The Province of Ontario maintains a registry of racehorse deaths occurring within 60days of a race or trial entry that provides insight into mortality rates and costs of competition. To characterise and quantify mortality and identify breed differences. Retrospective annualised cohort study. The Ontario Death Registry for 2003-2015, containing 1713 cases, was audited and information on the relationship between death and official work added. Race and trial data from industry performance databases were used to determine mortality rates according to breed, year, age, sex and circumstances of death. Breed differences in mortality rate and individual risk were found. Thoroughbreds (Tb) had the greatest exercise-associated mortality (EAM) rate and risk by all measures (2.27deaths/1000 race starts, 0.95-1.0% annual individual risk), followed by Quarter horses (Qh, 1.49, 0.60-0.69%). Rate and risk were lowest for Standardbreds (Sb, 0.28, 0.23-0.24%). Nonexercise annual individual risk was highest for the Sb (0.45%, vs. Tb 0.33%, and Qh 0.32%). Pattern and type of EAM mirrored the characteristics of competitive activity in each industry, with high Tb and Qh mortality being associated with exercise and involving musculoskeletal injuries, dying suddenly and accidents. Low Sb EAM reflected the more extensive nature of training preparation and racing for this breed. Available data provided no information on morbidity, mortality beyond the 60-day horizon or for horses not racing. Numbers for the Qh were low. Race-intensity exercise is clearly hazardous for horses, with hazards varying widely between breeds and showing parallels with industry cultural and management norms. Breed differences provide insights concerning strategies that could reduce mortality, while improving welfare and reducing costs of participation. For all breeds, musculoskeletal injury was the major contributing cause of mortality.
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