HISA Town Hall: Regulatory Reach, Environmental Contamination, Lab Variability and More Discussed

Trainers Ron Moquett and Dale Romans joined Horseracing Integrity and Safety Act (HISA) CEO, Lisa Lazarus, on the agency's virtual town hall Monday. Both trainers sit on the HISA Horsemen's Advisory Group.

A good portion of the HISA Town Hall was spent emphasizing the role of the horsemen's advisory group as a vehicle for potential change and modification in HISA's regulatory framework, having driven tweaks to the federal authority's rules on things like pre-race electrolyte use and looser sanctions for positives related to human substances of abuse (more on that lower down).

“There's a lot of conversation right now around veterinary inspections and vet scratches, and how HISA can make a positive impact,” Lazarus added.

“Those are state processes and state judgments. But HISA, we believe, can do some things to make it better for all parties,” Lazarus added. “That's something we're talking a lot about.”

Below are summaries of some of the key portions of the Q&A.

Q: Should HISA's Remit be Broadened to Police the Sales? 

The question of whether HISA should broaden its regulatory reach to encompass the sales has been much discussed ever since Jeffrey Englehart faced a possible two-year suspension after one of his horses tested positive for clenbuterol.

Englehart argued that he did not give the horse the drug and that it had been given prior to the horse's purchase at the OBS auction a few months beforehand. A subsequent segmented hair test revealed that the clenbuterol had indeed been administered before Englehart became the trainer.

In discussing the topic, Lazarus explained that the act is written so that racehorses fall under HISA oversight only when they record their first official workout.

“And that's been interpreted to mean the first published work in Equibase,” said Lazarus. “There's some question about whether or not breeze shows would qualify, and they might, but we haven't got to that point just yet.”

Lazarus further explained that in October, she met with representatives from the three leading sales companies. “And they agreed to work together to come up with an anti-doping program that aligned with HISA, so that there's a sensible journey from weanling, yearling, 2-year-old, and then to horses of racing age.”

Both trainers argued that a strong case could be made for HISA to police the horse sales, though Moquett voiced reservations about the practicalities of such a program, like the possible licensure of parties handling horses in their formative years.

“There's a lot of information [that would need to be] gathered about working with these horses that all of a sudden is require daily… when we eventually get these horses,” said Moquett.

“Once we open that Pandora's Box, now all of a sudden we're going to require people to list who the owners are. You're going to require trainers and the consignors to have a license. You're going to start looking into places you've never looked,” Moquett added.

“I think Pandora's Box should have been opened a long time ago,” Romans responded, before broaching the topic of greater transparency on corrective surgeries performed on youngstock prior to the sales.

Q: Steps Taken to Prevent Environmental Contamination?

Another key area of concern among stakeholders is that of inadvertent contamination through the horse's environment.

“Everyone needs to play a part in making sure that we're delivering a clean and sterile—as sterile as possible—environment,” said Lazarus, before ticking off various points of address, some of which were included in a recent letter to the editor.

She said that the overall cleanliness of test barns—which are overseen by HIWU—has improved since the start of the ADMC program.

“However, when it comes to other common areas like receiving barns, that is something that needs a lot of work,” Lazarus admitted.

As such, the receiving barn is now part of the racetrack accreditation program, she said. HIWU investigators are also performing daily spot checks to determine which racetracks might not be stepping up to the task.

“We now have the opportunity to launch an investigation if we believe that, based on positive tests, there may be a contamination risk at a particular racecourse,” said Lazarus. “We also have mobile testing packs where we can test straw, soil to see whether or not we're finding substances that shouldn't be in a horse's environment.”

Q: Is a Possible 60-day Penalty Still too Onerous for Substances of Human Abuse Violations?

Under a proposed rule change, a first time violation for a positive test concerning a human substance of abuse like cocaine or methamphetamine has been lessened to a maximum 60-days. But is this still too onerous? Should it be closer to something like 14 days?

“Sixty days is really a cap,” said Lazarus, before adding that determining a possible source for the positive test is key to receiving a lesser penalty.

Also important is for stakeholders to illustrate to regulators what steps they've taken to mitigate the chances of inadvertent environmental contamination, like barring staff from urinating in the stalls and requiring them to wash their hands before mixing feed, said Lazarus.

“One of the things that struck me when I visited Ron [Moquett's] stable at Oaklawn is he has a huge poster in his barn that says, 'if you urinate in the stables, you will be fired,'” said Lazarus. “That's something, if Ron has a positive test, that would be a favorable consideration. He's contributing to what we're all trying to do which is reduce the likelihood of anything that shouldn't be in a horse's system getting into a horse's system.”

Moquett followed that up by saying how, “If you get a positive, it's very important you address the definition of how you think it got there” with HIWU.

“Before you get mad and start throwing stuff, the first thing you've got to write is the truth as you first saw it,” Moquett added, emphasizing how feigning ignorance as to the possible source of the contamination won't cut it under the new federal regime.

“Just let them know that you are conscious of the opportunities for a bad test, and that you're doing everything in your power to [prevent it],” Moquett added.

What other steps should be taken in the event of a positive test for a human substance of abuse, or for an atypical finding?

The panelists recommended that responsible parties first reach out to Alan Foreman, the horsemen's ombudsman. Hard-up stakeholders can also take advantage of a panel of pro-bono attorneys.

Not all who apply will be eligible. “But we've never denied anybody who has actually applied for pro-bono counsel to date,” said Lazarus.

Q: Why is HISA Using so Many Different Labs When Lab Variability is Such a Concern?

The TDN reported last year that a variety of differences between the laboratories—from different testing equipment to different testing methodologies to different sets of staff interpreting the results—mean that they can screen for different numbers of substances, and have varying abilities to screen for the same substances, outside of some 300 core analytes.

“The way that law is written, we're required to give the state where the testing takes place the opportunity to put their lab forward,” said Lazarus, adding how, if the lab in question fails to meet performance specifications, HISA is not required to use it.

With the recent news that HISA is no longer using the services of the University of Kentucky's Equine Analytical Chemistry Laboratory, there are now five labs used under HISA's Anti-Doping and Medication Control (ADMC) program.

“I think with five labs we can get really consistent results,” said Lazarus. “[But] if we can get down to a point where the samples… [can be processed] by three or so labs, that would be preferable.”

The Racing Medication and Testing Consortium (RMTC) currently conducts the lab accreditation process every two years. HIWU is working to take over that process.

Q: Is HISA Working on a Universal Owner-Trainer license?

Despite HISA requiring stakeholders to apply for a federal license, owners, trainers and other industry participants are still required to apply state-by-state for individual licenses. That might change.

“That is absolutely something on our radar, and we know that that would be a huge benefit to the horsemen,” said Lazarus. “Once we get the fundamentals of HISA in place to deliver it working well, and working smoothly, that is an area we will try to be helpful on.”

The horsemen's advisory group, said Moquett, brings the topic up once every two weeks.

“If this is going to be a truly uniform industry, then it needs to start with the very first thing, which is the licensing,” he said. “I think it's an odd deal we haven't fixed it yet.”

Q: Is the Prohibition of Toe Grabs Warranted?

While HISA generally prohibits the use of toe grabs, it offers an exemption permitting the use of traction devices in the form of either a full outer rim shoe (up to 4 mm in height) or a toe grab (up to 4 mm in height) on hindlimbs on the dirt.

The prohibition on toe grabs, said Lazarus, was based on science and research. “Internationally, toe grabs haven't been allowed for quite a long time,” she added. “The U.S. was the last racing jurisdiction to have regulations around toe grabs.”

When asked if further toe grab allowances should be given when it comes to deeper dirt surfaces, Lazarus argued that the data suggests the prohibition has been successful.

“Probably the racetrack that had the biggest complaints about this rule was Prairie Meadows, and they went from in 2022 a 2.39 [fatalities per 1000 starts rate], a much higher fatality rate. And this year, they were exceptional—they were 1.14,” said Laazarus. “I'm not suggesting the whole reason is to do with toe grabs, but at least the data shows they're not worse off with that rule than they were previously.”

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HISA Schedules Sept. 7 ADMC Town Hall Webinar

The Horseracing Integrity and Safety Authority (HISA) will host a Town Hall webinar Sept. 7 at 12:30 p.m. ET to address questions about the Anti-Doping and Medication Control (ADMC) Program. It will be the first webinar in an anticipated series to connect industry participants with HISA leadership. Both HISA and the Horseracing Integrity and Welfare Unit (HIWU) leadership will be on hand during the webinar to provide clarity on the ADMC Program's rules, regulations, processes, and procedures.

The webinar is open to anyone in racing. Registration is now open and participants are encouraged to submit questions on the registration form regarding the ADMC Program.

HISA CEO Lisa Lazarus will host the webinar, with speakers including HIWU Executive Director Ben Mosier, HIWU Chief of Science Dr. Mary Scollay, HIWU General Counsel Michelle Pujals, and HIWU Chief of Operations Kate Mittelstadt.

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StrideSAFE Town Hall in Kentucky: “This Could Be the Answer Horsemen Are looking For”

Last week, the research team associated with StrideSAFE–a biometric sensor mechanism capable of detecting minute changes in a horse's gait at high speed–announced that seven of eight horses that suffered catastrophic musculoskeletal cases at Churchill Downs during its most recent meet showed via post-race readouts abnormalities as soon as they left the starting gate.

In a nearly two-hour town hall Monday morning, StrideSAFE founder David Lambert and Churchill Downs equine medical director Will Farmer dug into the details, discussing the findings from an ongoing study in Kentucky and fielding questions from horsemen.

Eric Hamelback, CEO of the National Horsemen's Benevolent and Protective Association (HBPA), kicked the town hall off by cautioning how fatal equine injuries can happen no matter the regulatory safety net in place.

“Regulations are not going to eliminate risk,” said Hamelback. “And quite frankly, we don't want regulations to eliminate horsemanship.”

Over the next two hours, Lambert made the case that StrideSAFE–which can pick up the sorts of very subtle lameness undetectable to the human eye that are significant enough to possibly cause major musculoskeletal failures at some point down the line–could, if utilized smartly, go a long way to reducing the number of horses injured on the track.

“I firmly believe the only way this problem is going to get solved is if we give the trainers the right kind of information and give it to them in time to give them a chance to do something,” he said, before alluding to the national attention focused on the recent spate of fatalities at Churchill Downs. As a result, the meet was transferred to Ellis Park.

“Right now, you guys are on a beating to nothing,” Lambert added.

As part of a study funded by the Kentucky Horse Racing Commission (KHRC) and in tandem with Washington State University, StrideSAFE has been used on all horses that have raced during the Churchill Downs spring 2023 meet, which concludes this Sunday. It has also been used on a select number of horses breezing during the morning.

In all, researchers have collected information from 6,616 individual runs.

The information is organized like a traffic light. A result in the red means there is a potentially major problem and immediate scrutiny of the horse is needed. An amber result suggests a small amount of change in the gait, and cautions connections to be on the lookout. A green result means there is no change and no immediate concern.

According to Lambert, about 5% of the horses studied were given the highest risk red-flag rating. These horses, he added, were about 300 times more likely to suffer a fatal injury than a horse green flagged.

As to how the technology works, StrideSAFE is a wireless iPhone-shaped device that fits snugly into the saddle towel, and eight hundred times a second, it takes an assortment of measurements to capture in minute detail the movement of the horse at high speed.

These measurements include the horse's acceleration and deceleration, the up-and-down concussive movement of the horse, and its medial-lateral motion–what is, in other words, the horse's movement from side to side.

“That's 2,400 data points every second your horse is running or breezing, so this is a massive amount of brand-new information that nobody has ever [received] before,” said Lambert.

Sarah Andrew

To understand exactly how StrideSAFE identifies almost imperceptible signs of lameness, it helps to break a single stride into three distinct stages.

In the first phase of the gallop, the hindlimbs load and propel the horse forward. In the second, the horse shifts its weight toward the front, its forelimbs acting like shock absorbers. This is followed by the lynchpin of the equation: A period of suspension, a mere fraction of a second, when the horse is entirely airborne.

If that horse is suffering a physical ailment or injury, it cannot adjust its body to compensate when its feet are grounded. It can only do this in midair, rotating its spine and pelvis in preparation for a more comfortable landing. Imagine a racecar hurtling along at high speed, one of its bolts working loose.

“The horse does all kinds of things in the air, twisting and shaking and moving,” Lambert had previously explained to the TDN.

In Monday's town hall, Lambert singled out the story of a horse that finished fourth in a Grade I event and showed no visible signs of lameness afterwards. The horse subsequently broke down over a week later during training.

“That sensor is screaming that the horse is in trouble,” said Lambert, highlighting abnormalities in a readout of the horse's high-speed gait during the race.

The town hall proved contentious at times, with some of the attending horsemen–many of whose concerns were voiced by Hamelback–sharing their frustrations that last week's announcement by the StrideSAFE researchers might have given the impression to the layman public that trainers should have known beforehand their horses were at risk.

Lambert apologized about the framing of the press release, all the while stressing how StrideSAFE could be an invaluable tool to catch potential problems early. The trick, explained both Farmer and Lambert, is to pair the StrideSAFE technology with a diagnostic follow-up to pinpoint the site of any brewing issue.

“It's not a diagnostic tool, it's a screening tool,” said Lambert,

Three red-flagged horses were subsequently scanned using the new PET imaging unit at the Rood and Riddle Equine Hospital in Kentucky, according to Denise McSweeney, a co-investigator in the study.

Lambert also admitted that the information collected from StrideSAFE paints far from a complete picture.

Not all the horses given a high-risk red-flag designation will suffer a fatal injury, for example. That's because in part, the horse's stride can be affected by things like the motion of the jockey and by stumbles out of the gate.

Furthermore, “very occasionally, a green-flagged horse will go down,” said Lambert.

But the current inconsistencies in data interpretation are outweighed by the high rate at which the technology identifies potentially at-risk horses, he argued.

“If there's a chance you'll save a jockey from being paralyzed, it's worth doing,” said Lambert, adding how greater use of StrideSAFE would aid in researchers and clinicians getting a better baseline understanding of what the data means.

Attendees also raised data privacy concerns. According to Farmer, the study results are not shared with the KHRC. Rather, the information is sent to Washington State University, where Warwick Bayly is the lead investigator.

In certain cases, the panelists explained, researchers have followed up with the horse's connections directly.

The Horseracing Integrity and Safety Authority (HISA) is not affiliated with the program.

The ongoing Kentucky study marks just the latest StrideSAFE trial to show promising results.

Of the 20 horses that suffered fatal musculoskeletal injuries during the period of a trial involving the New York Racing Association (NYRA), 17 of them had received a red rating in a race before suffering a catastrophic breakdown. One of the 20 had received a prior dark amber rating.

“Really what my sensor is doing is helping horsemanship,” Lambert said on Monday. In racing's ongoing quest to reduce equine injury and harm, he added, “This could be the answer horsemen are looking for.”

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