Veterinary Medical Diagnostic Program

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Conducted by the Oklahoma Animal Disease Diagnostic Laboratory Center for Veterinary Health Sciences Stillwater, OK May 27, 2017

Veterinary Medical Diagnostic Program Supported by: The Oklahoma Horse Racing Commission (OHRC) Conducted by: The Oklahoma Animal Disease Diagnostic Laboratory (OADDL) Center for Veterinary Health Sciences Oklahoma State University Reporting Period: January 1, 2016 through December 31, 2016 Summary of Necropsy Findings for Race Horses Submitted to OADDL in 2016 This report summarizes the case submissions and diagnostic findings of the Veterinary Medical Diagnostic Program for calendar year 2016. A total of thirty-eight (38) horses were submitted from Oklahoma racetracks to the OADDL. This represents the fewest number of horses submitted for any year in the 2004-2016 time period. The catastrophic musculoskeletal injury (CMI) index is used to normalize the number of fatal musculoskeletal injuries to the number of horses that race. The nationwide CMI index for 2016 was 1.54. The overall CMI index for all Oklahoma race horses in 2016 was 1.38, with Oklahoma Thoroughbreds slightly higher than the national average at 1.92. The peak months for submission of horses to OADDL were April and September. Quarter Horse (QH) and Thoroughbred (TB) breeds accounted for all of the horses submitted (15 QH and 23 TB submissions). Of the QH submissions, 12 were males and 3 were females. Of the TB submissions, 13 were males and 10 were females. The most common age was 3 years old (32%), followed by 2 years old (29%). The majority of fatalities (~68%) occurred on race day with an additional 26% related to training activities. In 2016, 92% (35/38) of the submissions were attributed to musculoskeletal system injury sustained during racing or training. Exercise-induced pulmonary hemorrhage (EIPH) was confirmed as the cause of death of one horse on race day. Injuries to the forelimbs accounted for 93% of the fatalities, with nearly equal distribution between the right and left forelimbs. Distal forelimb injuries accounted for 67% of the total fatal musculoskeletal injuries. Carpal fractures were the most common distal forelimb injuries, followed by equal numbers of fetlock failures and third metacarpal (cannon bone) fractures. Only 2/38 (5%) of the fatalities were due to non-exercise related activities or natural diseases, including one horse with ileus/colitis and another horse with equine protozoal myeloencephalitis (EPM). Gastric ulcers were identified in the stomachs of 55% of the horses at necropsy, with the majority of the ulcers (57%) of mild severity. 1

90 80 70 60 50 40 30 20 10 0 41 53 73 Total OHRC:OADDL Submissions 2004-2016 70 61 60 78 70 78 60 55 54 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 38 Table 1: Monthly Distribution of Necropsy Submissions in 2016 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total REM 0 1 2 8 2 0 0 2 6 1 5 3 30 FMT 0 0 0 0 0 2 1 0 0 0 0 0 3 WRD 1 0 0 0 2 0 1 0 0 1 0 0 5 Totals 1 1 2 8 4 2 2 2 6 2 5 3 38 Table 2: Monthly Distribution of Necropsy Submissions by Breed in 2016 Breed Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total TB 1 0 0 0 2 2 1 2 6 1 5 3 23 QH 0 1 2 8 2 0 1 0 0 1 0 0 15 Totals 1 1 2 8 4 2 2 2 6 2 5 3 38 Table 3: Gender and Breed of Necropsy Submissions in 2016 Male TB 4 0 0 4 QH 3 0 1 4 Female TB 6 1 3 10 QH 3 0 0 3 Gelding TB 7 2 0 9 QH 7 0 1 8 Totals 30 3 5 38 2

Table 4: Age and Breed of Necropsy Submissions in 2016 Age (Years) & Breed 2 TB 6 0 0 6 QH 5 0 0 5 3 TB 8 0 0 8 QH 3 0 1 4 4 TB 4 0 1 5 QH 3 0 0 3 5 TB 0 2 1 3 QH 1 0 1 2 6 TB 0 0 1 1 QH 0 0 0 0 8 TB 0 1 0 1 QH 0 0 0 0 Totals 30 3 5 38 Table 5: Fatal Event by Age of Necropsy Submissions in 2016 Age (Years) Racing Training Non-exercise Totals 2 4 6 1 11 3 11 0 1 12 4 5 3 0 8 5 4 1 0 5 6 1 0 0 1 8 1 0 0 1 Totals 26 10 2 38 Table 6: Fatal Event by Breed of Necropsy Submissions in 2016 Breed Racing Training Non-exercise Totals TB 16 6 1 23 QH 10 4 1 15 Totals 26 10 2 38 Table 7: Fatal Event by Track for Necropsy Submissions in 2016 Track Racing Training Non-exercise Totals REM 21 8 1 30 FMT 3 0 0 3 WRD 2 2 1 5 Totals 26 10 2 38 3

Table 8: Fatal Event by Breed and Track for Necropsy Submissions in 2016 Before Race TB 1 0 0 1 QH 0 0 0 0 RACE DAY During Race TB 11 3 1 15 QH 8 0 1 9 After Race TB 0 0 0 0 QH 1 0 0 1 TRAINING TB 4 0 2 6 QH 4 0 0 4 NON-EXERCISE TB 1 0 0 1 QH 0 0 1 1 TOTALS 30 3 5 38 Table 9: Cause of Death by Track for Necropsy Submissions in 2016 MUSCULOSKELETAL Racing 20 3 2 25 INJURY Training 8 0 2 10 EXERCISE-INDUCED PULMONARY HEMORRHAGE (EIPH) 1 0 0 1 NON-EXERCISE 1 0 1 2 Totals 30 3 5 38 Table 10: Limb Injuries by Breed and Racing (R) or Training (T) in 2016 Location of Injury R T R T R T R T Right Front TB 5 0 2 0 1 2 8 2 QH 3 1 0 0 0 0 3 1 Left Front TB 4 2 1 0 0 0 5 2 QH 3 2 0 0 1 0 4 2 Both Front TB 0 0 0 0 0 0 0 0 QH 1 0 0 0 0 0 1 0 Right Hind TB 1 0 0 0 0 0 1 0 QH 0 0 0 0 0 0 0 0 Left Hind TB 0 1 0 0 0 0 0 1 QH 0 0 0 0 0 0 0 0 Totals 17 6 3 0 2 2 22 8 4

Table 11: All Fatal Injuries during Racing or Training by Track in 2016 Injury TB QH TB QH TB QH TB QH Carpal Fracture 4 5 1 0 1 0 6 5 Fetlock Failure 3 rd Metacarpus (Cannon) Vertebrae Single Sesamoid 1 0 0 0 0 1 1 1 Biaxial Sesamoid 1 1 1 0 1 0 3 1 Diaphysis 1 1 1 0 0 0 2 1 Distal Condyle 2 0 0 0 1 0 3 0 Cervical 0 1 0 0 0 0 0 1 Thoracic 1 0 0 0 0 0 1 0 Lumbosacral 0 1 0 0 0 0 0 1 Tibia 2 0 0 0 0 0 2 0 Skull 2 0 0 0 0 0 2 0 Scapula 0 1 0 0 0 0 0 1 Humerus 1 0 0 0 0 0 1 0 Ulna 0 1 0 0 0 0 0 1 1 st Phalanx (P1 front) 1 0 0 0 0 0 1 0 Flexor Tendon Laceration 0 1 0 0 0 0 0 1 EIPH 0 1 0 0 0 0 0 1 Totals 16 13 3 0 3 1 22 14 Table 12: Race Fatality by Track Location for Necropsy Submissions in 2016 REM FMT WRD Total At Finish/Past Finish 8 1 1 10 Home Stretch 1 2 1 4 Far Turn 2 0 0 2 1/16 Pole 2 0 2 2 Near Turn 2 0 2 2 Grandstands-unsaddling 1 0 0 1 50 yards before wire 1 0 0 1 Back Stretch 1 0 0 1 1/4 Pole 1 0 0 1 At/Out of Starting Gate 1 0 0 1 In Saddling Paddock 1 0 1 1 Totals 21 3 2 26 5

Table 13: Hoof Anatomy and Horse Shoe Characteristics in 2016 TB QH Totals No toe grabs on front 22 0 22 Toe Grabs Front < 5 mm 1 (1 shoe) 11 12 Front > 5 mm 0 4 4 Hind < 5 mm 8 0 8 Hind > 5 mm 7 14 21 Hind Shoes Not Examined 7 1 8 No Shoes on Hind 1 0 1 Normal toe/heel 4 3 7 Mild 8 9 17 Long Toe/Low Heel Moderate 8 3 11 Marked 3 0 3 Not reported 0 0 0 Normal heel 5 4 9 Mild 8 6 14 Under-Run heels Moderate 7 5 12 Marked 3 0 3 Not reported 0 0 0 Squared toe/dubbed Toe 5 4 9 Abnormal Growth Lines Hoof Wall Quality 2 2 4 Symmetry/Imbalance Rim Pads 2 1 3 Front Quarter Crack 1 0 1 Toe clips 1 0 1 Hind Heel Caulks 1 0 1 Table 14: Gastric Ulcers Identified During Necropsy Submission in 2016 TB QH Totals None 10 7 17 Mild 8 4 12 Moderate 5 3 8 Marked 0 1 1 Totals 23 15 38 6

Table 15: Race Day Fatality by Class of Race & Breed in 2016 TB QH TB QH TB QH TB QH Maiden claiming 4 0 0 0 1 0 5 0 $0-$4999 0 0 0 0 0 0 0 0 $5000-$7499 1 0 0 0 0 0 1 0 Claiming $7500-$9999 1 0 0 0 1 0 2 0 $10,000-$19,999 3 1 3 0 0 0 6 1 $20,000-up 3 1 0 0 0 0 3 1 Futurity/Derby Trial 0 2 0 0 0 0 0 2 Allowance 1 2 0 0 0 1 1 3 Stakes 0 1 0 0 0 0 0 1 Maiden Race 3 2 0 0 0 0 3 2 Totals 12 9 3 0 1 1 21 10 Table 16: Thoroughbred Race Fatality, Number of Starters and Distance in 2016 REM FMT WRD Total Race Distance #/ #Starters #/ #Starters #/ #Starters #/ # Starters Races on DIRT 3 fur 0/11 - - - - - - - 4 fur 0-0/341 - - - - - 4-1/2 fur 0/8 - - - - - - - 5 fur 0/143 - - - 0/95 - - - 5-1/2 fur 5/971 5.14 0/46-0/610-5/1627 3.07 6 fur 0/1132-1/225 4.44 1/586 1.71 2/1943 1.03 6-1/2 fur 0/285-2/238 4.20 - - 2/523 3.82 7 fur 1/219 4.56 - - - - 1/219 4.56 1 mile 3/801 3.74 0/191-0/595-3/1587 1.89 1mi70yds 2/470 4.26 - - 0/234-2/704 2.84 1-1/16 mi 0/73 - - - - - - - 1-1/8 mi 0/19 - - - - - - - Total dirt 11/4132 2.66 3/1041 2.88 1/2120 0.47 15/7293 2.06 Races on TURF 5 fur 0/280 - - - - - 0/280-7-1/2 fur 0/180 - - - - - 0/180-1 mile 1/407 2.46 - - - - 1/407 2.46 1-1/16 mi 0/153 - - - - - 0/153-1-1/8 mi 0/8 - - - - - 0/8-1-1/2 mi 0/7 - - - - - 0/7 - Total turf 1/1035 0.96 - - - - 1/1035 0.96 7

Table 17: Thoroughbred Race Fatality starters (EID Format) - 2016 REM FMT WRD Oklahoma Total Surface #Fatal/#Starter Fatal per1000 #Fatal/#Starter Fatal per1000 #Fatal/#Starter Fatal per1000 #Fatal/#Starter Fatal per1000 Turf 1/1035 0.96 1/1035 0.96 Dirt 11/4132 2.66 3/1041 2.88 1/2120 0.47 15/7293 2.06 Distance (all surfaces) <6f 5/1413 3.54 0/387-0/705-5/2505 2.00 6-7-1/2f 1/1816 0.55 3/463 6.48 1/586 1.71 5/2865 1.74 8f & up 6/1938 3.10 0/191-0/829-6/2958 2.03 Race Distance in yards Table 18: Spring Breed Race Fatality, Number of Starters and Distance in 2016 REM FMT WRD Total Sprint Breed Sprint Breed Sprint Breed #Fatal #Start Starters #Fatal #Start Starters #Fatal #Start Starters #Fatalites/ #Sprit Starters 100 0 0-0 10-0 0-0/10-110 0 8-0 0-0 10-0/18-220 0 18-0 0-0 0-0/18-250 1 710 1.41 0 521-0 689-1/1920 0.52 300 4 1080 3.70 0 600-0 757-4/2437 1.64 330 1 1059 0.94 0 227-0 104-1/1390 0.72 350 2 1167 1.71 0 507-0 660-2/2334 0.86 400 0 498-0 0-0 181-0/679-440 0 220-0 0-0 73-0/293-550 0 125-0 0-0 65-0/190-870 0 197-0 184-1 179 5.89 1/560 1.78 Total 8 5082 1.57 0 2049-1 2718 0.37 9/9849 0.91 8

Table 19: Chronic/Pre-existing Lesions Identified in Necropsy Submissions in 2016 Breed Age Sex Fatal Injury Lesion TB 5 yr Female RF Fetlock Marked LF MCIII condyle & LF carpal chips QH 2 yr Male LF Scapula Marked lesion on affected spine of scapula (fracture site) QH 2 yr Male RF Carpus Marked LF fetlock, including non-union chips QH 3 yr Female LF Carpus Marked RF carpus QH 4 yr Gelding LF Carpus Marked RF and LF carpus (fracture site); moderate bilateral front fetlocks QH 2 yr Gelding LF MCIII Marked LF MCIII (fracture site) TB 8 yr Gelding RF Fetlock Marked LF and RF fetlocks (fracture site), chips and synovitis TB 3 yr Male RF Carpus Marked LF fetlock (bone & soft tissue), moderate RF fetlock TB 2 yr Female LF MCIII Marked LF MCIII (fracture site) TB 3 yr Male RF Carpus Marked LF and RF fetlocks (MCIII, P1, synovium), moderate bilateral carpus QH 5 yr Gelding LF Fetlock Marked LF (fracture site) and RF fetlocks (MCIII, synovium) TB 3 yr Gelding RF Carpus Marked RF fetlock (MCIII condyle) TB 3 yr Gelding RF Fetlock Marked RF (fracture site) and LF fetlock, non-union chip in LF Table 20: Number of Musculoskeletal per Number of Race Days by Year Catastrophic Catastrophic Number of Musculoskeletal Musculoskeletal RACE DAYS Fatality Fatality per Race Day Totals 2007 46 265 0.174 2008 39 265 0.147 2009 40 238 0.168 2010 51 211 0.242 2011 44 211 0.208 2012 45 211 0.213 2013 45 211 0.213 2014 40 209 0.191 2015 31 209 0.148 2016 25 209 0.120 9

Table 21: Number of Starters by Breed and Track 2016 Breed TB 5167 1041 2120 8328 Sprint Breeds 5082 2049 2718 9849 Totals 10,249 3090 4838 18,177 Table 22: CMI by Breed and Track in 2016 Number Musculoskeletal Fatality during RACE TB 12 3 1 16 Sprint Breeds 8 0 1 9 Totals 20 3 2 25 Total number of STARTERS TB 5167 1041 2120 8328 Sprint Breeds 5082 2049 2718 9849 Totals 10,249 3090 4838 18,177 CMI index number starters TB 2.32 2.88 0.47 1.92 Sprint Breeds 1.57-0.37 0.91 Totals 1.95 0.97 0.41 1.38 Reference: 1. Equine Fatality Summary; Equine Injury Database; Initiative of the Jockey Club: http://www.jockeyclub.com 10