The New South Wales Mouse Plague 2020-2021: A One Health description.

A mouse plague occurred in Eastern Australia from spring 2020 to winter 2021, impacting an area of around 180,000 km2. It harmed human physical and psychological health, damaged the natural and built environment, and endangered farmed, domestic and native animals. However, the mouse plague was overshadowed by the COVID-19 pandemic, especially as the end of the plague coincided with the arrival and surge of the COVID-19 delta strain in rural New South Wales (NSW). In this article, we systematically overview the multiple impacts of the plague and highlight their complex interactions. Using a One Health framework, we comprehensively review the i) human, ii) animal and iii) environmental impacts including economic dimensions. Given the damage that the mouse plague caused to infrastructure, we consider the environment from two perspectives: the natural and the built environment. This One Health description of the 2020-2021 mouse plague identifies priorities for preparedness, response and recovery at local, regional land levels to inform response and management of future mouse plague events in Australia. It also highlights the need for ongoing collaboration between researchers and practitioners in the human, animal and environmental health sectors.

Implementing recommended COVID-19 public health measures in the era of living with COVID-19: Experiences of residential aged care facility managers in New South Wales, Australia.

OBJECTIVES: To understand residential aged care facility (the facility) managers' perspectives on implementing public health measures (the measures) in their facilities in terms of barriers, facilitators and suggestions for improvement, after three years of the COVID-19 pandemic. METHODS: Nine managers of the facilities without an active COVID-19 outbreak across New South Wales, Australia, representing metropolitan and rural locations, diverse facility size and star quality rating were interviewed (April-June 2023) and data qualitatively analysed. RESULTS: Broader policy context, the need to balance the measures with resident well-being, facility-built infrastructure and mask fatigue were reported as barriers to implementation. Workplace policies, cultural embedding and local innovations were reported as facilitators. Suggested strategies included recommending the measures consistent with temporal COVID-19 risk; government agencies improving communication about the measures; mandatory staff vaccination; and simplified reporting requirements. CONCLUSIONS: We recommend that relevant government agencies develop a single source of formalised, endorsed, up-to-date advice for the sector-specific COVID-19 information and communications; streamline outbreak notification and reporting requirements; and improve consultation with the sector.

Members' experiences and perceptions of participating in an Australian Regional One Health Network.

BACKGROUND: The One Health framework is intended to optimise the interdependent health of humans, animals and ecosystems. It relies on effective collaborations across disciplines, sectors and communities. One Health networks have become increasingly important platforms for encouraging, creating and supporting collaborations. Their success is usually judged by evaluations of their outputs. However, there is also a need to understand member experiences and perceptions of the networks in which they participate. To that end, we undertook the first membership survey of a One Health network that was established in Australia in 2005. METHODS: An online membership survey was created, comprising closed and open-ended questions. RESULTS: Around one third of the Regional One Health Partnership ('the Network') participated in the study (33 members). Participants contributed a combined total of 170 years of experience in the Network and 414 years of combined experience working in/on One Health. The Network has provided excellent opportunities for cross sectoral collaboration that would otherwise not have been possible. Findings also highlighted the intangible benefits of membership such as the creation of a collaborative support group for emerging and established One Health practitioners. CONCLUSIONS: The Network plays an important role in One Health collaborations in New South Wales and further afield. Commensurate with the literature on One Health collaborations globally, we identified a need for greater diversity amongst members, especially from First Nations people, local communities, non-government organisations and wildlife/environment experts, as well as concerted attempts to identify policy implications. Our membership survey tool could be adapted for future One Health Network membership surveys in Australia and internationally.

Communication Interventions and Assessment of Drivers for Hendra Virus Vaccination Uptake.

Hendra virus disease (HeVD) is an emerging zoonosis in Australia, resulting from the transmission of Hendra virus (HeV) to horses from Pteropus bats. Vaccine uptake for horses is low despite the high case fatality rate of HeVD in both horses and people. We reviewed evidence-based communication interventions to promote and improve HeV vaccine uptake for horses by horse owners and conducted a preliminary evaluation of potential drivers for HeV vaccine uptake using the Behavioural and Social Drivers of Vaccination (BeSD) framework developed by the World Health Organization. Six records were eligible for review following a comprehensive search and review strategy of peer-reviewed literature, but evidence-based communication interventions to promote and improve HeV vaccine uptake for horses were lacking. An evaluation of potential drivers for HeV vaccine uptake using the BeSD framework indicated that horse owners' perceptions, beliefs, social processes, and practical issues are similar to those experienced by parents making decisions about childhood vaccines, although the overall motivation to vaccinate is lower amongst horse owners. Some aspects of HeV vaccine uptake are not accounted for in the BeSD framework (for example, alternative mitigation strategies such as covered feeding stations or the zoonotic risk of HeV). Overall, problems associated with HeV vaccine uptake appear well-documented. We, therefore, propose to move from a problems-focused to a solutions-focused approach to reduce the risk of HeV for humans and horses. Following our findings, we suggest that the BeSD framework could be modified and used to develop and evaluate communication interventions to promote and improve HeV vaccine uptake by horse owners, which could have a global application to promote vaccine uptake for other zoonotic diseases in animals, such as rabies.

Human Injuries Associated with the Transport of Horses by Road.

There is an increased understanding of shared human-animal risk in terms of "one welfare", whereby when animals are at risk, so are people, so preventing injury to one species may also prevent injury to the other. Because transport-related injuries to horses are common, the authors considered this paradigm to study road equine transport-related injuries to humans in New Zealand. The aim was to determine their frequency and associated factors by distributing a survey to horse industry participants through industry organisations asking about their horse activities, road transport experiences, and any related self-injury. There were 112/1067 (10.5%) handlers injured while preparing (13/112), loading (39/112), traveling (6/112), or unloading (33/112). Of these, 40% had multiple injury types, and 33% had several body regions affected. Hand injuries were most common (46%), followed by the foot (25%), arm (17%), and head or face (15%). Median recovery time was 7 days. Injuries were associated with the responder's industry educational background, years of driving experience, and reporting a horse injured during road transport in the past two years. Wearing helmets and gloves, and adopting strategies designed to eliminate equine injuries associated with the road transport of horses to reduce the risk of injury to their handlers are recommended.

Novel variant Hendra virus genotype 2 infection in a horse in the greater Newcastle region, New South Wales, Australia.

In October 2021, the first contemporary detection of Hendra virus genotype 2 (HeV-g2) was made by veterinary priority disease investigation in a horse near Newcastle, New South Wales, Australia, as part of routine veterinary priority disease surveillance. This discovery followed an update of Hendra virus diagnostic assays following retrospective identification of this variant from 2015 via sentinel emerging infectious disease research, enabling timely detection of this case. The sole infected horse was euthanized in moribund condition. As the southernmost recognised HeV spill-over detection to date, it extends the southern limit of known cases by approximately 95 km. The event occurred near a large urban centre, characterised by equine populations of diverse type, husbandry, and purpose, with low HeV vaccination rates. Urgent multi-agency outbreak response involved risk assessment and monitoring of 11 exposed people and biosecurity management of at-risk animals. No human or additional animal cases were recognised. This One Health investigation highlights need for research on risk perception and strategic engagement to support owners confronted with the death of companion animals and potential human exposure to a high consequence virus. The location and timing of this spill-over event diverging from that established for prototype HeV (HeV-g1), highlight benefit in proactive One Health surveillance and research activities that improve understanding of dynamic transmission and spill-over risks of both HeV genotypic lineages and related but divergent emerging pathogens.

A Survey-Based Analysis of Injuries to Horses Associated with Transport by Road in New Zealand.

Negative outcomes associated with the road transport of horses are a significant welfare issue. This study aimed to describe the injuries sustained by horses during road transport in New Zealand and factors associated with trauma while in transit. New Zealand horse industry participants were surveyed on their horse transport experiences and equine industry involvement. Participants were solicited through horse organisations. The data were tabulated, and a logistic regression was performed to identify significant (p < 0.05) factors associated with transport-related injury. In total, 201/1133 (17.7%/2 years) eligible surveys reported at least one horse injured during road transport. Most incidents occurred in transit (137/169; 81%), or when transported with one (76/193; 39.4%) or more (41/193; 21.2%) other horses. Most commonly, the hindlimbs, the head, or the forelimbs were injured (59.1%; 110/186 horses), ranging in severity from bruises to catastrophic orthopaedic trauma necessitating euthanasia. Eventing, not always checking horses' fitness for transport, using a tail guard or bandage, a stallion guard in the vehicle, bedding type on the floor, and behavioural problems were associated with injuries. This survey identified a significant incidence of injury and related death when horses are transported by road in New Zealand, and the key risk factors associated with the odds of injury.

Willingness to adopt personal biosecurity strategies on thoroughbred breeding farms: Findings from a multi-site pilot study in Australia's Hunter Valley.

There are almost 9,500 full-time employees in Australia's thoroughbred horse breeding industry. During foaling, they can be exposed to bodily fluids and mucous membranes which may present risks for zoonotic disease. These risks can be mitigated through personal biosecurity strategies. The aim of this study was to identify which personal biosecurity strategies were more or less likely to be adopted by workers. Seventeen participants representing 14 thoroughbred breeding farms and three equine veterinary practices in Australia's largest thoroughbred breeding region trialed up to 16 stakeholder-nominated personal biosecurity strategies over the 2021 foaling season. The strategies encompassed personal protective equipment (PPE), zoonotic disease awareness, policies and protocols, supportive environments, and leadership. Strategy adoption was monitored through three repeated self-audit surveys designed around the Transtheoretical Model of change (TTM) and findings were reviewed in exit interviews. For all survey waves in aggregate, 13 strategies were practiced by at least 50.0% of participants. Participants were most likely to use a ready-made foaling box (98.0%), communicate the message that PPE usage is a personal responsibility (94.1%) and use ready-made PPE kits (88.2%). However, 31.4% had no intention of doing practice sessions and/or dummy runs for PPE use and 27.5% had no intention of using a buddy system on farm/practice to check use of PPE. Whilst these rates indicate workers' willingness to adopt and maintain personal biosecurity strategies, they also indicate capacity for more practices to be implemented more often. Overall, the findings highlight the need for personal biosecurity interventions to be sensitive to the demands of the annual thoroughbred breeding calendar, the size of the breeding operation and the availability of skilled staff.

The race that segments a nation: Findings from a convenience poll of attitudes toward the Melbourne Cup Thoroughbred horse race, gambling and animal cruelty.

The annual Melbourne Cup Thoroughbred horse race has iconic status among many Australians but sits in the context of increasing criticism of the welfare of Thoroughbred racing horses and the ethics of gambling. Despite heated debates and protests playing out in the public domain, there is scant empirical research to document Australian attitudes to the Melbourne Cup, or horse racing more generally. Specifically, little is known about how support for or against the Melbourne Cup correlate with age, gender, income and level of education. To provide a more nuanced understanding of attitudes towards the cup beyond the rudimentary binaries of those who are 'for' or 'against' gambling and horse racing, the purpose of the study was to identify clusters of people with particular views. An opportunistic survey collected data on respondents' gender, age, place of residence, weekly income, employment status and highest level of education, and sought their level of agreement with six statements about the Melbourne Cup, gambling and animal cruelty. Ordinal logistic regression and Chi-square analysis were used to evaluate the age and gender of respondents in clusters respectively. Agreement with the statements revealed some significant associations. Male respondents were at greater odds for agreement with the statement: I regularly bet on horse races (OR = 2.39; 95% CI = 1.78-3.22) as were respondents aged 18-19 years (OR = 2.88; 95% CI = 1.13-7.35) and 20-24 years (OR = 1.90; 95% CI 1.00-3.62) compared with the median 35-40 years age bracket. Agreement with the statement: I will watch the Melbourne Cup but will not place a bet was more likely among the full-time employed (OR = 1.60; 95% CI = 1.10-2.32), for those aged 20-24 years (OR = 1.85; 95% CI = 1.16-2.95). The odds of increasing agreement with the statement: I have never been interested in the Melbourne Cup were multiplied by 0.87 (95% CI = 0.82-0.92) with each successive five-year age bracket. The most useful of the predictor variables for agreement was level of education. The odds of increasing with the statement: I have become less interested in the Melbourne Cup over recent years because of my concerns with gambling were multiplied by 1.09 (95% CI = 1.02-1.15) for each increased level of education. Agreement with the statement: I have become less interested in the Melbourne Cup because of my concerns about animal cruelty was weaker amongst male respondents (OR = 0.62; 95% CI = 0.48-0.80), and those in increasing age brackets (OR = 0.88; 95% CI = 0.83-0.93). A series of six clusters were identified that show how certain attributes of respondents characterise their responses. The authors labelled these clusters "Devotees" (n = 313; 30.4% of respondents), "Flaneurs" (n = 244; 21.8% of respondents), "Disapprovers" (n = 163; 15.9% of respondents), "Casuals" (n = 148; 14.4% of respondents), "Gamblers" (n = 126; 12.3% of respondents) and "Paradoxical-voters" (n = 54; 5.3% of respondents). The implications for support of the Melbourne Cup are explored.

What People Really Think About Safety around Horses: The Relationship between Risk Perception, Values and Safety Behaviours.

The equestrian industry reports high rates of serious injuries, illness and fatalities when compared to other high-risk sports and work environments. To address these ongoing safety concerns, a greater understanding of the relationship between human risk perception, values and safety behaviours is required. This paper presents results from an international survey that explored relationships between a respondents' willingness to take risk during daily activities along with, their perceptions of risk and behaviours during horse-related interactions. Respondents' comments around risk management principles and safety-first inspirations were also analysed. We examined what humans think about hazardous situations or activities and how they managed risk with suitable controls. Analysis identified three important findings. First, safe behaviours around horses were associated with safety training (formal and/or informal). Second, unsafe behaviours around horses were associated with higher levels of equestrian experience as well as income from horse-related work. Finally, findings revealed a general acceptance of danger and imminent injury during horse interactions. This may explain why some respondents de-emphasised or 'talked-down' the importance of safety-first principles. In this paper we predominantly reported quantitative findings of respondents self-reported safety behaviours, general and horse-related risk perceptions despite injury or illness. We discussed the benefits of improved safety-first principles like training, risk assessments, rider-horse match with enriched safety communications to enhance risk-mitigation during human-horse interactions.

Is Whip Use Important to Thoroughbred Racing Integrity? What Stewards' Reports Reveal about Fairness to Punters, Jockeys and Horses.

The idea that whip use is critical to thoroughbred racing integrity is culturally entrenched but lacks empirical support. To test the longstanding beliefs that whip use aids steering, reduces interference, increases safety and improves finishing times, we conducted a mixed-method analysis of 126 race reports produced by official stewards of the British Horseracing Authority, representing 1178 jockeys and their horses. We compared reports from 67 "Hands and Heels" races, where whips are held but not used (whipping-free, WF), with 59 reports from case-matched races where whipping was permitted (whipping permitted, WP). Qualitative coding was used to identify and categorise units of analysis for statistical testing via logistic regression and linear mixed model regression. For both types of race, we explored stewards having anything to report at all, movement on course, interference on course, incidents related to jockey behaviour and finishing times. There were no statistically significant differences between WF and WP races for anything to report (OR: 3.06; CI: 0.74-14.73), movement on course (OR: 0.90; CI: 0.37-2.17), interference (OR: 0.90; CI: 0.37-2.17), jockey-related incidents (OR: 1.24; CI: 0.32-5.07), and race times (0.512 s, t = 1.459, p = 0.150). That is, we found no evidence that whip use improves steering, reduces interference, increases safety or improves finishing times. These findings suggest that the WF races do not compromise racing integrity. They also highlight the need for more effective ways to improve the steering of horses.

A Survey-Based Investigation of Human Factors Associated With Transport Related Injuries in Horses.

Injuries resulting from road transport are common in horses and are a potential welfare concern, as well as, a source of economic loss. An online cross sectional survey was used to determine the prevalence of road transport related injuries to horses in New Zealand and the association of human factors including demographics, industry background, training and the horse handling experience of the respondents with transport related injury. The survey generated 1133 valid responses that were analyzed using descriptive statistics, univariate and multivariate logistic regression analysis. At least one injured horse was reported by 201/1133 (17.7%) respondents as occurring during the two previous years. Only 191 respondents chose to provide further information on when the injury occurred and most injuries (133/191; 69.6%) occurred in transit. The respondent perceived possible reason for injury was reported by 190, and was most frequently thought to be either horse-associated (87/190; 45.8%) or associated with a driver mistake (18/190; 9.5%). Variables that remained as significantly associated with injury in a multivariate model focusing on human factors were experience in horse handling, the industry sector, and the amateur or professional involvement with the horse industry. The odds of injury associated with professionals may reflect greater exposure due to more frequent transport and larger numbers of horses in their care than amateurs. Findings confirm that human factors are associated with the risk of an injury during transport. Although further studies are required to determine if any of these relationships are causative, education on transport best practices with consideration of these factors may mitigate their influence.

Attachment, Bushfire Preparedness, Planning, and Response among Animal Guardians: A South Australian Case Study.

BACKGROUND: Animal ownership has been identified as a risk factor for human survivability of natural disasters. Animal guardians have been reported to react or act in ways that may put their own safety and that of emergency services personnel at risk when faced with a natural disaster. Recent research has suggested that this risk factor could be reconfigured as a protective factor, whereby desires to save animals from natural disaster harm could motivate increased planning and preparedness behaviours amongst animal guardians. However, there has been no research to determine if bushfire planning and response behaviours differ between pet owners with low and high attachment; and how the relationship may differ in relation to small or large animals. METHODS AND PROCEDURE: We investigated the relationship between people's emotional attachment to different types of pets and their preparation and actions during the Pinery bushfire in South Australia in November 2015. Thirty-four people who were impacted by the fire participated in an online survey. Data were collected about their preparedness, planning and response behaviours as well as their animal attachment (high or low). RESULTS: We identified 10 characteristics (behaviours, attributes, skills and beliefs) associated with high animal attachment scores, and eight associated with low animal attachment scores. DISCUSSION: Our discussion of the differences in demographics, preparedness, planning and response characteristics of participants with high and low animal attachment confirms research suggesting that animal guardians take risks to save their animals during disasters. Our findings also support recent propositions that animal attachment and ownership could be used to increase the natural disaster preparedness and survivability of animal guardians. However, making sure that animal attachment functions as a protective factor requires active and effective intervention through education, behaviour change and social marketing strategies. Whilst our study is high in ecological validity, future research with larger samples sizes is required to determine the generalisability of our findings to animal owners and guardians in other locations, facing fires with other characteristics, especially for owners and guardians with low levels of attachment.

Horse Husbandry and Preventive Health Practices in Australia: An Online Survey of Horse Guardians.

Little is known about the horse health management practices of Australian horse caregivers (owners). This article presents findings from a convenience sample of 505 horse owners who participated in an online survey. No large-scale welfare issues were identified, but there were some areas of potential concern, including owners who did not regularly deworm their horses (4%), a lack of strategic parasite control (3.1%), and a lack of regular dental care (11%). Several participants did not have their horse's hooves regularly shod or trimmed (2%), and 14% had an unqualified person maintain their horse's hooves. One in five owners (19%) did not vaccinate their horses against tetanus. The findings are discussed in relation to current Australian horse health guidelines and traditional sources of horse health information, together with recommendations for providing horse owners with relevant information in relevant forms.

A Multispecies Approach to Co-Sleeping : Integrating Human-Animal Co-Sleeping Practices into Our Understanding of Human Sleep.

Human sleeping arrangements have evolved over time and differ across cultures. The majority of adults share their bed at one time or another with a partner or child, and many also sleep with pets. In fact, around half of dog and cat owners report sharing a bed or bedroom with their pet(s). However, interspecies co-sleeping has been trivialized in the literature relative to interpersonal or human-human co-sleeping, receiving little attention from an interdisciplinary psychological perspective. In this paper, we provide a historical outline of the "civilizing process" that has led to current sociocultural conceptions of sleep as an individual, private function crucial for the functioning of society and the health of individuals. We identify similar historical processes at work in the formation of contemporary constructions of socially normative sleeping arrangements for humans and animals. Importantly, since previous examinations of co-sleeping practices have anthropocentrically framed this topic, the result is an incomplete understanding of co-sleeping practices. By using dogs as an exemplar of human-animal co-sleeping, and comparing human-canine sleeping with adult-child co-sleeping, we determine that both forms of co-sleeping share common factors for establishment and maintenance, and often result in similar benefits and drawbacks. We propose that human-animal and adult-child co-sleeping should be approached as legitimate and socially relevant forms of co-sleeping, and we recommend that co-sleeping be approached broadly as a social practice involving relations with humans and other animals. Because our proposition is speculative and derived from canine-centric data, we recommend ongoing theoretical refinement grounded in empirical research addressing co-sleeping between humans and multiple animal species.

Fatigue proofing: The role of protective behaviours in mediating fatigue-related risk in a defence aviation environment.

In the military or emergency services, operational requirements and/or community expectations often preclude formal prescriptive working time arrangements as a practical means of reducing fatigue-related risk. In these environments, workers sometimes employ adaptive or protective behaviours informally to reduce the risk (i.e. likelihood or consequence) associated with a fatigue-related error. These informal behaviours enable employees to reduce risk while continuing to work while fatigued. In this study, we documented the use of informal protective behaviours in a group of defence aviation personnel including flight crews. Semi-structured interviews were conducted to determine whether and which protective behaviours were used to mitigate fatigue-related error. The 18 participants were from aviation-specific trades and included aircrew (pilots and air-crewman) and aviation maintenance personnel (aeronautical engineers and maintenance personnel). Participants identified 147 ways in which they and/or others act to reduce the likelihood or consequence of a fatigue-related error. These formed seven categories of fatigue-reduction strategies. The two most novel categories are discussed in this paper: task-related and behaviour-based strategies. Broadly speaking, these results indicate that fatigued military flight and maintenance crews use protective 'fatigue-proofing' behaviours to reduce the likelihood and/or consequence of fatigue-related error and were aware of the potential benefits. It is also important to note that these behaviours are not typically part of the formal safety management system. Rather, they have evolved spontaneously as part of the culture around protecting team performance under adverse operating conditions. When compared with previous similar studies, aviation personnel were more readily able to understand the idea of fatigue proofing than those from a fire-fighting background. These differences were thought to reflect different cultural attitudes toward error and formal training using principles of Crew Resource Management and Threat and Error Management.

Animal Ownership Among Vulnerable Populations in Regional South Australia: Implications for Natural Disaster Preparedness and Resilience.

CONTEXT: Few studies have examined the prevalence of animal ownership among populations likely to be at greater risk from disaster events within a bushfire context. OBJECTIVE: To investigate the proportion of vulnerable community members keeping animals and the types of animals kept, as well as perceived risk of harm to pets, and their inclusion in bushfire survival planning. DESIGN: Statewide anonymous online survey in 2014 of adult South Australian animal owners threatened by bushfire in January 2014. Respondents were asked about animal ownership, their bushfire risk perception, and household survival planning. Descriptive statistics are presented for 5 groups considered likely to contribute to increased risk of harm for households: linguistically diverse, older adults, families with young children, physically frail, and self-identifying disabled, as well as individuals with mental health considerations. SETTING: An opt-in purposively targeted sample of anonymous South Australians living in high fire-risk locations. PARTICIPANTS: Adult South Australian animal owners threatened or directly impacted by bushfire events, including individuals matching 1 of the 5 vulnerable groups. MAIN OUTCOME MEASURES: Self-reported details of animal ownership, perceived fire risk, survival planning, and vulnerability characteristics. RESULTS: Animal ownership was found to be more prevalent in these 5 populations than in the wider South Australian population. Perceived risk to pets was low to moderately low in these individuals. Variation was observed in the role of animals generally and pets specifically as motivators for preparing bushfire survival plans. CONCLUSIONS: Emergency services and associated agencies need to consider how the unique needs of vulnerable populations that keep animals, and their potential differences in risk perception, relate to their bushfire survival planning and preparedness requirements.

Horse Injury during Non-Commercial Transport: Findings from Researcher-Assisted Intercept Surveys at Southeastern Australian Equestrian Events.

Equine transportation research has largely focused on the commercial land movement of horses. Data on the incidence and factors associated with horse injuries during non-commercial transportation (privately owned horse trucks and trailers) is scant. This study surveyed 223 drivers transporting horses to 12 equestrian events in southeastern Australia. Data collected encompassed driver demographics, travel practice, vehicle characteristics, and incidents involving horse injury. Approximately 25% (55/223) of participants reported that their horses were injured during transportation. Of these 72% were owner classified as horse associated (scrambling, slipping and horse-horse interaction), 11% due to mechanical failure, and 6% due to driver error. Horse injury was not significantly associated with driver age, gender, or experience. Participants that answer the telephone whilst driving were more likely to have previously had a horse injured ( p = 0.04). There was a trend for participants with <8 hours sleep prior to the survey to have experienced a previous transportation-related injury ( p = 0.056). Increased trailer age was associated with a greater number of injury reports (r² = 0.20; p < 0.04). The diversity in trailer models prevented identification of the importance of individual design features. This study highlights the potential for horses to sustain transportation injuries in privately owned vehicles and warrants further study to address this risk to their welfare.

Putting Children's Sleep Problems to Bed: Using Behavior Change Theory to Increase the Success of Children's Sleep Education Programs and Contribute to Healthy Development.

Sleep is critical for the healthy development of children, yet most children simply don't get enough. Whilst school based sleep education programs have been developed for parents and their children, they have had mixed success. We consider how use of behavior change theory in existing school-based sleep education programs can be improved by applying and apply a broader model to these programs. We find that the mixed success of school-based sleep education programs may be due to a plausible but misleading assumption that simply increasing information about the importance of sleep and the risks of insufficient and/or inefficient sleep will necessarily result in improved sleep behaviors. We identify the potential benefits of using behavior change theory in the development of sleep education programs but in particular, there is a need for theories incorporate the multiple biological, environmental and social impacts on children's sleep. Bronfenbrenner's Bioecological model is presented to illustrate how one such behavior change theory could significantly improve the success of sleep education programs and ultimately support the healthy development of children.

Preventing and Investigating Horse-Related Human Injury and Fatality in Work and Non-Work Equestrian Environments: A Consideration of the Workplace Health and Safety Framework.

It has been suggested that one in five riders will be injured due to a fall from a horse, resulting in severe head or torso injuries. Attempts to reduce injury have primarily focussed on low level risk controls, such as helmets. In comparison, risk mitigation in high risk workplaces and sports is directed at more effective and preventative controls like training, consultation, safe work procedures, fit for purpose equipment and regular Workplace Health and Safety (WHS) monitoring. However, there has been no systematic consideration of the risk-reduction benefits of applying a WHS framework to reducing horse-related risks in workplaces, let alone competition or leisure contexts. In this article, we discuss the different dimensions of risk during human-horse interaction: the risk itself, animal, human and environmental factors and their combinations thereof. We consider the potential of the WHS framework as a tool for reducing (a) situation-specific hazards, and (b) the risks inherent in and arising from human-horse interactions. Whilst most-if not all-horses are unpredictable, the majority of horse-related injuries should be treated as preventable. The article concludes with a practical application of WHS to prevent horse-related injury by discussing effective evidence-based guidelines and regulatory monitoring for equestrian sectors. It suggests that the WHS framework has significant potential not only to reduce the occurrence and likelihood of horse-related human accident and injury, but to enable systematic accident analysis and investigation of horse-related adverse events.