Competition Horse Medication Ethics

COMPETITION HORSE MEDICATION ETHICS

Gustafson S, DVM

Appreciation of the evolved nature and behavior of horses provides the foundation for the ethical veterinary care of equine athletes. The establishment of a veterinary patient client relationship (VCPR) is instrumental in providing ethical care for the competition horse. Ethical veterinary practice supports the horse’s long-term health and welfare interests while avoiding pharmaceutical intervention in the days and weeks before competition.

Horses evolved as social grazers of the plains, moving and grazing in a mutually connected and constantly communicative fashion on a near-constant basis. Contemproary equine health and prosperity remains dependent on providing an acceptable degree of this near-constant movement, foraging, and socialization. When horses are confined to fulfill convenience and performance interests, the horse’s natural preferences need be re-created to a suitable degree to avoid exceeding the adaptability of the horse. As the adaptability of the horse is exceeded, welfare is dimished and the need for medical intervention to remedy behavioral, health, and soundness deficiencies is intensified. Contemporary practices regularly exceed the competition horse’s adaptability, resulting in the need for extensive veterinary intervention to sustain health and remedy training and competition injuries.[1]

The more medical care and pharmaceutical intervention required to sustain any population of animals the lower the population’s welfare.[2] Ethical veterinary care supports the horse’s best welfare interests, as well as the safety of the horse’s riders and drivers. Medical intervention of the equine athlete should be avoided in the weeks, days, and hours before competition, as pre-competition medication is associated with increased catastrophic injury vulnerability as a result of the diminished welfare it perpetuates.[3] To properly support the health and welfare of equine athletes, the practitioner must be familiar with their patients both inherently and individually. Socialization, constant foraging, and abundant daily locomotion are the long-evolved requirements to promote and sustain optimal soundness, behavioural health, performance, and healing in competition horses. 

Healthy horses function and perform more consistently and predicatbly in an unmedicated state. Contemporary pre-competition medication practices remove the horse’s ability to protect their health and sustain soundness by masking pain and suppressing symptomology. Horses who require medication to alleviate medical conditions in order to compete are rendered vulnerable to injury and physical and behavioural dysfunction imperiling the safety of both horse and horseperson. Horses requiring medication to compete are not fit to compete safely. Horses and horsefolk are best served to compete free of short-term pre-competition pharmaceutical influence. Infirmities require appropriate medical care and rehabilition before competition is considered and resumed, rather than pre-competition medication to allay active medical problems. The equine practitioner should focus on post-performance evaluations and necessary therapies to sustain horse health on a enduring basis. An emphasis on fulfilling the medical, physical, and behavioural needs of the horse to prepare for the future competitions is the essence of ethical veterinary care of the competition horse. Pre-competition medication practices that replace or supplant appropriate health care are not in accord AVMA Principles of Veterinary Ethics.[4]

For human entertainment, convenience, and revenue, horses are bred, isolated, stabled, conditioned and medicated to perform competitively. Comtemporary pre-competition medication practices are often at the expense of the horse’s health, safety, and welfare. Many current medication practices violate the AVMA Principles of Veterinary Ethics, specifically the clause that states a veterinarian shall provide veterinary medical care under the terms of a veterinarian-client-patient relationship (VCPR).

The AVMA Principles of Veterinary Ethics state that it is unethical for veterinarians to medicate horses without a VCPR. Pre-competition pharmaceutical interventions to remedy insufficient attention and preparation for the horse’s long-evolved health requirements are seldom in the best interest of the horse. The medical and pharmaceutical practices which support equine competitive pursuits should be designed to enhance the health and soundness of the horse on a long term basis and should not be intended to enhance performance or permit training on infirm legs. 

Pre-competition pharmaceutical intervention has been demonstrated to have an overall negative affect on the health and welfare of competitive horse populations. Where horses are allowed to be permissevely medicated with and without a VCPR, injuries and catastrophic injuries are more prevalent, as are jockey injuries. Horses are best served to be properly prepared to compete in a natural non-medicated state. Pharmaceutical intervention of the equine athlete should be avoided during training and in the weeks before competition, as pharmaceutical intervention impairs the innate pain barrier while increasing musculoskeletal fragility. Intense and widespread pre-competition medication practices correlate with catstrophic injury vulnerability and diminished welfare.[5]

Equine athletic pursuits have historicaly been designed to measure the natural abililty of horses and the trainer’s ability to bring out the horses’ natural ability. Performance enhancing drugs devalue and debase competetive achievements. Equine competition was designed to measure the natural abilities of horses, with trainers and riders honing those natural abilitities. Hoseracing was never intended to measure medicated ability, thus maintaining genetic integrity of the breed.[6] Pharmaceutical scrims can impair horses for generations. To suppress a condition that is induced by low welfare is unacceptable. It is imperative in animal sensitive societies that the welfare and veterinary care of the horse take precedence over economic human interests. Horses are born to socialize, communicate, locomote, move about, graze and masticate on a near-constant basis. For behavioral and physical integrity, these preferences need to be re-created to an acceptable degree in the competition stable. The ethical practice of veterinary medicine includes providing clients with the guidance to provide appropriate husbandry, nutrition, conditioning, medical management, and behavioural fulfillment of their equine athletes. Medicating and suppressing injuries with the intent to continue training to later prevail in racing constitutes the unethical and illegal practice of veterinary medicine. Furosemide is a performance enhancing drug, masking agent, and metabolic alkalinizer, and as such is forbidden in racing jurisdictions worldwide, where racing is consequently safer for horses and jockeys.

Equine welfare is best supported when horses are properly prepared, physically and mentally sound, and fit to perform in an unmedicated state. Physically or behaviourally impaired horses who require medication to compete should not compete until they are able to compete without pre-competition pharmaceutical intervention. All sensation, behaviour, and proprioception should remain physiologically normal. Sensation and cognitive awareness should not be suppressed with pre-competiton medication. This inludes the use of sedatives, stimulants, and pain relievers of all sorts. Treatments should not interefere with functional physiology.

Sound horses properly prepared for competition have little need for pre-competition medication. Unsound or behaviorally dysfunctional horses should be medically and behaviorally rehabilitated in a fashion that restores soundness before training and competition are resumed. Medication is for infirm horses, and infirm horses should not compete. Horses who require medication to compete become increasingly unfit to compete safely. Rather than therapeutic intent, many pre-competition medication practices have become performance enhancing at the expense health and welfare of horse and rider. 

It has been demonstrated through time that horses and their riders are best served to compete medication free. As a result, anti-doping laws have been established by all agencies that regualte equine competition. Veterinarians are required by both ethics and law to follow these regulations. Horseracing statisitcs support that the less medication horses receive the more favorably and safely horses compete.[7]

The safety of the competition horse is dependent on unimpaired neurological functioning. Unimpaired sensation and cognitive ability are necessary for a horse to compete safely and fairly. Any medications or procedures which negate or diminish sensation and awareness in the horse impair the ability of the horse to compete safely.[8]

The safety, longevity, and durability of the equine patient should considered before short term pre-competition medical solutions are implemented. Familiarity of the patient includes familiarity with stabling, genetics, behavior, and husbandry of the patient. Many if not most medical conditions are a result of human mismanagement of equine stabling and conditioning. When the adaptability is exceeded, horses become unsound. Assessment of stabling conditions and athletic preparation practices are essential components of ethical equine care. Healing must be allowed to progress before competition and training are resumed. Client education is essential to create a husbandry situation conducive to equine healing. Restoration strategies that recreate the horse's social grazing and locomotion preferences facilitate and potentiate horse healing. Appropriate healing of many equine maladies is encouraged when the veterinarian provides appropriate medical care and carefully facilitates a scenario to provide the horse with appropriate physical rehabilitation and behavioural fulfillment. 

Despite domestication and selective breeding for docility and captivity, horse health remains dependent on locomotion. Locomotion is inherent to digestion, to respiration, to metabolism, to hoof health and function, to joint health, to bone health and durability, to resistance to limb failure, and to behavioral fulfillment. An interdependence exists between horse health and locomotion. Horses evolved to be near-constant walkers and grazers, depending on perpetual motion to sustain health of all systems. Horses did not evolve to be confined in stalls and stables, but to move on a continuous basis. Pulmonary health is dependent on abundant daily locomotion. Deprivation of adequate locomotion results pulmonary deterioration, resulting in an abnormal incidence of EIPH. By suppressing EIPH, Lasix perpetuates the substandard American training horsemanship that causes EIPH. 

When horses are deprived of adequate and abundant locomotion, they develop strategies and unwelcome behaviors to keep themselves and their jaws in motion, as is their essential nature. Horses deprived of friends, forage, and locomotion are at risk to develop stereotypies to provide themselves with the movement they need to survive. The more stereotypies present in a population of equine athletes, the lower their welfare.

No longer is intense medical intervention prior to competetion a viable, ethical, or legal approach. It has been demonstrated that the more intensely horses are medicated to compete, the lower their welfare. The more medications required to sustain any population of animals, the further the deviation from their physical and behavioural needs. Rather than pre-race treatments, the ethical approach includes  performance of exensive post-competition examinations to address any weaknesses or unsoundness as a result of the performance. 

Alternatives to precompetition medication with non steroidal anti-inflammatory medication and steroids include fulfillment of the horse’s long-evolved nature. Musculoskeletal soundness is attained by proper breeding, development, husbandry, and conditioning practices. Management of exercise induced pulmonary hemorrhage is achieved by specific lifetime daily development of the horse’s pulmonary and cardiac function. As well, unwelcome and unsafe competition behaviors are best managed by fulfillment of the horse’s inherent behavioral needs, which include abundant daily socialization, locomotion, and grazing.[9]

Recommended reading

Chyoke A, Olsen S & Grant S 2006 Horses and Humans, The Evolution of Human-Equine Relationships,  BAR International Series 1560, Archeopress, England, ISBN 1 84171 990 0

Magner D 2004 Magner’s Classic Encyclopedia of the Horse Edison, New Jersey: Castle Books

McGreevy P 2004 Equine Behavior: A Guide for Veterinarians and Equine Scientists Philadelphia: Elsevier Limited. ISBN 0 7020 2634 4

Waran N, McGreevy P & Casey RA 2002 Training Methods and Horse Welfare in Waran N, ed The Welfare of Horses, Dordrecht, The Netherlands: Kluwer Academic Publishers, p151-180

Paul McGreevy BVSc, PhD, MRCVS. Equine Behavior, 2004, A Guide for Veterinarians and Equine Scientists. Second Edition, Elsevier; 2012, Chapter 13 Equitation Science

Budiansky, S. (1997). The nature of horses: Exploring equine evolution, intelligence, and behavior. New York: The Free Press.

Hausberger M, Roche H, Henry S, and Visser E.K. “A review of the human-horse relationship” Appl Anim Behav Sci 109, 1-24. 2008

---

[1] Zambruno, Teresita (2017) Epidemiological investigations of equine welfare at OSAF jurisdiction racecourses. Thesis

[2] Appleby M, Mench J, Olsson I, Hughes B (2011). Animal Welfare. CABI, Second edition; 2011.  

Fraser D (2008). Understanding Animal Welfare: The Science in its Cultural Context. Wiley-Blackwell; 2008.

[3] Slifer, Paige BMS 599 Dr. Alan Robertson 2017 A Review of Therapeutic Drugs Used for Doping of Race Horses: NSAIDs, Acepromazine, and Furosemide. Thesis

[4] The AVMA Principles of Veterinary Ethics, https://www.avma.org/About/Governance/Documents/2014S_Resolution8_Attch1.pdf

[5] Kentucky Horseracing Commission Raceday Medication Transcript, NOVEMBER 14, 2011 

 http://www.khrc.ky.gov/Documents/RaceDayMedicationTranscript.pdf

[6] Magner D 2004 Magner’s Classic Encyclopedia of the Horse Edison, New Jersey: Castle Books

[7] Kentucky Horseracing Commission Raceday Medication Transcript, NOVEMBER 14, 2011 

 http://www.khrc.ky.gov/Documents/RaceDayMedicationTranscript.pdf

[8] Furr M, Reed S editors (2007). Equine Neurology; Wiley-Blackwell

[9] Waran N, McGreevy P & Casey RA 2002 Training Methods and Horse Welfare in Waran N, ed The Welfare of Horses, Dordrecht, The Netherlands: Kluwer Academic Publishers, p151-180

Dr Gustafson graduated from Washington State University as a Doctor of Veterinary Medicine in 1979. He is a practicing veterinarian, animal welfare journalist, equine behavior educator, and novelist. The application of behavioral science to the husbandry of horses enhances optimal health, performance, soundness, contentment, and longevity. Behavioral, social, locomotory, and nutritional strategies enhance the prosperity, vigor, and health of stabled horses. Sid offers veterinary care, training, husbandry, and conditioning from the horse's perspective to achieve willing and winning equine partnerships with humans.

Conditioning and Winning, Lasix-free

Competition Horse Medication Ethics

Horses evolved as social grazers of the plains, group survivalists moving and grazing together most all of the time. During their 60-million-year evolution, horses came to require near-constant forage, friends and locomotion to maintain health and vigor of wind and limb.

http://therail.blogs.nytimes.com/2012/05/11/conditioning-and-winning-lasix-free/

Despite domestication and selective breeding, today’s racehorses are no exception. Although horses are extremely adaptable, the last place a horse evolved to live is in a stall, alone, with limited space to move and forage about with others. The solution to manage bleeding in racehorses is to breed, develop, teach, train and care for horses in a horse-sensitive fashion that provides abundant lifetime locomotion and socialization. Pulmonary health is reflective of overall health and soundness in horses.

In order to maintain pulmonary health, natural conditions need to be re-created in the stable. Horses prefer to graze together and move nearly constantly. Constant foraging, grazing, socializing and moving are essential for joint and bone health, hoof health, metabolic health and pulmonary health, and, of course, mental health. In order for lungs to stay healthy, horses need movement, more movement than American trainers currently provide the population of stabled. Horses communicate with movement and sustain physiologic and metabolic health via near-constant locomotion. Movement is what is most often missing in a racehorse’s stabled life.

Walking throughout the day enhances and maintains lung health. Stabled horses need hours of walking each day, more walking than most are currently afforded. Veterinarians who manage racehorse health need to ensure that their patients are provided with adequate daily locomotion. The movement of training and track conditioning are not adequate to condition healthy lungs throughout the rest of the day, as lung health requires 24/7 movement. For a horse, moving is breathing. Abundant on-track and off-track locomotion is necessary to condition a horse’s lungs and to provide the necessary resilience to withstand the rigors of racing.

Lungs deteriorate when movement is restricted. Horses breath all day long, and near-constant movement is required much of the day to assist their breathing to maintain pulmonary flexibility and vigor. Plentiful walking enhances breathing and lung health. Swimming and doing lunges are also appropriate lung-conditioning activities. Grazing while casually walking clears the airways. Hand grazing may be the best lung-healthy activity of all. Racetracks need to provide abundant hand-grazing opportunities for all of the stabled horses, and the green grass needs to be appropriate grazing grass. Kentucky limestone grass is always best, it seems.

Training over hills and dales, as well as walking up and down inclines helps develop and sustain pulmonary vigor. When horses are locked in a stall a large percentage of the time, their lungs deteriorate. Stabling that does not afford abundant movement and head-down grazing and foraging impairs lung health, making horses vulnerable to bleed when exerted in a race. The cause of exercise-induced pulmonary hemorrhage is insensitive and deficient stabling and husbandry practices and includes diagnostic failures to detect bleeding during training.

The care that establishes and enhances pulmonary health and endurance in horses is the same care that enriches stabled horses’ lives. Pulmonary care is providing the same near-constant movement that keeps racehorses’ musculoskeletal systems sound. It is the care that keeps horses on their feet during races. Horses must remain sound of limb to ensure lung soundness, and they must remain sound of lung to achieve and maintain limb soundness. Afternoon and evening hand walking and hand grazing are essential to develop and sustain lungs and limbs fit to race.

Horses with healthy lungs are content and fulfilled horses whose lives their caretakers adequately, if not extensively, enrich. Lung health is supported by limb health. Breathing and running are biologically intertwined on the track, a breath per stride. To stride correctly is to breathe correctly. To breathe correctly is to breathe soundly, and race sound.

Horses who are bred, socialized, and developed properly from birth, and who train while living enriched stable lives are seldom likely to experience performance-impairing E.I.P.H. while racing. They are more apt to stay sound. Humane care of the horse prevents bleeding. Pulmonary health is reflective of appropriate husbandry, breeding, training, nutrition, and the abundant provisions of forage, friends, and perhaps most importantly, locomotion. Bleeding in a race is reflective of inadequate care and preparation, of miscalculations and untoward medication practices. Lasix perpetuates substandard horsemanship, artificially suppressing the untoward result (bleeding) of inadequate preparation of the thoroughbred.

Genetics play a role in pulmonary health and physical durability. Lasix perpetuates genetic weakness by allowing ailing horses to prevail and sow their seeds of pharmaceutical dependence. Running sore causes lungs to bleed. Lasix manages a wide variety of unsoundness, as do the cortisones and NSAIDs (bute and similar drugs). These anti-inflammatory drugs aggravate coagulation processes. Rather than drugs, pulmonary health is dependent on appropriate breeding and proper development for the vigor, durability and endurance thoroughbred racing demands. Drugs are not the solution. Competent horsemanship is the solution. Genetic dosage, behavioral and physical development, socialization, training, and locomotion husbandry are the keys to racehorse soundness, lung health, stamina, and durability. The causes of E.I.P.H. are no mystery to seasoned race folk. Horses prone to bleed are those horses that are mistakenly bred, inadequately developed and inappropriately stabled and trained.

Horses evolved in the open spaces of the northern hemisphere and require the cleanest, purest air to thrive and develop healthy lungs and hearts. Stable air needs to be constantly refreshed to maintain pulmonary health. Ventilation is essential, and enclosed structures are often inappropriate. Barn design needs to provide both clean air and abundant locomotion. Bedding is critical. Clean straw provides the most movement by simulating grazing. Horses stalled on straw are noted to move about with their heads down nibbling and exploring for hours, recreating nature to some degree, keeping their lungs healthy with movement, their respiratory tracts drained by all the head-down nibbling and grazing. Horses need near-constant head-down movement to maintain optimum lung health. Long-standing horses’ lungs deteriorate quickly. Not only does near-constant movement maintain and enhance pulmonary health, abundant locomotion maintains metabolic health, joint and bone health, hoof health and digestive health.

To enhance lung health is to enhance the overall health and soundness of the racehorse. Racing appears much safer in Lasix-free jurisdictions, where the drug crutch is not allowed, because the drug crutch allows horses to be cared for in a substandard fashion. (A link to the transcript from the Kentucky Raceday Medication Committee hearing is here.) Drugs are not allowed to replace appropriate care and training in Asia and Europe, and raceday drugs should be barred in America as they are in the rest of the civilized world. The stabled racehorse has to be carefully and humanely cared for and nourished in a holistic fashion, both physically and behaviorally, to win and stay healthy to win again.

Sid Gustafson, D.V.M., is a novelist and equine veterinarian specializing in thoroughbred sports medicine and equine behavior. His talk at the upcoming AVMA annual veterinary convention in Boston is Competition Horse Medication Ethics.

The Principles of Equine Athletic Development

Horses require abundant friends, forage, and locomotion to develop and maintain behavioural and physical health. Horse health is dependent on body and jaw movement. Digestion, respiration, metabolism, and musculoskeletal and hoof health are all dependent on abundant daily exercise, walking, and socializing.

The causes of cribbing, weaving, and other stereotypies are clear. Deprivations of friends, forage, and locomotion are the causes of stereotypies. Abundant daily friends, forage, and locomotion is the prevention and treatment of stereotypies. Horses are born to socialize, communicate, move, and chew on a near constant basis. The nature of the horse is to move and graze with others day and night. For behavioural health, these preferences need to be re-created in the stable.

Stabled horses require 24/7 forage, and miles and miles of daily walking, as well as abundant socialization to re-create a natural existence. When these needs are not provided in adequate measure unwelcome behaviors develop.

Foals raised by the mare and herd in a grazing setting develop into easily trainable animals, as it is the mare and herd that teach growing horses how to learn. It is the in-depth socialization and interaction with the herd of mares and foals that nurtures and develops athletic ability and prowess the growing horse. In the case of thoroughbreds, it is the mares and cohorts that instill growing horses with the confidence to run by and through other horses at speed. The herd teaches the horse how to prevail. Horses learn how to cooperate from other horses. They learn how to see and graze and move, and perhaps most importantly, how to communicate with others as taught by other horses. This is socialization. Please appreciate the necessity of socialization in the development of equine athletes. It is the herd that provides the foundation for the horse to learn, endure, and prevail in athletic competitions.

The horse's genetic potential is usually well-documented and identified. It is appropriate socialization that develops the equine athlete. Foals raised in stalls and stables seldom develop the wherewithal to become consistent reliable winners, as it is the herd that develops the foal's inherited abilities to perform. Much of this development occurs during the first hours and days of life, and this development phase with the mare should be nurtured rather than interfered with. The mare and herd are the most qualified individuals to teach the newborn foal to become a developmentally healthy horse. 

 All physiologic, behavioural, and metabolic functions of the horse are dependent on abundant daily walking. In natural settings, ingestion is paired with walking, and takes place 70% of the time. Horses requires miles of daily walking to maintain homeostasis. Digestion, respiration, metabolism, musculoskeletal function, and behaviour are all dependent upon abundant daily locomotion. Locomotion is the most overlooked and deprived maintenance behaviour of stabled horses.

Horse Behaviour, the Nature of Horses

http://www.amazon.com/Horse-Behaviour-Nature-Horses-Gustafsons-ebook/dp/B00ILG3JX0/ref=la_B00IN7XNNI_1_1?s=books&ie=UTF8&qid=1393961474&sr=1-1

Conditioning and Winning without Raceday Medication 
By SID GUSTAFSON






Horses evolved as social grazers of the plains, group survivalists moving and grazing together most all of the time. During their 60-million-year evolution, horses came to require near-constant forage, friends and locomotion to maintain health and vigor of wind and limb.


Despite domestication and selective breeding, today’s racehorses are no exception. Although horses are extremely adaptable, the last place a horse evolved to live is in a stall, alone, with limited space to move and forage about with others. The solution to manage bleeding in racehorses is to breed, develop, teach, train and care for horses in a horse-sensitive fashion that provides abundant lifetime locomotion and socialization. Pulmonary health is reflective of overall health and soundness in horses.


In order to maintain pulmonary health, natural conditions need to be re-created in the stable. Horses prefer to graze together and move nearly constantly. Constant foraging, grazing, socializing and moving are essential for joint and bone health, hoof health, metabolic health and pulmonary health, and, of course, mental health. In order for lungs to stay healthy, horses need movement, more movement than American trainers currently provide the population of stabled. Horses communicate with movement and sustain physiologic and metabolic health via near-constant locomotion. Movement is what is most often missing in a racehorse’s stabled life.


Walking throughout the day enhances and maintains lung health. Stabled horses need hours of walking each day, more walking than most are currently afforded. Veterinarians who manage racehorse health need to ensure that their patients are provided with adequate daily locomotion. The movement of training and track conditioning are not adequate to condition healthy lungs throughout the rest of the day, as lung health requires 24/7 movement. For a horse, moving is breathing. Abundant on-track and off-track locomotion is necessary to condition a horse’s lungs and to provide the necessary resilience to withstand the rigors of racing.


Lungs deteriorate when movement is restricted. Horses breath all day long, and near-constant movement is required much of the day to assist their breathing to maintain pulmonary flexibility and vigor. Plentiful walking enhances breathing and lung health. Swimming and doing lunges are also appropriate lung-conditioning activities. Grazing while casually walking clears the airways. Hand grazing may be the best lung-healthy activity of all. Racetracks need to provide abundant hand-grazing opportunities for all of the stabled horses, and the green grass needs to be appropriate grazing grass. Kentucky limestone grass is always best, it seems.


Training over hills and dales, as well as walking up and down inclines helps develop and sustain pulmonary vigor. When horses are locked in a stall a large percentage of the time, their lungs deteriorate. Stabling that does not afford abundant movement and head-down grazing and foraging impairs lung health, making horses vulnerable to bleed when exerted in a race. The cause of exercise-induced pulmonary hemorrhage is insensitive and deficient stabling and husbandry practices and includes diagnostic failures to detect bleeding during training.


The care that establishes and enhances pulmonary health and endurance in horses is the same care that enriches stabled horses’ lives. Pulmonary care is providing the same near-constant movement that keeps racehorses’ musculoskeletal systems sound. It is the care that keeps horses on their feet during races. Horses must remain sound of limb to ensure lung soundness, and they must remain sound of lung to achieve and maintain limb soundness. Afternoon and evening hand walking and hand grazing are essential to develop and sustain lungs and limbs fit to race.


Horses with healthy lungs are content and fulfilled horses whose lives their caretakers adequately, if not extensively, enrich. Lung health is supported by limb health. Breathing and running are biologically intertwined on the track, a breath per stride. To stride correctly is to breathe correctly. To breathe correctly is to breathe soundly, and race sound.


Horses who are bred, socialized, and developed properly from birth, and who train while living enriched stable lives are seldom likely to experience performance-impairing E.I.P.H. while racing. They are more apt to stay sound. Humane care of the horse prevents bleeding. Pulmonary health is reflective of appropriate husbandry, breeding, training, nutrition, and the abundant provisions of forage, friends, and perhaps most importantly, locomotion. Bleeding in a race is reflective of inadequate care and preparation, of miscalculations and untoward medication practices. Lasix perpetuates substandard horsemanship, artificially suppressing the untoward result (bleeding) of inadequate preparation of the thoroughbred.


Genetics play a role in pulmonary health and physical durability. Lasix perpetuates genetic weakness by allowing ailing horses to prevail and sow their seeds of pharmaceutical dependence. Running sore causes lungs to bleed. Lasix manages a wide variety of unsoundness, as do the cortisones and NSAIDs (bute and similar drugs). These anti-inflammatory drugs aggravate coagulation processes. Rather than drugs, pulmonary health is dependent on appropriate breeding and proper development for the vigor, durability and endurance thoroughbred racing demands. Drugs are not the solution. Competent horsemanship is the solution. Genetic dosage, behavioral and physical development, socialization, training, and locomotion husbandry are the keys to racehorse soundness, lung health, stamina, and durability. The causes of E.I.P.H. are no mystery to seasoned race folk. Horses prone to bleed are those horses that are mistakenly bred, inadequately developed and inappropriately stabled and trained.


Horses evolved in the open spaces of the northern hemisphere and require the cleanest, purest air to thrive and develop healthy lungs and hearts. Stable air needs to be constantly refreshed to maintain pulmonary health. Ventilation is essential, and enclosed structures are often inappropriate. Barn design needs to provide both clean air and abundant locomotion. Bedding is critical. Clean straw provides the most movement by simulating grazing. Horses stalled on straw are noted to move about with their heads down nibbling and exploring for hours, recreating nature to some degree, keeping their lungs healthy with movement, their respiratory tracts drained by all the head-down nibbling and grazing. Horses need near-constant head-down movement to maintain optimum lung health. Long-standing horses’ lungs deteriorate quickly. Not only does near-constant movement maintain and enhance pulmonary health, abundant locomotion maintains metabolic health, joint and bone health, hoof health and digestive health.


To enhance lung health is to enhance the overall health and soundness of the racehorse. Racing appears much safer in Lasix-free jurisdictions, where the drug crutch is not allowed, because the drug crutch allows horses to be cared for in a substandard fashion. (A link to the transcript from the Kentucky Raceday Medication Committee hearing is here.) Drugs are not allowed to replace appropriate care and training in Asia and Europe, and raceday drugs should be barred in America as they are in the rest of the civilized world. The stabled racehorse has to be carefully and humanely cared for and nourished in a holistic fashion, both physically and behaviorally, to win and stay healthy to win again.

Science link. Exercise Induced Pulmonary Hemorrhage in Horses: American College of Veterinary Internal Medicine Consensus Statement



Supporting Science link, ACVIM EIPH 

http://onlinelibrary.wiley.com/doi/10.1111/jvim.12593/full

Dr Gustafson is a practicing veterinarian, equine behavior educator, and novelist. The application of behavior science enhances optimum health, performance, soundness, contentment, and longevity in animal athletes. Behavioral and nutritional strategies enrich the lives of stabled horses. Training and husbandry from the horse's perspective result in content, cooperative horses who are willing to learn and perform.

Horse Behaviour; The Nature of Horses

Dr Gustafson's long awaited book is now available here.

http://www.amazon.com/dp/B00ILG3JX0

Through time horses have embedded themselves into the psyche of humans in a variety of cultures throughout the world. Linguists proclaim that the ancient words for mind and horse are similar in a variety of horse societies. The Mongol word for horse is takh, meaning spirit. The original horse people related to horses in a state of flowing communication. The result was a blending of human society with horse society. After eons of walking across the world, humans brought the wild Tarpan into their fold. As the two species came closer and closer together, the original horsepeople tamed, trained, and selectively bred the Tarpan to become today’s horse.

The process of domestication required eons of time; a blending of species brought about a shared geography and shared communication. Each species observed and followed the other for millennia, developing an understanding that resulted in a sophisticated merger. The domestication process continues to this day. To blend with horses, people must know horses. Here we will come to appreciate the deepest natures of the horse, the natures that allowed this wonderful species to blend with us.

Sustenance of this blending of horse and human requires an appreciation of the nature of the horses. The once daily and hourly coexistence has drifted. A rift has developed. If a contemporary horseperson seeks unity with horses, they must come to know the horse in order to bridge the rift.

            

Today, horsefolk attempt to develop willing partnerships with horses as the original domesticators must have. Appreciation of equine behaviour allows this blending, which can be quite real.

Dr Gustafson is an equine veterinarian, veterinary behaviorist, and novelist. He helps refine horse and dog training methods to accommodate the inherent nature and behavior of horses and dogs. Applied veterinary behavior enhances optimum health, performance, soundness, contentment, and longevity in animal athletes. Natural approaches to development, training, nutrition, and conditioning sustain equine health and enhance performance. Behavioral and nutritional enrichment strategies enhance the lives of stabled horses. Training and husbandry from the horse's perspective result in content, cooperative horses. DrSid provides equine behavior consultations to help recreate the needs and preferences of horses in training and competition.

How to Race Horses without Lasix, Chapter 1

Chapter 1

Horses have long raced without medication the day they run, and appropriately so. Medication is for horses who are sick or unsound. Only healthy horses are qualified to race. Horses that require drugs to race should not be raced until they heal, and can race without medication. Healthy horses race safest.
Trainers who feel they cannot race horses without injecting them with raceday drugs are unqualified horsemen. The concept of fair play precludes the use of drugs to influence the outcome of a race. Horses deserve better than to be medicated on raceday, as over 90% now are. Horses have long successfully raced clean when properly cared for and appropriately conditioned, and have raced more safely than mismanaged horses that require medication to get them around the oval each race. 

Conscientious horsemanship and appropriate husbandry of stabled racehorses manages both EIPH and soundness. Horses need to get out of their stalls each afternoon for a few hours of grazing and walking about, perhaps some lungeing to lung up the lungs and flush the metabolism. Horses are born to move nearly constantly, and it is this near constant movement that appropriately conditions lungs to handle the athletic rigors of a horserace. Humane care of the horses is the answer to managing bleeding and breakdowns, not drugs, my goodness. The bleeding medication issue is entwined with the breakdown issue, as it is the horses medicated for bleeding that breakdown approximately 4X more frequently than clean running horses.

The horses will prevail soon, as the ban on raceday drugs is inevitably necessary to revive the sport and restore integrity to the game. 

Horses everywhere will breath great sighs of relief at not having to be needled with drugs hours before every race they run.

Dr Gustafson is an equine veterinarian, veterinary behaviorist, and novelist. He helps refine horse training methods to accommodate the inherent nature and behavior of horses. Applied veterinary behavior enhances optimum health, performance, soundness, contentment, and longevity in animal athletes. Natural approaches to development, training, nutrition, and conditioning sustain equine health and enhance performance. Behavioral and nutritional enrichment strategies enhance the lives of stabled horses. Training and husbandry from the horse's perspective result in content, cooperative horses. DrSid provides equine behavior consultations to help recreate the needs and preferences of horses in training and competition.

Appreciating Horses; Equine Behavior and Applied Horsemanship

Appreciating Horses    

Equine Behavior is the basis for Horsemanship
Sid Gustafson DVM

In consideration of the horse’s nature and behavior, horsewomen and horsemen are obligated to provide horses an appropriate environment, unconstrained neonatal development, formation and fulfillment of the mare-foal bond, adequate nutrition, sufficient sociobehavioral circumstances, as well as training and horsemanship modalities based on the horse's innate perspectives and sensitivities.
By nature the horse is a precocious grazer of the plains, a social and herd animal, and flighty. Horsemanship and training are best accomplished through behavioral appreciation of the horse and facilitation of the horse’s nature, rather than by force or coercion. Horses are best trained in a relaxed, calm state. Training that puts the horse into the flight or sympathetic state generated by fear and punishment while restricted by rigs or round pens is discouraged, and not in accordance with acceptable standards of animal training. Horsetraining and horse teaching methods are best based on scientific studies regarding the nature of the horse. Horses learn preferentially in a relaxed state from a calm experienced handler with adept communication skills.
Social behavior in natural feral settings is the 'natural' behavior that 'natural' horsemanship utilizes to appreciate the nature of the horse.
As to dominance, the science reveals that free-ranging horses form social hierarchies that are complex and rarely linear. Under natural open range conditions with adequate resources, horses seldom have the equivalent of an alpha individual because the roles of leadership and defense are more critical than domination. Dominance theory as a training modality is not only discouraged, but appears inappropriate. The formation of order in horse groups sustains collective welfare and enhances group survival, and reflects leadership rather than domination.[1] It is important veterinarians and students of equine behavior appreciate this science.
There is no alpha. Leadership is shared and alternated and variable and context dependent in established harems in natural settings. Dominance is rare, and certainly not prevalent. When present at all, it facilitates group protection and stability. Horses share leadership. Survival is herd based, rather than individual based. The lead mare leads the horses to water and grazing and resting places. She drinks first to make sure the water is safe, rather than because she dominantes the others. Students of equine behaviour appreciate shared leadership and herd stability. Horses seek competent leadership and are willing to accept competent leadership from humans.
The horse is special in retaining the ability to thrive in feral conditions independent of man. This allows us to study their true nature versus their stable nature and to apply that knowledge to their welfare as it pertains to training.
Horse retains the ability to survive without us, and survive well.
It behooves humankind to take care with horses. Sensitive horsefolk respect the 60 million year development of the horse’s social behavior and development. They appreciate equine intelligence in regard to both training and husbandry, and what the future might hold.
Stabling is unnatural. Horses graze and walk together 60-70% of the time under natural circumstances, eating and moving from spot to spot independently but within a few meters of the next horse. Stable managers and horse owners should make every effort to accommodate or recreate these long-evolved herd grazing and life-in-motion preferences for proper physiological function and mental health.

Horses require other horses for proper health and prosperity. Horses prefer the constant companionship of other horses. A horse should seldom be kept alone. Horses being mixed with other horses and expected to share resources should be properly acclimated socially, and be given the required space to adjust to new herds without injury or undue stress. Every effort should be made to provide horses with the social benefit of appropriate companion horses through times of stress and illness.
Horsewomen and men need to appreciate the sensual nature of the horse, and understand the physiological needs of the horse. Horses prefer the open view. If they cannot be in physical contact with other horses, they need to see and smell other horses for proper behavioral functioning and responsiveness.
Water is the most important nutrient, and must be provided in consideration of equine behavioral preferences. Salt is the most important mineral, and should be provided daily in some fashion.
Grazing is the preferred and predominant equine activity. Horses did not evolve to metabolize grains and non-structured carbohydrates, or to remain stationary for even short periods of time. Serious metabolic issues develop when horses become sedentary grain eaters, and this lifestyle should not be imposed on horses.
Play and sleep are naturally occurring preferences that require accommodation however horses are housed or stabled, as deprivation results in behavioral deterioration.
Horses are physiologically dependent on shared social grooming and sensual contact companionship. If stabling precludes these preferences from fulfillment, then every effort need be applied to replace or recreate these needs on a daily basis.
These behavioral considerations apply to horses in transport, and for those horses too, however unwanted, man is obligated to provide the proper environment, social functioning, nutrition, medical care, and exercise to sufficiently assure health and comfort.
As to performance, every care and precaution need be taken to avoid exceeding the adaptability of the horse. All of the horse's normal natural sensation should remain fully intact and functional without undue pharmaceutical influence. The horse's metabolic, physical, medical, and behavioral limitations are best be monitored by equine veterinary professionals on an intense comprehensive basis.
Professional veterinary societies and organizations are encouraged to provide education regarding equine behavior.

Dr Gustafson is an equine veterinarian, veterinary behaviorist, and novelist. Applied veterinary behavior enhances optimum health, performance, soundness, contentment, and longevity in animal athletes. Natural approaches to development, training, nutrition, and conditioning sustain equine health and enhance performance, as well as preclude the need for drugs. Behavioral and nutritional enrichment strategies enhance the lives of stabled horses. Training and husbandry from the horse's perspective result in content, cooperative horses that win willingly and consistently. DrSid provides equine behavior consultations to help re-create the needs and preferences of horses in training and competition. 406-995-2266, DrSid@mac.com

Goodbye Lasix, and Good Riddance

October 28, 2011, 9:14 AM                                                      
NY Times, The Rail

By SID GUSTAFSON

Beginning with the 2012 Breeders’ Cup, 2-year-olds will not be administered medication hours before they race for the first time in decades. The regulators of racing have seen the light from the horse and rider perspective. Extensive studies clearly indicate that drugs cause more trouble for racehorses and their riders than they alleviate. Lasix jurisdictions have significantly more breakdowns than jurisdictions where Lasix is not allowed. No prerace Lasix means no attending veterinarians with loaded syringes in the stall injecting the horses with drugs hours before they run. The dangerous and dubious charade of medicating racehorses before they compete is coming to a welcome end.

Science and research continue to reveal and demonstrate that raceday drugs have not been helpful to the safety of the sport. Drugs generally have not been helpful to any sport. Why veterinarians and others continue to advocate raceday drug use for competition horses is beyond sound reason. The only ones who benefit from racehorses being medicated on raceday are the attending veterinarians and, subsequently, the veterinary surgeons. Equine veterinarians have long lobbied for drugs to enhance racing, but the science continues to demonstrate that chronic use of raceday drugs degrades the quality and safety of racing while impoverishing the welfare of racehorses. Raceday medications increase the breakdown rate. After decades of racehorses suffering the devastating effects of untoward veterinary influence, raceday medication is on schedule to be eliminated in the next few years. Consider this a most beneficial measure for racehorses and horse racing.

In Europe, bleeding is managed with proper husbandry, feeding, and preparation of the horses rather than with the drug Lasix, or any other legal drugs. There, appropriate conditioning and husbandry measures maintain pulmonary health and endurance, eliminating reliance on medications to manage bleeding and unsoundness. Less medication translates to safer horse racing. Bleeding is best prevented by appropriate breeding, athletic development, abundant locomotion, husbandry, training, nutrition and conditioning rather than by drug use, which sets a grave precedent.

There is scientific validity that the drug Lasix prevents pulmonary hemorrhage, yes, but that is not an adequate reason to advocate its raceday use. Lasix begets a plethora of additional drug use. Wherever pre-race Lasix is permitted, additional drugs are administered to most all of the diuretically-infused racing horses by their trainers and attending veterinarians. Lasix allows and encourages a lot of drug use. It legitimized the stage for the medication mentality that has haunted racing in recent years with all the notable breakdowns, sudden deaths and wrecks.

Lasix or Salix is furosemide, a potent diuretic that dilutes the urine and lowers the pulmonary blood pressure. The drug alters the electrolyte balance of racing horses and makes them vulnerable to heat stroke and metabolic dysfunction. As well, chronic diuretic use interferes with locomotory abilities required to run biomechanically sound by altering cardiac function, muscle function, nerve function, and most every other physiologic function. Diuretics weaken horses. These days there is little doubt that pharmaceutically weakened horses are more vulnerable to breaking down. It is not surprising that Lasix jurisdictions have more breakdowns than drug-free jurisdictions. We should have known. Now we know.

No more Lasix is great news for horses. Endurance, durability, soundness, sway, turn of hoof and mettle will enter the betting and breeding parlance once again. No raceday medication means sounder, more durable racing. Sounder, safer racing can help sustain public interest and financial support for the sport. Horseplayers and the general public do not necessarily relish betting on medicated horses.

The racing competition in Europe flourishes without raceday medications. The increased quality of racing without drugs is readily apparent at racetracks across the Atlantic. The enhanced quality of drug-free running can be easily observed in many of their classic races. There, trainers must take care to properly nourish, condition, and enrich their charges without using drugs as a training crutch. It shows in nearly every race.

In two years, American racing jurisdictions are scheduled to join the rest of the racing horse world and eliminate Lasix in the United States and Canada. Running clean is running safer and fairer, as the Europeans and others have honorably demonstrated. Of course, honor when visiting America is a different thing, and the Europeans will drop their ethics to run on Lasix and all the other drugs still allowed at Churchill Downs in this years Breeders’ Cup. Although perhaps honorably intentioned while racing in England and France, the European trainers know how Lasix moves up a horse in America. As has long been the history of horse racing, honor with horses is one thing, and the quest for purse money still remains quite another.

Nonetheless, progress is at hand. The tide of drugs administered to American racehorses has crested and will soon be falling away altogether. The removal of anabolic steroids has already improved safety while allowing female racehorses to run with the ranks of males. The further flow of drugs into the veins and joints of horses will gradually ebb. Trainers will have to rely on knowledge, finesse, athletic development, horsemanship, nutrition, behavior, husbandry and their jockey to win a horse race, sort of like horse racing was always intended to be. Imagine that.

2012 will be the year in America where the culture of raceday medication begins to disappear. Horses at tracks everywhere will breathe great sighs of relief, as should their riders, drivers, supporters, advocates, players, writers and parlayers.

Good riddance to Lasix and all the drug use it has encouraged and facilitated. Good riddance to Lasix and all the electrolyte imbalances, metabolic dysfunctions, shortened careers, breakdowns and weaknesses the drug has caused willing runners.

There is nothing so fine as running clean and winning; nothing so fine as being truly the best horse; nothing so fine to win naturally and return to race again and hold sway.

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Sid Gustafson, D.V.M., is a novelist and equine veterinarian specializing in thoroughbred sports medicine and equine behavior. He currently practices regulatory veterinary medicine, representing the safety and welfare of thoroughbred racehorses.