Horse racing deaths in the United States increased slightly in 2023 from 2022, according to the annual report released Wednesday by the federally mandated agency that began regulating the sport two years ago.

The Horse Racing Integrity and Safety Authority reported 1.32 deaths per 1,000 starts last year, up from 1.25 tracked by the Equine Injury Database the previous year. The number at the 50 HISA-accredited tracks had a rate of 1.23 per 1,000 compared to 1.63 at others across the country.

“Our inaugural annual report reflects our journey toward a safer, fairer and more resilient future for horse racing,” CEO Lisa Lazarus said in a statement accompanying the report. “The success of HISA’s programs relies on steady partnership among the tracks, trainers, riders, owners, veterinarians and state regulators who comprise the sport. Only by working together can we make thoroughbred racing safer for its equine and human athletes.”

HISA began overseeing racetrack safety on July 1, 2022, and last year launched its medication and anti-doping program. The Horseracing Integrity and Welfare Unit (HIWU), which oversees testing and investigation and punishment of potential violations as part of the Anti-Doping and Medication Control Program, is set to release its annual report sometime next week.

Spates of deaths at Churchill Downs in Louisville around the Kentucky Derby and at New York’s Saratoga Race Course last year thrust the sport into the spotlight for all the wrong reasons. Churchill Downs suspended racing in June after 12 horses died there, prompting an emergency summit with industry leaders before resuming in the fall, and a New York Racing Association investigation into 13 racing or training deaths at Saratoga found no definitive cause, though significant rainfall “could not be overlooked” as a contributing factor.

While up from 2022, the 1.32 deaths per 1,000 starts is still the second-lowest equine fatality rate since they started being tracked in 2009, down from the previous lows of 1.39 in 2021 and 1.41 in ’20.

In a message published in the report, Lazarus pointed to national, uniformed practices such as pre-race veterinary inspections, treatment records that follow horses throughout their careers, the availability of full medical and workout histories and reporting of racetrack surface conditions as improvements that have been instituted.

“I feel much optimism about the strides we will continue to make by recognizing that protecting the health and safety of our horses and jockeys is a collective, urgent, responsibility,” Lazarus wrote.

A message sent to the National Thoroughbred Racing Association seeking comment on the report was not immediately returned.