Bichon Frise Club of America, Inc. MEMBER OF THE AMERICAN KENNEL CLUB 2006 HEALTH SURVEY FOR BREEDERS Mail to: Anne Jones Deadline: March 15, 2007 PLEASE FILL IN THE BLANKS 5872 Allee Way Braselton, GA 30517 PART 1: INTRODUCTION Bichons are counting on you! You can influence the health of Bichons Frises by completing this survey and sending it to the address above. The data from the last major health survey for Bichons was collected in 1992, 14 years ago. Current data is needed to determine the prevalence of diseases in Bichons Frises. The focus of this survey is to identify the top 10 diseases in Bichons, which will be useful in prioritizing health research resources and for developing disease prevention strategies. Anne Jones, who will be the only person to view the surveys, will tabulate all information. Then Anne will send only the numbers to Nancy McDonald, who will develop the final report that will express the incidence of each disease as a percent value. Therefore, your anonymity will be protected, which can be augmented by not placing your return address on the envelope. This survey is reaching you via mail with the BFCA Bulletin if you are a BFCA member, and is also available on the BFCA Health Committee web site www.bichonhealth.org where you can download and print it. We ask that only Bichon breeders complete this survey and that BFCA member breeders encourage non-member breeders to access it online, print it, complete it, and mail it to the above address. We encourage you to also complete our online health surveys on individual Bichons at www.bichonhealth.org, which can be anonymous if you do not include your email address: Death Reports and Health Incident Reports. The data from these online reports is maintained separately from the data recovered from this breeders survey, and will be shared with BFCA members every 5 years, with 2007 being the next year to report. This data must be as accurate as possible, including exact vet diagnosis when known! Please enter the total number of Bichons that you are reporting in this survey so we can calculate incidence as a percent value. Include all healthy, sick, and dead Bichons that you whelped between 01/01/1992 and 12/31/2006. This 14-year period is significant because statistics are most valuable for older dogs, which have more time to develop diseases. Do not include Bichons unless you are informed of their status, and be sure to include healthy Bichons. This will give you the incentive to contact puppy buyers that you have not heard from recently for reports on their Bichons that were bred by you. A simple one-page veterinary survey is attached that can also be downloaded and printed from www.bichonhealth.org, and the results sent to Anne Jones for tabulation. Data is needed on the prevalence of diseases in Bichons that veterinarians treat, which often includes Bichons purchased from puppy mills, pet stores, and irresponsible breeders. Please encourage any veterinarians you know to participate by sending them a copy of the survey (preferably with a stamped, self-addressed envelope), or directing them to the BFCA website. We promise to mail or email them the results of both our breeders and veterinary surveys, in return for their time involved in completing the veterinary survey. Thank you for your support, Health Survey Committee Anne Jones Nancy McDonald Vickie Halstead, Chairman BFCA Health Committee 1 PART 2: BREEDING INFORMATION With the understanding that your privacy will be fully protected, please answer the following: 1. Are you a member of BFCA? Yes ________ No _________ 2. Indicate the number of years you have been involved with Bichons: ____________ 3. What is the total number of Bichons you whelped from 01/01/1992 to 12/31/2006 (include stillborns): ______________ # of litters ________ # of females_______ # of males ________ 4. What is the total number of Bichons you are reporting on in this survey: (Include only Bichons that you know have experienced health issues since birth, those that you know have no health issues, and those that you know of their death.) ________________ 5. How many Bichons live with you at this time? ______Male ______Female ________ 6. What is your average litter size since 1992? _____ Smallest?_____Largest?______ 7. How many Caesarian sections since 1992? ___________ 8. At what age do you breed a bitch for the first time?________ last time?___________ 9. How often do you usually breed the bitches? _______________________________ 10. How many breedings since 1992 were natural? _________ How many artificial vaginal inseminations (AI)? _________ How many surgical inseminations?____How many endoscopic inseminations?_____ How many using fresh chilled semen?_____ How many using frozen semen?_____ 11. How many times since 1992 have stud dogs owned by you sired litters? _________ PART 3: VACCINES AND PREVENTIVES At what age/s do you currently vaccinate puppies with core vaccines (Distemper, Adenovirus or Hepatitis, Parvo, Parainfluenza)? ______________________________________________ How often do you currently vaccinate adult Bichons with core vaccines? ________________ Rabies? _______________________ Bordetella? ____________________________ Corona? _______________________ Leptospirosis? __________________________ Does your veterinarian agree with your vaccine protocol? _____________________________ Have you changed the frequency of vaccinations since 1992? _________________________ If so, how has the change affected the health of your Bichons? ___________________ ______________________________________________________________________ How many of your Bichons have had reactions to vaccines since 1992? __________________ What brand of Heartworm preventive do you use? ___________________________________ Do you give your Bichons flea preventives? _____ Brand _____________________________ How many of your Bichons had reactions to this since 1992? _____________________ PART 4: PREVELANCE OF HEALTH CONDITIONS Indicate any health conditions below that you KNOW either caused illness or death in any Bichons that you whelped from 01/01/1992 to 12/31/2006, declaring the sex and number affected, and the age of diagnosis if known (for many inherited diseases ONSET AGE is crucial information). List all diseases for each dog, even if they are numerous. ***NO HEALTH PROBLEMS*** Total # of living Bichons you are reporting on that currently have no histories of health problems: TEMPERAMENT ISSUES A) Aggressive B) Fearful C) Separation anxiety D) Other (be specific)_________________ 2 MALE FEMALE ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ONSET AGE __________ __________ __________ __________ NEUROLOGICAL A) Head tilt B) Vestibular syndrome (dizziness) C) Dementia (senility) D) Dyskinesia (movement disorder) E) Meningitis F) Seizures G) Other_______________________ MALE ______ ______ ______ ______ ______ ______ ______ FEMALE ______ ______ ______ ______ ______ ______ ______ ONSET AGE __________ __________ __________ __________ __________ __________ __________ HEART AND CIRCULATION A) Murmur (persistent, unknown cause) B) Subaortic stenosis (SAS) C) Patent Ductus Arteriosis (PDA) D) Heart failure E) Cardiomyopathy F) Valve dysfunction (mitral or aortic) G) Other_______________________ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ __________ RESPIRATORY A) Tracheal collapse B) Lung cancer C) Kartagener’s Syndrome (triad) D) Primary Ciliary Dyskinesia (PCD, sinusitis) E) Other_______________________ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ __________ __________ SKIN AND COAT A) Hot spots (recurrent) B) Hair loss C) Rash, hives C) Pruritis (significant itching) D) Chewing/biting (persistent) E) Dermatitis (non-specific) F) Surface tumors/warts G) Sebaceous cysts H) Other_______________________ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ EYES A) B) C) D) E) F) ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ __________ __________ __________ __________ __________ __________ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ __________ __________ __________ ________ __________ Cataracts Glaucoma Retinal dysplasia/folds Corneal dystrophy Keratitis sica (dry eye) Other__________________________ ENDOCRINE (Hormones) A) Addison’s disease B) Cushing’s disease C) Diabetes D) Hypothyroidism (low thyroid function) E) Other___________________________ 3 __________ __________ __________ __________ __________ __________ __________ __________ __________ EAR, NOSE, MOUTH A) Chronic nasal discharge B) Dental cavities C) Tooth loss D) Gingivitis (gum infection) E) Cleft palate F) Deafness G) Frequent ear infections H) Other__________________________ MALE ______ ______ ______ ______ ______ ______ ______ ______ FEMALE ______ ______ ______ ______ ______ ______ ______ ______ ONSET AGE __________ __________ __________ __________ SKELETAL A) Elbow dysplasia B) Hip dysplasia: type________________ C) Legg-Calve-Perthes disease (hips) D) Patellar luxation (knees) E) Arthritis: site_____________________ F) Anterior cruciate ligament tear (knee) G) Other___________________________ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ __________ __________ __________ __________ __________ __________ __________ GASTROINTESTINAL A) Pancreatitis B) Liver shunt C) Microvascular dysplasia (liver) D) Hepatitis (liver) E) Chronic gastritis (stomach) F) Umbilical hernia G) Irritable bowel syndrome (IBS) H) Gallbladder disease I) Other___________________________ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ __________ __________ __________ __________ __________ __________ __________ __________ __________ KIDNEY/BLADDER A) Struvite bladder/kidney stones B) Calcium oxalate bladder/kidney stones C) Bladder infections (frequent) D) Kidney disease: specify_____________ E) Kidney failure F) Incontinence G) Other___________________________ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ __________ __________ __________ __________ __________ __________ __________ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ __________ __________ __________ __________ __________ ______ ______ ______ ______ ______ ______ ______ ______ __________ __________ __________ __________ HEMATOLOGIC (BLOOD) A) Autoimmune hemolytic anemia (AIHA) B) Autoimmune thrombocytopenia (ITP) C) Von Willebrand’s disease (bleeding) D) Lupus (SLE) E) Other___________________________ CANCER (other than listed above) A) Hemangiosarcoma (blood vessels) B) Breast C) Leukemia D) Other: specify____________________ 4 __________ __________ REPRODUCTIVE A) Litter aborted or absorbed B) Infertility C) Uterine dystocia D) Poor libido E) Prostatitis F) Cryptorchidism (testicle/s retained) G) Other___________________________ MALE ______ ______ ______ ______ ______ FEMALE ______ ______ ______ ______ ______ PART 5: RESEARCH PRIORITIES Rank the following areas of canine health research that you feel are the most important for Bichons Frises by placing the letter in the appropriate blank. These current ongoing research projects are not included: cataracts, patellar luxation, calcium oxalate bladder stones, and allergies. Most important _____________ 2nd most important ____________ rd 3 most important __________ 4th most important ___________ a) Addison’s disease b) Arthritis c) Cancer (What type?) d) Cardiomyopathy e) Chronic gastritis (stomach) f) Corneal dystrophy (eyes) g) Cushing’s disease h) Deafness i) Dental disease j) Diabetes k) Elbow dysplasia l) Hip dysplasia m) Hypothyroidism n) Irritable bowel syndrome (IBS) o) Kidney failure p) Liver shunt q) Pancreatitis r) PDA (heart defect) s) PCD/Kartageners t) Retinal dysplasia/folds u) Seizures PART 6: DEATH REPORTS How many of the Bichons that you whelped from 01/01/1992 to 12/31/2006 are known to you as having: MALE FEMALE AGE OF DEATH A) Died of disease or illness? (include above) ______ ______ ______ B) Died of traumatic injury? ______ ______ ______ C) Died of an unknown cause? ______ ______ ______ D) Were stillborns? ______ ______ TOTAL NUMBER OF DEATHS: ______ ______ What is the average life span of your Bichons? ________________________________ Do you think the life span of your Bichons since 1992 is: Longer ______ Shorter ______ If living longer, indicate your theory as to why: Improved nutrition or environment?_________ Improved screening for inherited diseases?_____Changes in vaccination schedules?_____ Other reasons:_____________________________________________________________ _____________________________________________________________________ List details of diseases/illnesses that caused deaths if too numerous to list above, including age of death (continue on back if needed): _________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ PART 7: COMMENTS (on back of page) 5