Breed Health at the start of a new decade – What’s your vision for 2030?

It’s that time of year when New Year Resolutions have either already been forgotten or are well on the way to become good habits. It’s also the time of year when many Breed Health Coordinators (BHCs) will be reflecting on their achievements in 2019 and looking ahead to plans for 2020. One of my Christmas holiday tasks was to draft our Annual Health Report which is published by our Health Committee in January. Our first one was published in 2009, inspired by the good practice set by the English Springer Spaniel BHCs. It’s a task that has become easier every year because we now have a template to follow and access to plenty of data.

We also have a Breed Health and Conservation Plan which we agreed with the Kennel Club in 2018 and published last year. I’ve written about BHCPs before so I will simply restate my enthusiasm for this fantastic resource. The BHCP pulls together a wide range of information about a breed and, through discussion with breed representatives, leads to an action plan for improvement. Our initial BHCP was reviewed and updated in 2019 so we’re now into our second action plan.

The KC Health team is now working with the third cohort of breeds to produce their BHCPs and, to accelerate the process, issued a template to all the remaining breeds so their BHCs and Health Committees could make a start on the task. It’s probably quite daunting at first glance but, for many breeds, much of the information is already in the public domain (e.g. registration trends and health survey results). As usual, the challenge for all the volunteers working on breed health is how to find the time to do it.

A goal without a plan is just a wish

Our Annual Health Report includes a summary of what we have achieved in the past year and sets out what we want to achieve in the coming 12 months. We don’t succeed at everything we plan to do and that’s a reflection of the real world; some plans turn out to be unrealistic, some simply can’t be resourced and some just weren’t important enough to get done. It can appear, some years, as if the following year’s plan is just “more of the same”. That’s fine, too, as there are lots of things that we just have to keep on doing in order to achieve our overarching goals of breed improvement. These include fundraising, collecting health and death reports, providing information to buyers and owners, and running screening programmes.

I can’t help thinking that now that we’re in 2020, it’s a good time to set a 10-year vision. There’s a neat symmetry about having a vision for 2030. It’s also probably a realistic timeframe to think about because changing the health of a breed inevitably takes time. For example, it took us 9 years to reduce the proportion of litters at risk of containing puppies affected by Lafora Disease from 55% to 2%. That includes the time to develop a viable DNA test, to influence breeders to use it and to reduce the mutation frequency in the population.

My New Year challenge for BHCs is to define what you want to have achieved by 2030. It doesn’t matter whether you call these your Goals or Objectives. The important thing is to describe what will have improved in 10 years’ time. For most breeds, there will probably only be 3 or 4 objectives. For us (Dachshunds), we want to reduce IVDD prevalence, improve eye health and reduce the rate of loss of genetic diversity. There are other things we would like to achieve but it doesn’t make sense to set 10 or 12 objectives.

Note that objectives are what we want to achieve, not what we plan to do. In order to achieve our objectives we have to have committed breed club leadership, we need to develop evidence-based actions and we need to engage with buyers and owners. What we do each year may be new or more of the same but all of our actions are focused on achieving those objectives.

What do you want to improve?

There aren’t that many things that any breed might want to improve. Generically, they are likely to be several of the following:

  • Reduce the prevalence of particular health conditions
  • Improve temperament, behaviour or working traits
  • Reduce the effects of low genetic diversity
  • Reduce conformational exaggerations

You also have to be realistic about how much improvement you can achieve. If we were able to halve the prevalence of Dachshund IVDD in 10 years, that would be significant progress, albeit probably not enough. We have data on breed average Coefficients of Inbreeding so it’s possible to set targets for these as well.  Of course, if we reduce overall levels of inbreeding, we will automatically reduce the risk of diseases caused by recessive mutations. Reducing conformational exaggerations is also likely to result in health improvements.

How are you going to get there?

The 3 broad enabling strategies for achieving breed health improvement are described in the Kennel Club’s Health Strategy Guide:

  • Demonstrate leadership
  • Develop evidence-based plans
  • Engage breeders, owners and buyers

Bluntly, if there is poor leadership interest in improving your breed’s health, you’re not going to make much progress. BHCs typically need to build a team around them to provide support and additional capacity.

A breed’s plans should be evidence-based; that means using information from surveys, research papers and the other data contained in a Breed Health and Conservation Plan.

The final element in making progress is engagement with breeders, owners and buyers. They are the primary groups whose behaviour needs to be influenced if the plans are to be implemented. There are others to engage with (e.g. vets, KC, researchers, judges) but taking action on both the supply and demand side of the dog population is essential.

That’s probably a good place to end and remember something Dr. Dan O’Neill said at the conclusion of the 4th International Dog Health Workshop: “We need to stop saying it’s all about the dogs. It is clear that it is really all about the people”.

Happy New Decade.

The challenges of developing and implementing Breed Health Strategies

I was one of the facilitators in the Breed-specific Health strategies theme at the 4th International Dog Health Workshop (IDHW4), held in Windsor, recently. Our group comprised vets, breeders, Kennel Club and Breed Club representatives. We set ourselves the task of defining the key challenges associated with developing and implementing breed strategies and coming up with potential solutions. Our starting point definition was that a Strategy is an Action Plan with a Rationale. It, therefore, is based on having data and evidence of what needs to be improved plus specific doable actions that will make a difference.

The first challenge we considered was how do Breed Clubs get started with developing a strategy. At least 3 issues lie behind this; transparency/trust, lack of resources and degree of influence.

Where breeds have been able to create a climate of transparency and trust by publishing open registries of health data this is a constructive approach as long as the data aren’t used to “expose and shame” individuals. Peer pressure and recognition, for example with Gold/Silver/Bronze health schemes is often more productive. Another suggested solution was to wait until there is a significantly large set of test results before publishing them, en masse. It is also important to use language carefully when reporting test results so as not to alienate breeders.

We have seen over many years that, in some breeds, there is strong cognitive dissonance around the need for improvement. This often manifests itself as what was described at IDHW4 as “normal for the breed”. It’s not just owners and breeders that may be guilty of this, some vets have fallen into that way of thinking as well. The challenge is to recognise what is “normal for a dog”.

Breed Clubs depend on volunteers and will always be stretched for resources. Running events (shows, fun days) will, inevitably, take priority over time to support health work. However, clubs could look wider afield for volunteers, from among their members and not just rely on existing committees. Many breeds would, no doubt, discover a diverse pool of talent, willing to help. Otherwise, with a declining pool of helpers, clubs will find their influence diminishing.

How to engage breeders

Our group discussed 3 main challenges related to engaging breeders in improvement: lack of knowledge/understanding, too many unachievable requirements and the fact that they don’t feel responsible for overall breed health.

Education and communication are key to this. Many breed clubs run seminars and conferences addressing health matters but these are likely to reach only a small proportion of the target audience, especially owners who do not belong to clubs. The use of social media is increasingly important to support this education and every breed should have an active social media presence, at least on Facebook. Instagram is also a useful channel, being focused on the use of images to grab people’s attention. It’s not great for directing people to other websites such as club health pages, so the use of Twitter, with posts including hyperlinks can help as well. Wider use of social media is also more likely to influence demand for puppies by influencing buyers and helping them to recognise what a well-bred puppy means.

Another point about education is that a breed’s messages must be backed-up by evidence. Providing links to references and peer-reviewed papers adds a degree of credibility to differentiate a club’s information from the anecdotal “advice” often shared by others in social media discussions.

As the number of DNA tests proliferates, it is going to get more difficult for breeders and owners to make sense of what is important for the future health of a breed. A collaborative approach to prioritising what needs to be done to protect a breed for the future is essential. Here, in the UK, the KC is involving breed clubs in the development of Breed Health and Conservation Plans. The Brachycephalic Working Group is another great example of how, by bringing interested parties together, realistic and achievable priorities and plans can be agreed. Breeders who are members of clubs are more likely to take notice of recommendations that have been developed with the involvement of their peers.

The genetic testing theme at IDHW4 also discussed the validation of tests and we need to ensure breeders and owners are better equipped to know which tests are worthwhile. Just because a test is available commercially, doesn’t mean it is appropriate for it to be used.

Breed clubs can also incentivise breeders (members and non-members) to participate in health improvement activities. They can ensure screening sessions are frequent and accessible, or offer subsidies and “member prices”.

Measuring the impact of our strategies

We shouldn’t create and implement breed strategies if we don’t know how their impact will be measured. That means identifying a manageable number of performance indicators during the creation of the strategy: decide what you want to achieve, then decide what you need to measure. 

There are breed-level indicators such as those published by the KC on genetic diversity (e.g. Coefficients of Inbreeding, Effective Population Size) and disease-level indicators (e.g. Hip/Elbow Scores, DNA test results). At a breed level, these indicators invariably take time to show improvement. In business, they would be described as “Lagging Indicators”. To give confidence that these are likely to move in the right direction, a breed also needs “Leading Indicators”. These are measurements that respond in the short-term and, if they go in the right direction, are good predictors of the slow-to-change breed-level indicators. Examples could include the proportion of litters bred from health-tested parents, the proportion of matings that are below the previous year’s median hip score, or the number of webpage hits and downloads of advice.

The working group at IDHW4 also agreed that it was important to share data with researchers, vets, breed clubs, KCs, breeders and owners. They might need this presented in different ways, ranging from peer-reviewed papers, through web and newsletter articles or with infographics and posters. Collaborative events such as the IPFD workshops and the dogwellnet.com website also provide valuable ways for good practices, information and data to be shared internationally.

Not just a Talking Shop

These IPFD workshops are not just “talking shops”. Since IDHW3, breed-specific health strategy resources have been developed and added to dogwellnet.com. There are now examples of strategy documents from many breeds in the Nordic countries and the UK. Templates for these are also now available, together with a PowerPoint presentation summarising what might be expected in a strategy.

The dogwellnet site now also includes guidance documents, such as our KC’s Breed Health Strategy Guide, and a number of blog posts on the theory and practice of strategy development and implementation. Individual breeds also initiated international discussions using dogwellnetonline Forums to review evidence and critique published papers of relevance to their strategies.

We now need to ensure the energy and enthusiasm at IDHW4 is translated into actions that will benefit our dogs.

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Breed-specific Health Strategies – my presentation at IDHW4

When I spoke at the 3rd International Dog Health Workshop in Paris in 2017, I started by saying that breed health improvement is not a conformation problem, a genetics problem, or a veterinary problem. It’s a change management and a continuous improvement problem.

For IDHW4 held in the UK recently, I said the challenge is not “are you improving?” but (a) “how fast are you improving?” and (b) “can you prove it?”.

We now know what a Breed-specific Health Strategy looks like. There are examples from the Nordic countries (RAS & JTO) and the UK now has its Breed Health and Conservation Plans. All these are based on the principle that a strategy is an action plan with a rationale.

Of course, we need to ask what is driving the development of breed strategies and I think there are 2 forces at work. Firstly, there is pressure for change and secondly, there is vision for change. Breeds will end up with strategies either because they are told to do it or because they want to do it; reactive or proactive. It’s a choice.

We also have to understand the landscape of breed strategy drivers. Both pressure and vision for change can come from one or more of:

  • Governments/Legislators
  • Kennel Clubs
  • Breed Clubs
  • Veterinary Surgeons
  • Scientists & Researchers
  • Breeders
  • Owners & Buyers
  • Campaigners
  • Media

Brenda Bonnett, CEO of the International Partnership for Dogs said:

“For many years, lecturing about breed-specific issues in dogs, even before the existence of IPFD, in discussions with the breeding community, veterinarians and others, it was becoming self-evident that if concerns were not addressed by the dog community, society would likely impose ‘solutions’ on them.  This is coming to fruition in many areas, and society and the media wants to move at a much faster pace than many in the pedigreed dog world.

A couple of my favourite quotes on planning come from General Eisenhower and the management guru Peter Drucker. Eisenhower said: “Plans are nothing, planning is everything”. He meant that the thought process and engagement of the right people in producing plans is more important than the document that pops out at the end. Drucker said, “Eventually, plans must degenerate into hard work”. If Breed Strategies sit on a shelf (or website) and nobody does anything different, we shouldn’t be surprised if canine health doesn’t improve.

Spray and pray!

One of the models I use when working with my clients to plan and implement projects and programmes makes the connection between the work that needs to be done and how benefits will be achieved. For dogs to benefit, i.e. become healthier, we need to establish new behaviours. Plenty of organisations are defining projects and processes and creating outputs such as breed strategies, legislation, toolkits, websites and so on. However, if there is no support for them because of the way plans have been developed, people’s behaviour is unlikely to change. All too often, the groups designing the projects, processes and outputs are not the same ones as will have to change their behaviour for dogs to benefit. Outputs get “lobbed over the wall” in the hope that breeders/owners/judges/buyers will change their behaviour. If the people who have to change their behaviours are involved in the design of the solutions, they are far more likely to support them. Otherwise, it’s just “spray and pray”.

It might be a bit of an exaggeration to say that the people designing the solutions aren’t involving the people who have to implement them because there are some excellent examples of very collaborative approaches. Those are the models we should follow; for example the Brachycephalic Working Group in the UK.

At the heart of breed improvement is human behaviour change. When it comes to behaviour change, we need to answer 2 questions: Can people change and will people change?

Canine health and welfare improvement are not unique in having to achieve human behaviour change and, surprise surprise, there is plenty of peer-reviewed evidence of what works in other fields. Complex problems such as Adult Social Care, Criminal Justice, Obesity and Smoking are all being tackled with interventions requiring behaviour change.

Behaviour change techniques

One of my favourite frameworks is the COM-B Model developed by Susan Michie and colleagues at University College London. In her 2011 paper which reviewed 19 behaviour change models from other studies, she identified Capability, Opportunity and Motivation as the 3 sources of behaviour. The Behaviour Change Wheel that she produced summarises a range of interventions and policy tools that can be used to influence Capability, Opportunity and Motivation. There is even a Taxonomy of 83 Behaviour Change Techniques available as an online toolkit. We don’t need to be starting from a blank sheet of paper. In a recent paper, Michie also reported on which interventions were most successful in changing behaviours for human health problems. Significantly, coercion and threat were the least likely to work; beating people up and telling them they have to change is of little value. She also reported that, for many of the health problems, around 9 or 10 different intervention types were required to implement successful change. In other words, a single, one-size-fits-all solution will be unlikely to achieve sustainable behavioural changes.

I reflected on an example from my breed, Dachshunds. Over the past 7 years, we have achieved an important improvement in the health of Mini Wire Dachshunds by tackling Lafora Disease, which is a form of epilepsy. A DNA test is available and we have moved from 55% of litters being bred with “at risk” puppies in 2012 to the position now where only around 5% are affected. That has been achieved by adopting techniques from 8 of the 9 COM-B intervention categories and 6 of the 7 policy categories. Our work has involved breeders, buyers, owners, vets and our clubs and breed council.

In Dachshunds, our approach to Lafora Disease has been part of our wider breed health strategy and the process we follow is based on a guide developed by our Kennel Club. It has 4 stages: Lead, Plan, Engage and Improve. All 4 stages are required for a breed health strategy to become sustainable and I prepared a poster that was on display at IDHW4 to illustrate some of the work we have been doing.

In my opinion, breed health strategies need more focus and effort on leadership and engagement in order to get better and quicker improvement results. There are lots of plans in many forms but, without leadership and engagement, dog health will not improve.

I ended my presentation with 3 quotes:

“The ‘tell, sell, yell’ strategy for Change Management never works.”

“Culture change happens in units of 1.”

“And that is how change happens. One gesture. One person. One moment at a time.”

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Where do Breed Health Strategies come from?

It might sound like a daft question to ask where Breed Health Strategies come from but I think it is of fundamental importance for those of us in breed club leadership roles. It’s also not something that just Breed Health Coordinators should be concerned about.

Here in the UK, the Kennel Club has been supporting breeds to develop Breed Health and Conservation Plans (BHCPs). In the Nordic Countries, these breed strategy documents are abbreviated as RAS and JTO. Whatever they are called, they summarise the current state of a particular breed, drawing on a wide range of evidence ranging from registration statistics and breed health survey results to peer-reviewed research reports and insurance claims data. They also summarise agreed action plans to address the identified priorities.

You might conclude that it is Kennel Clubs and Breed Clubs that are driving the need for, and development of, breed improvement strategies. I think we should step back and recognise that there are actually 2 potential driving forces behind this. Firstly, it might be driven by our own clear vision of the value of doing it or, alternatively, there might be pressure on us to do this. It boils down to are you doing it because you want to or because you are told to; i.e. is it a proactive or reactive approach.

Driven by stakeholders?

I hate having to use the term Stakeholders, but it does describe the range of individuals and groups who have an interest in improving the health of pedigree dogs. They include governments, kennel clubs, breed clubs, vets, researchers, breeders, owners, buyers and campaigners (and probably more!).

Kennel Clubs and breed clubs have 2 main choices: either they take the lead and develop evidence-based strategies for health improvement or they will have something forced upon them. If they take the lead, they can shape the direction each breed takes, based on the best available research evidence. If they don’t, they will be at the mercy of others who may be promoting simple solutions to what are actually complex problems. The danger is that, if KC and breed club leadership isn’t proactive enough, we will end up responding to badly-framed legislation (maybe including bans on particular breeds) and a constant barrage of anti-pedigree publicity (like we see in the press every Crufts).

Kennel Clubs in the Nordic countries have been at the forefront of developing breed-specific health strategies and that has undoubtedly enabled them to set the agenda for promoting pedigree dogs. However, even they have not been immune from pressure brought to bear by the veterinary profession which has expressed grave concerns about some of the Brachycephalic breeds. Here, in the UK, the formation of the Brachycephalic Working Group is a great example of our KC and breed club representatives engaging positively with others who are campaigning to improve the health of dogs in these breeds.

I have no doubt that, however proactive we might be, the pace of change will never be fast enough for some people. The late Philippa Robinson, who campaigned for breed health improvement on so many fronts, often used the phrase “trendlines, not headlines”. By this, she meant we should be looking for the evidence of underlying trends that demonstrate improvement and not simply cherry-picking attention-grabbing headlines. She also meant that those of us trying to drive improvement shouldn’t allow ourselves to be overly distracted by headlines. Someone will always be looking to grab the headlines and, with a world of social media, the tendency to try to distill a complex story down to a tweet of 140 characters is not going away any time soon.

“For every complex problem there is an answer that is clear, simple and wrong” – HL Mencken.

The influence of the show ring

Judges and exhibitors have a role to play, too. Most Breed Standards have been modified to ensure exaggeration is discouraged. Further work still needs to be done, in some cases, but I doubt that changing a few Breed Standards will have much impact on dog health. Too many of the puppies in popular breeds such as Bulldogs, Pugs and French Bulldogs are bred by people who wouldn’t know what a Breed Standard was, even if it smacked them in the face.

The KC asks Championship Show judges to submit reports on any visible concerns for Breed Watch Category 2 and 3 breeds (and this is an option open to judges of Category 1 breeds with no visible points of concern). Our KC has regularly argued that the show ring can have a strong (positive) influence on the health of pedigree dogs. That is true but it is easily undermined if judges reward and promote dogs that have either visible faults or obvious exaggerations.

Breed clubs have to take the lead

Kennel Clubs have limited resources and have to prioritise where they invest their time and money. Here, BHCPs were prioritised for the Breed Watch Category 3 (formerly “High Profile”) breeds. At last year’s Breed Health Coordinator Symposium, Bill Lambert told us that there was a “model” BHCP which any breed could use as a template. Effectively, he said breed clubs don’t have to wait for the KC to begin the work of developing a strategy for any particular breed. He fired the starting pistol and gave permission, if anyone needed it, for all of us to take the initiative.

Clearly, an individual breed club community isn’t going to have the time or expertise that Dr Katy Evans brought to the initial batch of BHCPs. But, we all have people who are passionate about their breed and there is a wealth of readily accessible evidence. Somehow, we have to create the capacity and capability at breed level. There are plenty of simple first steps that many breeds are already taking to demonstrate their commitment to improving the health of their dogs. It’s a shame we no longer have Philippa Robinson’s KarltonIndex Awards to recognise, celebrate and reinforce all this good work.

I also feel strongly that breed clubs should be putting their BHCP out in the public domain. The content is mostly information that is already in the public domain. Publishing a single reference point of available evidence clearly demonstrates the culture of openness and honesty about breed health that we should all be encouraging. What have we got to hide?

If we don’t take the lead to create and publish evidence-based breed health strategies because we want to do this, we will have them “done to us”. We almost certainly won’t like these and they will quite likely include requirements that actually have unintended consequences that may make things worse for the dogs.

I’ll be leading the Breed Health Strategies workshop stream at next month’s International Dog Health Workshop here in the UK; co-hosted by the Kennel Club and IPFD. I’ll be reporting on behalf of Our Dogs so look out for daily tweets (@sunsongian) and a full report in the paper.

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An international approach to breed health improvement

This year, the International Partnership for Dogs will be holding its 4th workshop. Our Kennel Club is hosting the event which will take place from 30th May to 1st June, near Windsor. The Kennel Club was a founding partner of the IPFD since its inception in 2014 and hosted the first ever meeting of the IPFD Board that same year. Kennel Club Secretary, Caroline Kisko, is the Vice Chairman of the IPFD and our KC also provides the secretariat for board meetings.

A major goal of the International Dog Health Workshops (IDHW) is to promote collaboration and networking. This begins with the reception on the Thursday evening and continues throughout the next 2 days. All attendees are expected to share expertise/experiences and to participate actively in discussions in breakout sessions.

I attended the 3rd IDHW in Paris in 2017 and was privileged to be invited to make a short presentation on our work in the Dachshund Breed Council to develop and implement a breed health strategy. I also took part in the breed-specific health strategies workshop and this year I have been asked to help with the design and facilitation of that part of the programme.

As with previous IDHWs, the majority of time is spent in interaction: limited plenary talks have been chosen to highlight Themes; most time is spent in smaller group breakout sessions.

There are 5 main themes being tackled this year:

1)   The concept of ‘Breed’ and how it influences health and welfare in dogs. How attitudes to the definition and understanding of breed affect actions for health; the history and future of outcrossing; public perception; conservation vs. development of breeds; the role/ influences of breed standards; judging for health/function not just appearance; experience in other species.

2)   Supply and Demand. The reality of sourcing – national vs. registered/pedigree populations; commercial breeding: the reality; new developments in health and welfare management; ‘rescues’ / marketing; the role of different stakeholders.

3)   Breed-Specific Health Strategies: By breed, nationally and internationally. Defining and sharing tools to support the work of breed clubs.

4)   Genetic Testing for Dogs: Selection, evaluation and application of genetic testing: building expert resources for genetic counselling / IPFD Harmonization of Genetic Testing for Dogs (HGTD) initiative; coordinating across stakeholder groups; latest developments in genetics and genomics.

5)   Exaggerations and Extremes in Dog Conformation:

a)   Health, welfare and breeding considerations; review of national and international efforts, on all fronts (consumers, show world, breeders, judges, vets, etc) since 2012 – what has been achieved?; brachycephalics; other existing and emerging issues; overcoming polarization and conflict, resolving science and emotion.

b)   Education and Communication – Past practices may not have achieved desired outcomes. What are tools and techniques to promote human behaviour change? What can we learn from other fields?

“In God we trust, everyone else must bring data” – Dr. Edwards Deming

In 2017, one of the themes was “Show me the numbers” and some people might wonder why this has been dropped for 2019. It was obvious from the discussions within that theme in 2017 that it was actually cross-cutting, meaning it was a key aspect running through all the other themes. So, we can take it as read that improvement in any of the themes on the 2019 agenda will have to be underpinned by the availability of good data and evidence.

The format of this year’s workshop is slightly different from 2017; there are 4 interactive plenary sessions taking up a large part of the agenda on 31st May. These include short presentations by renowned experts from around the world. Nick Blaney, who heads up our KC’s Dog Health Group is among the speakers.

All change please!

I’ll be particularly interested to hear the presentation by Suzanne Rogers who is a Director of a consultancy: Human Behaviour Change for Animals (HBCA). I’m pleased to see she will be speaking about communication to promote change. When I spoke in 2017, I started by saying that dog health improvement was not a scientific, veterinary or genetic problem. My view was (and still is) that dog health improvement is a continuous improvement and change management problem. It is something we have to work on continuously and we can expect to see incremental improvement (rather than step-change) only if people behave differently. By “people”, I mean owners, breeders, exhibitors, judges, vets and everyone who directly impacts on the dog system. That is why it’s a change management issue. It’s also no good each of those groups acting independently in their own silos without thinking about how they could be collaborating with others in the system. The Brachycephalic Working Group is one example where a multi-stakeholder approach has been taken in order to produce a plan that has a broad consensus of support. We’ve seen too many campaigns by individuals and groups that simply alienate the people who have the potential to make improvements happen. That is still happening and it feels like lessons aren’t being learnt. I therefore hope Suzanne will be able to bring some new thinking to this year’s workshop. The HBCA website lists 4 pillars for change: the process of change; the psychology of change; the environment for change; and ownership of change. The importance of these has, in my opinion, not been sufficiently well recognised, understood or addressed in many breed health improvement efforts.  

Breed-specific health strategies

At the 3rd IDHW, participants in this theme agreed that effective and sustainable implementation of health strategies requires innovative solutions to many different challenges. Provision of sufficient reliable information was agreed as critical, for both situational assessment as well as health screening and DNA testing of dogs. Considering the design of breed health strategies, the group agreed that it was important to identify and balance the major issues for each individual breed and give guidelines on how priorities could be determined for each, while still allowing breeders discretion to make their own decisions within an overall framework of requirements and recommendations.

The general conclusion was that there is no “one size fits all” solution for developing breed-specific health strategies and that the most effective interventions would need to be adapted according to the specific context of each breed, nationally and internationally.

This year, the activities for this theme will include:

  • Clarifying what we mean by a breed health strategy, by reference to currently available examples
  • Understanding the challenges facing breed clubs, such as how to get started with a breed strategy, how to maintain momentum and how to accelerate progress
  • The role of Kennel Clubs in the wider context (national and international), such as advocating for breeds, influencing legislation and providing resources for clubs and breeders
  • Identifying and sharing currently available resources and tools to address these issues
  • Identifying gaps in current capabilities (approaches, resources, tools) and how these might be addressed

It’s a lot of ground to cover in the 3 working sessions but, if 2017 is anything to go by, participants will bring a high level of knowledge and energy and leave with a clear sense of the priorities and tasks to be undertaken over the next 2 years.

You can find out more about IDHW4 here: https://doghealthworkshop2019.co.uk/

How to get the best out of your Breed Health and Conservation Plan

Plans are nothing, planning is everything” – Gen. Dwight D Eisenhower

I expect most readers will be aware of the Kennel Club’s programme to develop Breed Health and Conservation Plans. This was launched in 2016 to ensure that, for every breed, all health concerns are identified through evidence-based criteria, and that breeders are provided with useful information and resources to support them in making balanced breeding decisions that make health a priority.

The first group of breeds included those in Breed Watch Category 3 (previously known as “high-profile breeds”, plus GSDs, Cavaliers and English Setters). We’ve heard relatively little about their BHCPs from the clubs and councils associated with them, so it’s difficult to know if and how they are working.

My breed, Dachshunds, is included in the second batch of breeds and I thought it might be useful to share our experience of the process and how we intend to make use of our BHCP.

Stage 1: Evidence gathering

Dr Katy Evans is the KC’s lead person on this project and her first task for each breed is to identify and review the published evidence of the state of the breed. The key inputs to this are:

  • The KC’s own health surveys (2004 & 2014)
  • Insurance data from Agria in the UK and Sweden
  • Genetic diversity data from the KC’s 2015 study led by Dr Tom Lewis
  • KC registration data
  • BVA screening programme data (e.g. eyes, hips, elbows), where such programmes exist
  • DNA test results, where tests exist
  • Reports from the RVC’s VetCompass project
  • Eye test data from OFA in the USA
  • Any data from health surveys carried out by the breed, itself
  • Peer-reviewed scientific papers
  • Results of any current research programmes initiated by the breed

This is a massive exercise to search for, collate and distil the evidence into a first draft paper for the breed to consider. Breed clubs owe a great debt of gratitude to Katy and her colleagues because, for the first time, we have all the available evidence relating to our breed in one place.

It is a “single source of the truth” for each breed. That doesn’t mean, however, that the summary report will give your breed the definitive prevalence for any particular health condition. You need to see the evidence base as the big picture which helps you to triangulate in on points of concern.

Stage 2: Prioritise

Findings from stage 1 are used collaboratively to provide clear indications of the most significant health conditions in each breed, in terms of prevalence and impact. This is the point where breed clubs and councils need to engage with the BHCP process. From a breed’s perspective, their Breed Health Coordinator (BHC) is the key point of contact between the breed and the KC. Every breed has to appoint a BHC and, often, there will also be a Health Committee. Both the BHC role and Health Committee are appointed to serve your breed and, in the case of Dachshunds, ours are accountable to our Breed Council. They act on our behalf, are accountable to the Council and are expected to put the interest of the dogs as their first priority (not politics).

We were invited to meet the KC team in July and 6 of our 10 Health Committee members were able to attend. This might sound, to some, like a lot of people to attend this meeting but I firmly believe that the breadth of experience among our delegates was invaluable for 2 reasons. Firstly, the discussions we had and the decisions we made were based on a wide range of knowledge across our 6 Dachshund varieties. No one person can know everything about the breed nor remember the history of how we got to where we are today. Secondly, the decisions made have to be a consensus because we, the Health Committee, have to justify the BHCP to everyone else in the breed. The quality of decision-making by our team far outweighs anything that any one of us could achieve, on our own.

Stage 3: Action planning

The process we followed at the meeting enabled us to arrive at a consensus and to agree priorities for action. Katy Evans led the discussions and took us through all the content she had collated. Although this might sound like a rather linear and dry approach, the discussions it generated were not “down in the weeds”. We had all had copies of the evidence to review prior to the meeting which meant we were able to make connections between the different areas as we worked through them in the meeting.

So, for example, a single paper on Colour Dilution Alopecia (CDA) led to a wide-ranging discussion covering Colour Not Recognised registrations (CDA occurs in Blue Dachshunds), the massive increase in popularity of Mini Smooth Dachshunds and the need for better data on skin conditions, in general. There were no surprises for us here but we have agreed actions on data collection in our forthcoming breed survey, actions for the KC to look at our list of registration colours, and actions for all of us to educate the Dachshund-buying public on the breed to try to shift demand away from Mini Smooths towards other varieties.

I think the fact that, as a breed, we have been very proactive in gathering data and working on improvements gave us a head start when developing actions for our BHCP. Nevertheless, we have been able to identify further work that will accelerate the rate of progress in current focus areas as well as initiate new actions in other areas. Some of those actions include:

  • Adding a recommendation to the ABS for IVDD Screening
  • Refining the content of our forthcoming Cancer and Health Survey to capture data on conditions identified in the BHCP
  • Adding Distichiasis as a point of concern under BreedWatch
  • Publishing guidance for judges, breeders and exhibitors on exaggerated conformation (length of body & ground clearance)

All of these will need to be publicised through appropriate channels to reach breeders, owners and judges.

Tips for other breeds

If your breed has not yet been through the BHCP process, I’d recommend the following, based on our learning:

  • Take a team of experienced breeders/owners to the planning meeting; they don’t need to be on your Health Committee but they do need to be advocates for improving your breed
  • Do your homework prior to the meeting by reading and reflecting on the evidence base presented by the KC; go with an open mind
  • Keep the big picture in mind; obsessing about single health conditions and DNA testing is not a recipe for long-term improvement when a lack of genetic diversity is probably the major challenge facing most pedigree dog breeds
  • Have a plan for communicating your actions; the BHCP document itself may not be the best format for sharing information widely to different audiences

I’ll end with a quote from Peter Drucker (Management Guru) – “Eventually, plans must degenerate into hard work”.









Breeds as genetic pools – more thoughts from Sponenberg’s book

In March, I wrote a brief review of my Christmas reading: Managing breeds for a secure future by Sponenberg, Martin and Beranger. I discussed what a “breed” is and some of the challenges we face in ensuring breeds are sustainable. This month, I want to share some of the other important concepts covered in the book such as how to define the characteristics of an individual breed.

Which dogs should be included in a breed?

This is an interesting and challenging question for many breeders and the various discussions about Colour Not Recognised (CNR) registrations is a topical example. Sponenberg suggests that a combination of phenotype, history and genetic analysis is the best way to ensure the right animals are correctly included as members of a breed. It is unwise and unsafe to make decisions based on just one of these factors.

Breed experts can usually evaluate an individual dog’s phenotype and determine if it is a typical representative of its breed. This is a useful way to bring working examples into a narrow show gene pool, for example. The subjectivity of this evaluation can be reduced by developing a matrix of characteristics based on Breed Standard criteria, against which a dog can be assessed. The history of a candidate dog should also be considered; the more that is known about its ancestors, the easier it will be to classify it or reject it. This does, of course, depend on the availability of suitable records and it’s not unknown for breeders to have introduced some “new blood” into what was otherwise a purebred dog! These days, the availability of DNA profiling techniques provides a further way to identify the origins of an individual dog. The work of Elaine Ostrander and her colleagues in classifying dogs into clades, where their common ancestors can be traced, is a useful addition to our collective knowledge in this area. We also need to be aware that just because a particular dog may exhibit recessively inherited traits (e.g. coat colour, pattern, type) doesn’t mean that it is the result of fraudulent outcrossing. If a recessive mutation has existed in a breed from its early days, it is entirely predictable that the recessive phenotype will “pop up” eventually, even if this does come as an unwelcome surprise to current-day breed purists. Political agendas to exclude these animals from the “breed” are, at best, misguided and fly in the face of inherent breed genetics.

Dog breeds are typically defined based on a combination of history, genetics and politics. Breeds within a group are interesting examples of how and where decisions have been made to split “breeds”. For example, the Dachshunds are one breed with (in the UK) 6 varieties. Many of the small terriers share similarities, as do the various retrievers and, to an outsider, the boundaries between some breeds might appear to be rather arbitrary.

3 tiers in the gene pool

3 tiersUnderstanding how a breed is organised as a “genetic pool” is important if we are interested in their management and conservation. For most pedigree dogs with closed stud books, there is a 3-level structure to the gene pool. Firstly, there is what Sponenberg calls an “elite” tier; this is a relatively small proportion of the total breed. Most readers will recognise this as the show population which contains the most prized dogs. Generally, this is a closed group as far as introduction of new genetic material is concerned. Breeders produce replacements (the next generation) with no introductions from the other tiers. Next up is what is known as the “multiplier tier” made up of dogs of more average quality, but still recognisable and typical members of the breed. This tier is larger than the elite tier and, typically, breeders here use males from the elite tier to breed with their bitches and to “upgrade” their puppies. So, genes flow from the elite tier into the multiplier tier. Finally, there is a “commercial” tier which tends to be larger than the other 2 where the motivation of breeders is to make money from dogs as a product, rather than any interest in the quality or sustainability of the breed. The commercial tier usually buys in males from the multiplier tier to add to their pool of stud dogs. Overall, there is a flow of genetic material from the elite tier down through the multiplier tier and then into the commercial tier. There is little or no flow back to the elite tier and, over time, the dogs in this population become less genetically diverse. A more “open” system would see stud dogs from the elite tier used on bitches in both the other tiers. More importantly, in an open model, suitable quality bitches would be brought into the elite tier from the lower tiers and would provide for more genetic diversity across the entire breed.

I have written previously about the potential benefits of breeding from puppies in “pet homes” and in an open system, clever breeders in the elite tier would be open to buying-in dogs or bitches from the lower tiers.

Bloodlines and sub-groups within a breed

Bloodlines and varieties within a breed may be useful additional sources of genetic diversity. Bloodlines are usually linked to a particular breeder or kennel and may be historically distinct or exhibit a distinct type within an overall breed. The risk, of course, is that certain bloodlines become “flavour of the month”, maybe as a result of show success and this can lead to the genetically unhelpful strategy of breeders flocking to use a so-called Popular Sire. The genetic diversity of a breed then becomes swamped by a particular bloodline and little or nothing of other bloodlines may survive.

In some breeds, varieties exist, separated only by a single gene difference (e.g. the 3 coats in Dachshunds). Often they share the same foundation history but have been separated for the (arbitrary) purposes of showing. In the case of Dachshunds, the KC’s decision to allow “recessive coated” puppies to be registered as per their coat is entirely logical and addresses the anomaly of having to register them as per their parents’ coat type. Decisions to subdivide breeds into varieties does inevitably mean the gene pool will be narrower and breed conservation will be more challenging than if all varieties were considered to be one breed.

Managing bloodlines and varieties is important but can be complicated by politics and economics. Breeders may be more motivated by income from stud fees and puppy sales, rather than the overall good of the breed. Owners of stud dogs that are used solely within the elite gene pool need to be aware of the risks of the Popular Sire effect but, equally, they can have a positive impact by upgrading a variety of bitches in the multiplier (pet/hobby breeder) tier.

There is a clear role for breed clubs and councils to ensure all breeders and potential breeders are aware of the state of their breed. That oversight should extend across all 3 tiers and they should not simply be obsessed with what is happening within the show community.