Shih Tzu Pedigree Breed Health Survey

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Shih Tzu Pedigree Breed Health Survey Forms were received representing 350 living dogs & 26 deceased dogs. Mortality results A total of 26 deaths were reported, representing 0.46% of all deaths reported in the Pedigree Breed Health survey. The range of longevity for the Shih Tzu was 0 to 16 years. Table 1 shows the causes of death for the breed. Table 1 The most common causes of death/reasons for euthanasia (N = 26 deceased dogs). Cause of death Kidney Failure Old Age Unknown Arthritis Excessive Barking Bone tumour Cardiac heart Failure Fungal infection Intervertebral disc disease IVDD Kidney disease Lymphoma Myelopathy Oral mouth tumour Renal Dysplasia Road Traffic Accident Surgical complications Viral infection - unspecified

Morbidity results The 350 live Shih Tzus represented 0.81% of total dogs in the survey. The median age of live dogs for the breed was 3 years (Table 2). Of the 350 Shih Tzus which the survey covers, 212 had reported no conditions and 138 reported affected by at least one condition(min = 1 condition(s), max = 7 conditions), giving a total of 252 incidents of conditions. The gender, neuter status and age of neutering summary statistics for Shih Tzus are shown in Table 3. There were 299 dogs with responses for Body Condition displayed in Table 4. The median age the dogs were first affected by a condition was 2 years (min = 0 years, max= 12 years, Figure 3). The ages for the most common conditions is displayed in Figure 4. Table 5 shows the frequency of occurrence of all reported disease conditions for the Shih Tzu. Table 2: The summary statistics for the dogs current age when survey was completed Number of Dogs Mean age 351 4.00 3 0 15 Table 3: Gender, neuter status and age summary statistics for dogs where gender and neuter status was reported Sex Neuter status Age known Count Mean age Female Neutered Yes 112 1.04 0 0 7 Female Neutered No 2 NA NA NA NA Female Not No 58 NA NA NA NA Female Unknown No 4 NA NA NA NA Male Neutered Yes 107 0.77 0 0 8 Male Not No 63 NA NA NA NA Male Unknown No 5 NA NA NA NA Table 4: The body condition comment and the age of the dog when this comment was made Body condition Count Mean age No comment was made by vet 23 4.35 5 0 9 Normal 250 3.15 2 0 12 Somewhat overweight 22 4.50 4 0 10 Somewhat underweight 4 3.75 3.5 0 8

Shih Tzu Longevity 10 9 8 7 Number of dogs 6 5 4 3 2 1 0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Age at death Figure 3: Histogram showing frequency of known age at diagnosis for the disease conditions reported

Kidney Failure Old Age Unknown Arthritis Excessive Barking Bone tumour Cardiac heart Failure Fungal infection Intervertebral disc disease IVDD Kidney disease Lymphoma Myelopathy Oral mouth tumour Renal Dysplasia Road Traffic Accident Surgical complications Viral infection - unspecified Age of death 0 5 10 15 20 Cause of death Figure 4: Box and whisker plot of age at diagnosis in years for the most common disease conditions in descending order. The solid line within each box represents the median age at diagnosis from the condition. The box represents 50% of the dogs and the whiskers represent 95% of the dogs for each condition. The circles (ο) represent possible outliers

Table 5: The most commonly reported disease conditions in descending order for the breed (N = 350 live dogs) Condition Number of cases of disease Proportion (%) Prevalence (%) Umbilical hernia 45 17.86 12.86 Skin (cutaneous) cyst 16 6.35 4.57 Hypersensitivity (allergic) skin disorder 10 3.97 2.86 Anal gland/sac impaction/blockage 9 3.57 2.57 Chronic Itching 8 3.17 2.29 Lipoma 8 3.17 2.29 Intervertebral disc disorder 7 2.78 2.00 Unspecified Eye 7 2.78 2.00 Corneal Ulcer 6 2.38 1.71 Food Allergy 5 1.98 1.43 Narrowed nostrils 5 1.98 1.43 Otitis media 5 1.98 1.43 Hip dysplasia 4 1.59 1.14 Otitis externa 4 1.59 1.14 Short ulna syndrome 4 1.59 1.14 Unspecified tumour/cancer 4 1.59 1.14 Blood present in urine 3 1.19 0.86 Colitis 3 1.19 0.86 Conjunctivitis 3 1.19 0.86 Cryptorchidism 3 1.19 0.86 Proportion of morbidity as %= N/252 disease conditions, prevalence %= N/350 live dogs Summary From the dogs surveyed, most Shih Tzus were not affected by a disease condition (60.57%). The most commonly reported disease condition in live dogs was umbilical hernia. The most commonly reported cause of death was kidney failure.