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The Mid-Atlantic Strategic Plan to Reduce Equine Fatalities, adopted in March of 2019, is the product of a collaboration of the region’s racetrack operators, horsemen’s organizations, breeders’ organizations, racing commissions and regulatory and racetrack veterinarians. The Plan incorporates five key goals, including the establishment of regional safety best practices, improved methods to identify horses at increased risk of injury, the implementation of protective factors to reduce the risk of injury, information sharing and communication, and improvement of the general health and welfare of the horse.