Planning for Breed Improvement – my November 2017 “Best of Health” article
Planning for Breed Improvement
At the October 2017 Breed Health Coordinator Symposium, Dr. Katy Evans gave an update on the progress being made to create Breed Health and Conservation Plans. Katy is Health Research Manager in the KC’s Health Team and has been leading this project which is working on plans for 17 breeds initially. Many of these are nearing completion and there will be a further 30 breeds involved in the second phase.
The KC says the purpose of these BHCPs is “to ensure that 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.”
We shouldn’t underestimate the huge amount of work that is required to create these BHCPs, so it is critical that they are developed in collaboration with Breed Health Coordinators and Breed Club communities. Their input is important but their buy-in and commitment to the actions proposed is essential.
Development of working BHCPs is a four stage process:
- Identify concerns
- Implement actions
- Monitor and review
Show me the numbers
In order to identify concerns about each breed, the first stage draws on a wide range of available data and evidence. Information sources include published scientific papers, the 2004 and 2014 KC Health Surveys, registration and population data (including the genetic diversity analyses published in 2015), BreedWatch reports submitted by show judges and Annual Health Reports submitted by each breed. The evidence-base is further enhanced by results from the VetCompass project, insurance data from Agria in Sweden and the UK and screening data from official KC/BVA schemes (e.g. hips, elbows and eyes). Many breed clubs have conducted their own health surveys and have commissioned research projects into particular health conditions, so these can also form part of the evidence-base. Where DNA tests are available, further data can be obtained on trends in Clear, Carrier and Affected mutation test results.
The result of all this desk research should be an incontrovertible picture of what’s going on in each breed. For some breeds, this might be the first time they have seen the wealth of evidence presented in one place. It will also be an amazing resource for Breed Health Coordinators to use. When they are challenged by breeders who say “we don’t have a problem”, they will be able to confirm or disprove this. Similarly, when their breed is criticised by campaigners or the media, they will have the evidence at their fingertips to respond with confidence.
First things first
The prioritisation stage of the process should be relatively straightforward given the weight of evidence that will be available. The two main factors that need to be considered are prevalence and impact.
I know from our experience in collecting data on Dachshund health conditions that it will be virtually impossible to agree a single prevalence figure. Different survey methods, sample sizes and sample demographics potentially result in different figures for prevalence. That’s not necessarily a problem as long as you understand how the result was arrived at (and that’s an area of expertise that Katy certainly brings to this project).
It’s likely to be more difficult to arrive at a quantifiable estimate of impact because this involves a number of criteria including age of onset and length of time a dog may suffer, how easy the condition is to treat and whether it recurs, the degree of pain and suffering caused, whether any treatment is available and what it involves (including cost). In 2009, Asher et al proposed a Generic Illness Severity Index for Dogs [GISID]. The scale was based on similar severity indices from human medicine and comprises four dimensions, each of which is scored on a five-point scale:
- Prognosis – to reflect whether the disease is chronic or acute
- Treatment – to include factors related to the medical, surgical and side-effects of treatment
- Complications – to show the potential for other impacts associated with treatment
- Behaviour – to show the effect on the dog’s quality of life
By scoring a disease against each of the four scales, the severity of different conditions can be compared, albeit with a degree of subjectivity. A condition such as Gastric Torsion (Bloat) would score near the maximum severity on the GISID scale, whereas Deafness would score much lower. We have used this as a way of focusing attention on particular conditions in our Dachshund Health Plans.
Prioritisation will be done in collaboration with Breed Health Coordinators and breed clubs. I expect there will also need to be some involvement of researchers and veterinary experts. I would also expect that temperament and behavioural issues might need to be included in some breeds.
Plans are nothing, planning is everything
We all know there are no quick fixes for improving breed health but I can’t believe there’s a single breed that has nothing to do or that can do nothing. In some cases, the immediate actions will be to commission more research or to collect more data. Given the wealth of information I expect will be collated from stage 1, “more research” and “more data” should not be used as delaying tactics to kick meaningful action into the long grass. This is particularly relevant for the first 17 breeds which include BreedWatch Category 3 breeds with visible health conditions.
The actions we need to see emerging from BHCPs must be designed to cause behavioural change. They will probably need to be supply side and demand side changes. Breeders will almost certainly need to change their behaviour, for example in their decisions about health testing and in choosing which dogs to mate. Judges may need to change their behaviour, as may vets. Buyer behaviour will almost inevitably have to change as well, as will that of influencers such as advertisers.
A model for this “whole systems” approach to planning for breed improvement is already emerging in the Brachycephalic breeds. The KC’s Working Group is a multi-stakeholder group looking at practical actions that can be taken on both supply and demand.
Readers of my previous articles will realise I’m about to get on my Change Management Hobby Horse!
The plans in each BHCP must address 5 key enablers of change:
- Pressure for change – why change is needed
- Vision for improvement – what success looks like
- Capacity for change – time and resources to make it happen
- Practical first steps – what will be done in the next 3, 6, 9, 12 months, to build some momentum
- Recognition and reinforcement – how positive changes will be celebrated and how “resistance” will be addressed
What this boils down to is creating specific plans for communication, education, training and recognition with target groups and individuals (stakeholders!). There may also need to be plans to change rules, regulations, legislation, standards and processes.
BHCP Stage 4 (Monitor) is easy! Check that the actions are being implemented and having the desired effect. If they aren’t, do something different.
I will end with a quote from management guru Peter Drucker: “Eventually, plans must degenerate into hard work”.