had switched from a bitted to a bit-free bridle. From a template of 69 behavioural signs of pain derived from answers to the questionnaire, the number of pain signals shown by each horse, first when bitted and then bit-free, was counted and compared. After mostly multiple years of bit usage, the time horses had been bit-free ranged from 1 to 1095 days (median 35). The number of pain signals exhibited by each horse when bitted ranged from 5 to 51 (median 23); when bit-free from 0 to 16 (median 2). The number of pain signals for the total population when bitted was 1575 and bit-free 208; an 87% reduction. Percentage reduction of each of 69 pain signals when bit-free, ranged from 43 to 100 (median 87). The term ‘bit lameness’ was proposed to describe a syndrome of lameness caused by the bit. Bit pain had a negative effect on proprioception, i.e. balance, posture, coordination and movement. Only one horse showed no reduction in pain signals when bit-free. The welfare of 65 of 66 horses was enhanced by removing the bit; reducing negative emotions (pain) and increasing the potential to experience positive emotions (pleasure). Grading welfare on the Five Domains Model, it was judged that – when bitted – the population exhibited ‘marked to severe welfare compromise and no enhancement’ and – when bit-free – ‘low welfare compromise and mid-level enhancement.’ The bit-free data were consistent with the ‘one-welfare’ criteria of minimising risk and preventing avoidable suffering.     

Circadian variation in ghrelin and certain stress hormones in crib-biting horses

Crib-biting is classified as an oral stereotypy, which may be initiated by stress susceptibility, management factors, genetic factors and gastrointestinal irritation. Ghrelin has been identified in the gastric mucosa and is involved in the control of food intake and reward, but its relationship to crib-biting is not yet known. The aim of this study was to examine the concentration and circadian variation of plasma ghrelin, cortisol, adrenocorticotropic hormone (ACTH) and β-endorphin in crib-biting horses and non-crib-biting controls. Plasma samples were collected every second hour for 24h in the daily environment of eight horses with stereotypic crib-biting and eight non-crib-biting controls. The crib-biting horses had significantly higher mean plasma ghrelin concentrations than the control horses. The circadian rhythm of cortisol was evident, indicating that the sampling protocol did not inhibit the circadian regulation in these horses. Crib-biting had no statistically significant effect on cortisol, ACTH or β-endorphin concentrations. The inter-individual variations in β-endorphin and ACTH were higher than the intra-individual differences, which made inter-individual comparisons difficult and complicated the interpretation of results. Further research is therefore needed to determine the relationship between crib-biting and ghrelin concentration.     

Management of horses showing stereotypic behaviour, owner perception and the implications for welfare

A telephone survey was conducted of 100 racing stables, 100 riding schools and 100 competition establishments (8,427 horses in total) to determine what management practices were being applied to horses showing stereotypic behaviour, and to determine the underlying reasons for them by assessing the perceptions and opinions of the people working with the horses. The results indicated that horse owners are concerned about stereotypic behaviour, first, because it reduces the performance of the animal (31, 30 and 27 per cent of the owners of racing stables, riding schools and competition establishments respectively), secondly, because it has adverse clinical effects on the horse (52, 55 and 56 per cent), and thirdly, because it reduces the monetary value of the animal (45, 59 and 31 per cent). The belief that these behaviours are learnt or copied also affects the management of affected horses: they are not allowed on to the premises by 4, 32 and 17 per cent of owners of racing stables, riding schools and competition establishments, respectively; attempts are made to remove the causal factors of the stereotypy by 35, 43 and 36 per cent; the behaviours are physically prevented by 77, 67 and 79 per cent, and the affected horses are kept separate from other horses by 39, 30 and 48 per cent.     

Critical consideration of the "Guideline for the Evaluation of Raising Horses" and keeping horses outside in the winter

The guidelines of the Federal Ministry of User Protection, Nutrition and Agriculture (BMVEL) regarding "horse keeping with respect to animal welfare" are from 1995 (BMELF, 1995). Therefore, they are not suitable for modern horse keeping. The Veterinary Association for Animal Welfare (TVT) held it to be necessary to rework the guide-lines in light of 1) many subsequent investigations concerning horse keeping, and 2) the species-specific needs of horses in practice. Each chapter of the BMELF (1995) guide-lines was revised such that the literature and practical experiences were updated. Several chapters (recumbency resting behaviour, fences, underground outdoor and in stables, litter) were added in the position paper of the TVT to reflect the increasing use of boxes with paddocks, loose housing systems with open yards, pasture and winter yards as housing conditions. Keeping horses outdoors permanently during winter is possible because horses have very good thermoregulatory capabilities so that they are able to adapt themselves to cold conditions. However, in light of animal welfare, the holding system must include adequate shelter (natural or artificial). Shelters should protect against wetness, heat, cold and wind, and must be sufficiently large and high, with a dry and clean underground. In keeping horses outdoors permanently, the paths to the feeding and watering areas and to the shelter must be dry. The food must also be protected against mould and soiling. Keeping horses permanently without adequate shelter or in deep marsh without any dry places is against the Animal Protection Act.     

Entrapment of the small intestine in the epiploic foramen in horses: a retrospective analysis of 71 cases recorded between 1991 and 2001

The clinical features of 71 cases in 70 horses in which part of the small intestine became entrapped in the epiploic foramen are described. The horses' sex, age and breed, the month during which they were affected, and whether they exhibited stereotypic behaviour were compared with the same variables in 1279 horses which suffered other types of surgical colic during the same period. Thoroughbred and thoroughbred cross horses were over-represented among the 70 affected horses. There was no age or sex predilection. Fifty-five (77.5 per cent) of the cases occurred between October and March and 15 (21.1 per cent) occurred in January. The cases were significantly more likely to have a history of crib-biting/windsucking than the control group (odds ratio 7.9, 95 per cent confidence interval 4.1 to 15.3). The condition had recurred in two of the horses. Fifty-eight (81.7 per cent) recovered from surgery and 49 (69 per cent) survived until they were discharged from hospital. The median survival time of 31 of the affected horses discharged from the hospital was 700 days, whereas 417 horses with other types of surgical colic had a median survival time in excess of 1931 days.     

Risk factors for epiploic foramen entrapment colic in a UK horse population: a prospective case-control study

REASONS FOR PERFORMING STUDY: Epiploic foramen entrapment (EFE) is a common cause of small intestinal strangulation in the horse and its epidemiology requires further investigation. OBJECTIVES: To identify horse- and management-level risk factors for EFE and to explore reasons for the apparent seasonality of this condition. HYPOTHESIS: Horses exhibiting certain behaviours and those exposed to particular management practices that vary seasonally are at increased risk of EFE. METHODS: A prospective unmatched, multicentre case-control study was conducted over 24 months in the UK. Data on 77 cases and 216 control horses were obtained from 9 collaborating clinics and logistic regression was used to identify associations between horse and management variables and the likelihood of EFE. RESULTS: In a final multivariable model crib-biting/windsucking behaviour was associated with the largest increase in likelihood of EFE. A history of colic in the previous 12 months, increased stabling in the previous 28 days and height of the horse also increased the likelihood of EFE. Horses with access to a mineral/salt lick, those easily frightened and horses not fed at the same time as others were at reduced risk of EFE. CONCLUSIONS: Horses exhibiting certain behaviours, those with a previous history of colic and horses of greater height appear to be at inherently greater risk of EFE. The increase in likelihood of EFE with increased duration of stabling may explain the apparent seasonality of this condition.     

Equine stereotypic behaviors: Causation,occurrence, and prevention

There are strong suggestions that equine stereotypies are connected to poor welfare and a suboptimal management and/or stabling environment. Different forms of equine stereotypic behaviors have been described. Crib biting, weaving, and box walking are considered the most prevalent. Several studies have been conducted to establish links between the underlying causes and potential function of such behaviors. Both experimental and epidemiological studies have indicated management factors specifically feeding practices, housing conditions, and weaning method as crucial in the development of stereotypies in stabled horses. Some neurological studies on equine stereotypy demonstrated some forms of central nervous system dysfunction as being associated with the performance of stereotypic behaviors. Different researchers hypothesized that the functional significance of stereotypies is that they reduce stress in captive environments and should thus be considered as a coping mechanism. In contrast, the owner's perspective is often that a stereotypic horse has a “stable vice” that needs to be stopped, and different kinds of methods have been developed to control or regulate stereotypic behaviors. However, if the stress-reducing hypothesis is correct, controlling stereotypic behaviors particularly by physical and surgical approaches without addressing the underlying causes is of great concern to the horse's welfare. Although there is ongoing uncertainty about the exact function, the growing knowledge about causation should be applied: under all circumstances prevention is better than cure.     

Do Metal Shoes Contract Heels?—A Retrospective Study on 114 Horses

Heel contraction is an undesired but common condition in domestic horses. Some authors indicate shoeing as a risk factor. There is a correlation between shoeing and a restriction of heel expansion, but the clinical significance is unknown. This study aimed to evaluate the influence of shoeing and other risk factors, such as age, access to paddock, and breed, on heel contraction. This study included 114 horses, 55 of which were barefoot their whole life and 59 had been shod consistently for at least the previous year. The width and length of the frog were measured. Linear mixed-effects models were performed for the width:length ratio, where the fixed effects were age, sex, breed, pasture or paddock time, shoeing and its duration, and limb. The random effects included the horse and the yard. Although heel contraction occurs more often in shod horses compared with barefoot horses, the difference between the two conditions was not statistically significant, when other factors were considered. The most important factors that impacted contraction were individual horse features and breed (P < .001). The effect of age and a yard was noticed (P < 0,5). The sex, paddock time, and the shoeing and its duration were found not to have statistical significance. The study concluded that heel contraction is multifactorial problem, mainly caused by breed and unknown features correlated with individual. It was not confirmed that horseshoeing causes heel contraction. Because of significant difference in incidence of contraction between yards, there is a need to further investigation of environmental factors causing this hoof distortion.     

Prevalence of gastric ulcer syndrome in high-level endurance horses

Reasons for performing the study: Equine gastric ulcers syndrome (EGUS) prevalence studies are rare in the endurance horse and none has been carried out to date in horses competing at high level. Objectives: To determine the prevalence of EGUS in high‐level endurance horses. Methods: Thirty endurance horses competing at high level were selected and submitted to 2 gastroscopic examinations. The first gastroscopy was performed during the interseason period, and the second during the competition season within 2–3 days following a ride of 90–160 km. Data related to housing, feeding, training system as well as age, breed and gender were recorded for each horse. Results: The prevalence of squamous gastric ulcers was 48% during the interseason period (mean score 0.85 ± 0.13 on a scale from 0–4) and 93% during the competition season (mean score 1.60 ± 1.15) with a highly significant difference between the seasons (P = 0.001). Most of the lesions were situated in the squamous portion of the stomach but 33.3% of horses showed also glandular lesions. Significant influence of training and performance level on the gastric score (according to the distance of the ride preceding the second gastroscopy) was shown (P = 0.038). There was also a significant influence of housing on the gastric score (P = 0.002) showing higher scores in the horses kept totally on pasture (mean score: 2.14 ± 0.14) vs. horses housed in a mixed environment (stable + pasture, mean score: 1.43 ± 0.17). Both the pastured and (stabled + pastured) groups were receiving a grain supplement but the pastured group received a higher daily starch intake, which might explain the higher ulcer prevalence. There was no influence of age, breed or gender on the gastric scores. Conclusions: The high prevalence of gastric lesions observed in this study is probably related to the high level of training and performance of the horses examined compared to the population of horses included in the prior study. Potential relevance: This prevalence of EGUS in high‐level endurance horses is comparable to the prevalence established in racing horses. The equine veterinarians may take into consideration EGUS as a potential cause of poor performance.     

Incidence of exertional rhabdomyolysis in polo horses in the USA and the United Kingdom in the 1999/2000 season

A questionnaire was used to determine the incidence of exertional rhabdomyolysis and the factors that might have contributed to its occurrence among 423 polo horses in 11 yards. The yards were selected at random, six of them with 111 horses, in north-eastern USA, and five with 312 horses in south-east England. During the 1999/2000 season the incidence of the condition was 7.3 per cent (9 per cent in the USA and 6.7 per cent in England). The incidence in mares was similar in the two countries, 8.4 per cent in the USA and 8.0 per cent in England, but the incidence in geldings in the USA (10 per cent) was much higher than in England (1.5 per cent). A more excitable than average temperament was reported in 71 per cent of the horses with the condition, and most cases occurred after a game (chukka) in which the horse was perceived to be not fit enough for the level of play demanded. Sixty-four per cent of the cases occurred early in the season and on average each episode resulted in the loss of 7.6 training days.     

Frequency of diseases and injuries in the Swiss horse population

Through a written questionnaire, which was sent to a representatively distributed and randomly selected sample of Swiss horse owners, data of 2912 horses and ponies were acquired to extrapolate prevalence data of health disorders. General questions about the horse and associated factors of housing and use, as well as questions about the current health status and the occurrence of diseases and injuries had been asked. 718 horses (24.7% of the sample) had been examined by a veterinarian within the 12 months prior to the survey. Orthopaedic and traumatic disorders (41.5%) had the largest proportion, followed by gastrointestinal--(27.1%) and respiratory (14.0%) diseases. Half of the lameness cases occurred as a direct consequence of a injury. The injuries were associated with pasture/paddock (38.1%), kicking and biting (21.6%), boxstall (7.8%), terrain and hacking (13.4%), training (3.5%), competition (3.5%), transportation (3.0%) or other circumstances (9.1%). A change in feeding management up to 4 weeks before development of a colic episode occurred in 26.5% of all colic cases. In 13.8% of all respiratory cases the same disease was diagnosed in other horses in the same barn. 8.1% of all cases had to be treated surgically, 6.7% required hospitalization for several days. Information about diagnostic or therapeutic procedures was related to specific disease categories. In 25.6% of all cases diagnosed by a veterinarian alternative therapeutic methods were used either in addition to traditional medicine or exclusively.     

Application and evaluation of a mailed questionnaire for an epidemiologic study of Corynebacterium pseudotuberculosis infection in horses

The objective of this study is to describe the design, application and validity of a self-administered (mailed) questionnaire to collect data on potential risk factors for Corynebacterium pseudotuberculosis infection in California horses. Horses admitted to the UC Davis Veterinary Medical Teaching Hospital (VMTH) between 1 July 1992 and 30 June 1994 served as the study base for case identification and simple random sampling of 800 control horses. A questionnaire was mailed to owners of the study horses, followed by a reminder postcard and a second copy of a questionnaire. Data were collected on owner and horse identity and demographics, horse management and use, geographic location, and general health-related issues. Return pattern over time as well as differential return proportions were described. The overall return proportion was 66% (587/890), and the completion proportion 55% (491/890). The number of returns over time followed a negative binomial distribution, with over 90% of all returns being in by the end of the fifth week after mailing, and over 99% at the end of the tenth week. Some categories within the variables age (between 2 and 3 years), breed (Thoroughbred and Standardbred horses) and gender (stallions) had significantly lower return proportions than expected (differential return; p<0.05). The profile of these horses fits a section of the racehorse population that is served by the VMTH. Age, breed and disease status information was available from the VMTH medical records and from the questionnaire, and was used to determine the validity of the survey data. There was good agreement between the data from the two sources, and we therefore concluded that the quality of the survey information was sufficient to perform a risk-factor analysis. The mailed survey provided a rapid and cost-effective method of collecting additional information to supplement existing medical records.