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Sunday, September 28, 2025

Flat-faced Canines and Cats with Dr. Dan O’Neill and Dr. Rowena Packer


What are the issues that are likely to have an effect on brachycephalic (flat-faced) pets, and what may be accomplished to assist with visitors Dr. Dan O’Neill and Dr. Rowena Packer of the Royal Veterinary School.

Watch episode 17 of The Pawsitive Publish in Dialog beneath or on Youtube, pay attention beneath or by way of your favorite podcast app (together with Apple), or scroll right down to learn a transcript of the highlights.

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This interview has been calmly edited for content material and magnificence.

Dan: Provided that it’s Shih Tzus you are considering, and on condition that the entire background of the work I do on the Royal Veterinary School with Rowena is on Vet Compass, we even have a examine on Shih Tzus at the moment below evaluation with Rowena and me and another authors. And really, it does not present the Shih Tzu has been too dangerous. 

So they arrive out as a pleasant little canine, 7.9 kilos, medium physique weight. In order that they’re, like, actually moveable, stunning little canine. For most individuals who need a moveable pet. Their general lifespan was 12.7 years, and that is somewhat bit longer than the typical of canine general. So if we had been to take lifespan as a metric of general well being, the Shih Tzu really is not doing too badly. 

The one space the place, and also you might need been capable of predict this, the place they do not achieve this effectively as their eyes do, and so they have a lot, a lot, a lot greater ranges of corneal ulcers. So these are sores on the entrance of their eye. So 3.5% of them yearly get that actually painful. So if we had been to do one thing with the Shih Tzu, it could simply be to provide them a nostril. And by giving them a nostril, you suck out the jaw. That implies that the attention socket will get sucked again in once more, and their eyes will sit again into their cranium. So it actually would not take a lot to make the Shih Tzu a typical canine that everyone might exit and suggest. So unsure if that helps or hinders your love of your canine. I am certain your particular person canine is completely stunning, however general not too dangerous, besides for his or her eyes.

Zazie: That is good to know. And he’s. He’s very moveable, as you say. He really likes to be carried. He is a really, very candy little canine. It is actually when it is scorching that he struggles. And it does get extremely popular right here generally in the summertime, in order that’s when he finds it hardest. However other than that, clearly, he is twelve already, so he is doing very effectively. Sure. Okay, so let’s return proper to the start, although, and discuss what we imply by brachycephaly and which canine breed are affected other than Shih Tzus. And I will throw this one to Rowena first.

Rowena: That is a extremely good query, as a result of we discuss brachy, brachycephaly on a regular basis, and it is turn into fairly a well-known, I believe, colloquial phrase. Now, we frequently will then comply with it with flat confronted, however even that is a contentious time period for some folks if they don’t seem to be completely flat. However we’re mainly speaking about canine who, their cranium is mostly wider than it is lengthy, and there is totally different metrics to measure it. 

The cover of the book The health and welfare of brachycephalic (flat-faced) companion animals

My very own work beforehand has regarded on the size of the muzzle compared to the skull. So we have got some bony landmarks we are able to use in canine to make use of to calculate metrics, to have a look at how flat the face is, as Dan talked about, how pushed in or pulled out that jaw is. And it contains dozens of breeds, really, after we take a look at it at a broad stage, each purebred and crossbred canine. However we frequently hone in quite a bit on what we name our excessive brachycephalics. So these can be the form of poster kids of this may be English Bulldogs, French Bulldogs, and Pugs. However that is typically simply based mostly on their reputation that we discuss them. 

There are some equally excessive brachycephalic canine on the market pondering of breeds just like the Pekingese, the Japanese Chin, some breeds that just about have faces which are concave. So it is fairly a variety, relying on what our limits for brachycephaly is. And naturally, as with all areas of science, no person solely agrees. So the place we put that minimize off can range, for instance, between research. I believe the important thing factor is we’re simply specific with what we expect, what we outline brachycephaly to be in a selected examine inhabitants for instance, as Dan talked about, after we’re working in Vet Compass.

Kristi: After we take into consideration canine who’re brachycephalic, so far as being a member of the general public, a giant factor that we get hammered with and which I believe is admittedly necessary is the respiratory points. I consider canine who’ve been in my fundamental obedience lessons, like canine who’re clearly brachycephalic in my obedience lessons, and so they have that typical manner of respiratory, just like the sound that they breathe, and so they typically are panting. And I used to suppose it was cute, you realize, in some unspecified time in the future in my life, I keep in mind being like, oh, you realize, like that. And now I hear it and I simply cringe once I hear that. It is really upsetting, you realize? Such as you get somewhat bit of information, and it is really upsetting. So what respiratory points do brachycephalic canine have? What are we speaking about right here?

Rowena: I believe the core a part of that, I all the time try to conceptualize it as brachycephaly, breeding for flatter faces, mainly creates an impediment course for air to get from the surface world into these canine lungs, as a result of breeding for that excessive face form is mainly anatomically not appropriate with purposeful physiology, just like the fundamentals of with the ability to breathe and get oxygen into your lungs to remain alive with the very fundamentals of life. 

After we take into consideration that jaw being a lot shorter and that muzzle being so foreshortened, there’s plenty of flesh in our mouths. We all the time get folks to do some bizarre facial expressions now. So fascinated with your tongue, your cheeks, your taste bud, so that you try this bizarre face and lick the roof of your mouth till you get to the delicate bit. After your onerous palate, all of that could be very fleshy. And in canine’s mouths, those self same buildings are there however in a a lot smaller house in brachycephalic canine. So every little thing’s form of crushed and concertina-ed in to a a lot smaller field, clearly a really onerous, bony field.

I am fascinated with the cranium, which implies that, for instance, the taste bud on the again turns into fleshy and redundant, nearly as a result of it will get sucked down into the larynx. So the place we should always have a pleasant large black prepare tunnel of a gap down into these canine, right down to their lungs, as a substitute, we have got issues getting in the way in which. So we have got their palate hanging down, which causes that noise that you’ve got simply made, Kristi, that the form of rasping is the vibration of this delicate tissue. 

But it surely’s not simply the noise, clearly, with every breath, they’re then having that palate sucked into their larynx, which obstructs and means there’s much less air really stepping into their lungs as a result of that causes plenty of destructive strain within the canine’s airway. Over time, extra of the delicate, fleshy buildings turn into unstable. So, for instance, we find yourself with their larynx. We get these little laryngeal saccules of their throat come out. 

And so one other stage of obstruction, we additionally take into consideration issues like their tongue. Individuals love the large hanging out, floppy tongue. However really, once more, that is what we name in people macroglossia. They have a tongue that is too large for his or her mouth. 

The opposite core function that we see could be very narrowed nostrils, typically from start or quickly after start. And once more, the nice previous prepare tunnel analogy. I really like canine nostrils. I spent far too many hours of my PhD photographing and measuring canine’ nostrils. I’ve a really odd gallery on my pc someplace of them, however they need to be two large channels. Once more, it ought to be very easy for the canine to breathe the air to get out and in. They need to have the ability to open and shut. You realize, there ought to be motion to nostrils, however as a substitute we have got typically the very dry, crusty, fastened nostrils the place the cartilages are fully closed. For some canine, there’s not any air getting in in any way. 

So it is mainly making life very troublesome for them to get only a fundamental breath. And I believe the core factor to consider with respiratory is we’re respiratory consistently, day and night time, to remain alive. So each side of their life, each waking and sleeping, is impacted by having that impaired respiratory.

Zazie: Yeah. In order that’s clearly an actual welfare difficulty for these canine. Dan, what does your analysis say about respiratory and different medical points in brachycephalic canine?

Dan: Oh, golly, that is the place the listing begins. I imply, in essence, if we give it some thought and we return in evolution 10 million years in the past, canine began to be advanced and canine now inhabit fairly effectively each a part of the planet. So we are able to have them in temporal areas, tropical areas, arctic areas. However if you happen to go and take a look at canine anyplace on this planet, whether or not they’re a fox or a dingo or a wolf or a coyote, if I got here from Mars, I might acknowledge them as all being the identical. All of them form of look the identical. They’ve the identical physique proportions. They’ve a longish tail, they’ve a longish nostril, they’ve sticky up ears. 

And basically, we have now taken this glorious product of 10 million years of evolution that has been optimized for survival. And within the house of some hundred years, we have now gone and chosen for mutations, mutations that might not survive and exist in nature. And we have accomplished it as a result of we are able to, as a result of we’re people. And a few folks will name it mankind’s best genetic experiment, the place we took a species, the home canine, and we turned it into the only best mammalian species for range in its physique form, morphological range. And in a manner, sure, that is great proof of what we are able to do to play with nature. However once you play God, you must take duty for the outcomes. 

And plenty of these breeds that we have now are wonderful, however sadly, we have now gone too far in lots of instances. And the canine that we have now breathe with brachycephaly, sadly, plenty of them do undergo. Kristi’s remark earlier is kind of fascinating, the place initially lots of people take a look at these canine and solely see cute. So we take a look at their loud night breathing and their noisy respiratory, and we see it as cute. And we take a look at the odd manner they stroll due to their spinal points. A number of them are tailless. Which means they’ve truncated spines. We’ve chosen for morphological mutations of their spines so their spines are shortened and twisted. They can not bend their spines. A number of these canine, and we see that as cute. 

Rowena talked about about that we breathe whereas we’re awake and asleep. Effectively, plenty of these canine wrestle to sleep, and we discover that cute. After we take a look at these canine attempting to sleep sitting up or sleeping with a ball of their mouth or sleeping with their neck on one thing simply to cease themselves from suffocating. And but we go on YouTube and we see movies of ha, ha ha, how humorous that is. Have a look at my little canine waking up each time he tries to sleep. And it’s the final in struggling. 

However the bizarre factor is it is silent struggling. As a result of a canine that is struggling in our world, human world, is not struggling till we understand it is struggling. After which once you understand it, you possibly can’t unrealize it, which I believe is Kristi’s form of sudden consciousness second once you take a look at these canine and understand noisy respiratory is not really cute or enjoyable. It is struggling.  

And inside VetCompass, we have accomplished research now associated to different facets in addition to respiration. So issues like corneal ulcerations. I discussed earlier in regards to the Shih Tzus. However English Bulldogs have 14 instances greater danger of corneal ulceration than different canine. Heatstroke, you had talked about. English Bulldogs 14 instances greater for heatstroke as effectively. So, in different phrases, simply the lack to take care of your physique temperature when it begins to get somewhat bit scorching. English Bulldogs, 38 instances greater danger of dry eye. Simply actually the place their eyelids cannot shut over their eyeballs, cannot distribute tears, and finally they don’t seem to be capable of produce sufficient tears. English Bulldog is 24 instances greater danger of cherry eye. It seems like a cherry. It’s totally effectively named. Just a little development that seems from the within of your eye. 

Pores and skin fold dermatitis. That is one other one, Kristi may say again within the day, earlier than her consciousness, she might need felt was cute. A number of folks see pores and skin folds as actually, actually cute. How lovable? Effectively, these pores and skin folds are completely irregular. They get contaminated. It means these canine stink. They’ve painful pores and skin, fixed lifetime infections. English Bulldogs, 49 instances greater odds of pores and skin fold dermatitis than different canine, and even the power to provide start. French Bulldogs, 16 instances greater likelihood of issue giving start. 

So you may actually undergo each single a part of the our bodies of those canine and say, we have now accomplished one thing, and that one thing just isn’t a bonus to the canine. And that is what VetCompass’s proof is producing, and it isn’t an excellent story. The attractive factor is, now that we have now the proof, we, the collective we, this is not about breeders, it is about anybody who decides to amass or to advertise. So this contains advertisers, and this contains folks liking posts on social media. Anybody who promotes imagery of canine with excessive confirmations, these excessive physique shapes, we are able to do one thing about it. We will simply cease doing that.

Rowena: I believe it is a actually necessary level there, Dan, about the truth that there are issues from head to tail. And I believe it is actually pertinent to deliver up respiratory. However I believe, partly, respiratory has turn into the form of synonymous factor with brachys, or they’d bother respiratory, the place really, as you stated, there’s issues from head to tail. And if it was simply respiratory, then it could most likely be loads simpler to repair them and make them more healthy. However you’ve got acquired an inventory so long as you are as your arm of issues, a few of that are associated to physique form, a few of which are not, the bulk are conformation associated. 

However individuals are so reticent to vary the conformation because the physique form of those canine that they proceed to be lumbered with this extraordinarily lengthy listing. So it is, the place do you begin? The place do you then think about different problems with breeding, like genetic range, temperament, clearly, you realize, conduct being an necessary driver of why folks need these canine, too. It is not so simple as, say, a breed that has one or two genetic mutations that may be examined for with gene swabs by motivated breeders after which bred away from. That is way more advanced. 

I believe this is the reason we see a spread of form of urged options for brachycephalic breeding from inside breed choice. So attempting to maintain the present establishment by means of to outcrossing, by means of to outright banning. And I believe that simply displays plenty of the form of human motivations to both protect or to start out once more afresh to a level. So, yeah, I believe that is partly why that is such a contentious difficulty.

Zazie: And I really like the way you each hold declaring that issues can change, that there are issues that could possibly be accomplished that, you realize, will change issues, each from the attitude of breeding, however wanting on the entire image of what abnormal individuals are doing as effectively, and I believe that is. That is actually necessary. And I believe your personal analysis has accomplished so much to boost consciousness of those points, each by way of the well being points and the way folks purchase canine as effectively, and the way folks consider a few of these well being points. As being regular for the breed, when really, it isn’t regular. As you stated, it isn’t regular in any respect to have all of those respiratory points. We solely have restricted time, sadly, at present, and I believe we might discuss to you for actually hours about this. So I hope that you’ll come again and discuss to us one other time. 

However I need to simply ask you one thing about your ebook and to inform us a bit extra about why you set your ebook collectively. So, your ebook is well being and welfare of brachycephalic companion animals, and it is a great ebook with a number of info. I will ask each of you to say one thing about it, beginning with Dan, why did you set this collectively and who do you suppose will profit from the ebook?

Dan: Yeah, it is a actually good query, really. And plenty of instances whereas Rowena and I had been writing it, we requested ourselves that query as effectively.

Rowena: Yeah.

Dan: In order that ebook had 21 chapters. We tried to cowl your complete spectrum, all the way in which from the human aspect to the proof aspect, to conduct aspect, that new nursing aspect, buying worldwide relations. Primarily, what had been attempting to do was seize the complexity of the problems. But in addition, and also you’re completely proper, Zazie, attempt to set out alternatives for change. 

And the alternatives for change that we had been attempting to flag in that ebook had been threefold. Primary, the message from UK Brachycephalic working group, which is cease and suppose earlier than shopping for a flat face canine. And that is the core message. The thought was to try to share the proof after which hopefully not a lot do we have now any proper to inform anybody what to do? As a result of till these canine are banned, and in some international locations, as Rowena stated, they’re being banned and or there are strikes in direction of banning them, they don’t seem to be banned at the moment within the UK, however we are able to ask folks to have a look at the proof, take into consideration the lives of those canine, and then you definitely make a welfare based mostly determination. 

Hopefully, the second factor is to maneuver these canine in direction of moderation. And it hadn’t even crossed my thoughts till you stated the title of the ebook a minute in the past. So we known as that ebook the well being, I believe it was. The well being was the phrase we used. If I had my time again once more, I might most likely title the issues of slightly than well being of, as a result of we actually are speaking about issues. There is not even a common acceptance of a definition of well being. We discuss wholesome canine, however well being means absolutely the absence of bodily, psychological or social unhealth or weak spot or harms. That just about by no means occurs. So at any time when we’re gathering proof, we’re gathering proof on issues. After which from that we interpret one thing about well being. And on these brachiocephalic canine, sadly, it is a lot simpler to measure issues than to measure well being. 

After which the third side of that ebook was for the canine that do exist, and there are many them, it was to try to present homeowners with some assist and clues and recommendation on how you can take care of these canine. In different phrases, concentrate on the highest circumstances these canine have and take care of them, even simply being conscious of how lengthy they stay. A Vet Compass paper final yr confirmed that typical canine, like I stated, for Europe, Shih Tzux ought to stay to about twelve years. French Bulldogs, Bulldogs and Pugs nearly make it to seven, seven and a half years. In order that they’re dropping a 3rd of their anticipated lifespan due to the choices we’re making to place them into the field that they may stay their life in. 

And that actually was the message from the ebook was a really optimistic one. You used the phrase disaster earlier. There’s a disaster. The disaster is pushed by our selections to immediately popularize brachycephalic or flat confronted canine over the past decade. However the upside is we are able to unpopularize them as effectively. We will take a call to purchase a canine with good innate well being, purchase a canine with a muzzle, a tail, a versatile backbone, flat pores and skin, a canine that may run, that may train, mainly a canine that may be a canine. And that is the core message. 

Rowena: Yeah, no, in settlement. I believe one in every of my key issues after we had been first approached about this ebook was, as we talked about firstly, was for it to not be a veterinary textual content particularly. We have tons and many these forms of particular person siloed texts on surgical procedure for every particular person physique half, which I recognize are extraordinarily necessary for attempting to enhance the welfare of these canine who’re in existence. However to broaden out that context. I believe coming into this difficulty as a behaviour and welfare scientist and being slap bang in the midst of the division of vets, it was fairly fascinating and fairly odd at instances. I clearly take into consideration this at instances fairly in a different way. 

So it was attempting to open up that context, open up the stakeholders who had been concerned, as a result of I believe it is an enormous burden on vets, brachy well being. Dan and I’ve lately submitted a paper in regards to the form of ethical misery that is induced the vets round treating or making an attempt to deal with and take care of brachyphalic sufferers that truly, as we have mentioned at present, there’s a number of totally different stakeholders who’re concerned by way of inflicting this disaster, but additionally who may be concerned within the decision. 

And I believe a part of that was attempting to open it as much as broader animal professionals fascinated with this difficulty with a form of larger context. So fascinated with the historical past, I believe is admittedly key right here. As we have talked about at present, plenty of these excessive modifications have really been within the final hundred years or so. And I believe due to that, after we conceptualize it extra, it is really reversible. You realize, we have had a blip in canine sort, which had been a extremely unlucky blip with a lot struggling for a lot of animals, nevertheless it’s reversible by means of human selection. 

I believe bringing in some social science to it was actually a excessive motivation for me and bringing in, you realize, this broad group of stakeholders, geneticists, inhabitants scientists, epidemiologists, clearly, like Dan, historians, and bringing in as a lot assorted analysis to form of give that larger context so it does not simply turn into one thing that is, you realize, behind the doorways of a vet’s workplace prefer it was for, you realize, professionals like Dan earlier than he jumped ship into the, the darkish world of analysis. So I believe that was my core motivation, was to try to get extra folks to be extra conscious and extra empowered to do one thing.

Dan: If I could make one remaining remark to that. In a manner, nearly after we’re speaking about brachycephaly and since Rowena used the phrase poster youngster or poster breed earlier, these breeds, the media love them as a result of the notion is the general public love them, proper? However really, there are tons and plenty and many canine, of breeds which are innately very wholesome. And sadly, we’re nearly portray an image of all canine as sick or all canine is unhealthy as a result of we have now to maintain speaking in regards to the disaster. 

However really, in VetCompass, we have now 800 totally different canine breeds. A few of these are the oldest ones which are acknowledged by the kennel golf equipment. A few of these are new breeds that we’re simply inventing, Cockapoos, Labradoodles and Cavapoos. So these are breeds identical to the previous, established breeds. They’re simply newer breeds. And there’s a number of proof to say that these canine really are innately very wholesome. They’ve all of the bits {that a} canine ought to have evolutionary clever. They’ll stay a typical life, the 12, 13, 14 yr previous life. 

And I believe we’re doing dogdom or canine sort an actual dangerous disservice after we hold selling sure forms of breeds with excessive confirmations on their well being points as a result of canine themselves may be very wholesome and the bulk are. It is simply sadly, there’s fairly a big minority that are not. So I believe there’s a good distance we are able to go, however it’s all of us collectively that may remedy this drawback.

Zazie: And I believe that is one of many issues I really like about your ebook, is simply how broad it’s and the way fascinating it’s to so many various folks. Principally, anyone who loves canine, not simply vets in any respect, however anyone who loves canine or is considering canine welfare, I believe it is a actually necessary ebook for them to learn. And individuals who work in shelters as effectively, peppers are shelter canine. So it is related throughout, you realize, all people who’s considering canine. 

The Well being and Welfare of Brachycephalic (Flat-faced) Companion Animals is on the market from all good bookstores. If you wish to get a replica and skim it, I extremely suggest it. It’s totally fascinating studying and it is illustrated, so that you get to see footage of those points as effectively. 

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