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Reproduction in Domestic Animals

Reproduction in Domestic Animals

Reproduction in Domestic Animals

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170 GCW England and KM Millarthe animal–human bond. The impact on society’swellbe<strong>in</strong>g will be <strong>in</strong>fluenced by the justification putforward for us<strong>in</strong>g the technique and whether the stated‘reasons’ enhance or <strong>in</strong>fr<strong>in</strong>ge the human–dog relationship.Democratic choice (SA)The development and application of these techniquesmay result <strong>in</strong> the ability to conserve valuable genetictraits for the can<strong>in</strong>e species and this could be seen as apositive impact. This will ensure society’s ability tochoose the breed traits that it wishes to preserve andpotentially allow future generations a degree of autonomythat may not have been possible without theapplication of these technologies. However, this argumentis relevant to the use of the technique only whenapplied to specific breed<strong>in</strong>g strategies, rather than forrout<strong>in</strong>e treatment purposes.Fair resource allocation (SF)Because the f<strong>in</strong>ancial cost of us<strong>in</strong>g any form of AI willbe born by the breeder and the potential owner of thenew pup, the impact for the pr<strong>in</strong>ciple of justice forsociety will be neutral.Ethical Evaluation and DiscussionAlthough, because of the limits of this paper, the ethicalanalysis has only <strong>in</strong>itially mapped the possible impactsof the application of AI technologies <strong>in</strong> dogs, theanalysis has highlighted a number of important issues.In order to come to a f<strong>in</strong>al judgement or position, theimpacts for the various <strong>in</strong>terest groups need to beweighed aga<strong>in</strong>st each other (ethical evaluation). It is thisweigh<strong>in</strong>g that can help identify the key areas ofdisagreement or value conflict between stakeholders.This process can also help identify knowledge gaps andareas of uncerta<strong>in</strong>ty. For some groups, the use of ascor<strong>in</strong>g system (e.g. +1, 0, )1) can aid this weigh<strong>in</strong>gprocess, but it should be noted that the EM is a decisionsupportframework and not a decision-mak<strong>in</strong>g tool. Theuse of numerical weigh<strong>in</strong>g <strong>in</strong> ethical evaluation has itslimitations.It is clear from the analysis that the use of AI may<strong>in</strong>fr<strong>in</strong>ge ethical pr<strong>in</strong>ciples, particularly for the affectedanimal, but that it may respect other pr<strong>in</strong>ciples forbreeders, owners and veter<strong>in</strong>arians. Any veter<strong>in</strong>aryprocedure has a risk of <strong>in</strong>fr<strong>in</strong>g<strong>in</strong>g an animal’s wellbe<strong>in</strong>gand autonomy as well as potentially be<strong>in</strong>g unjust.However, veter<strong>in</strong>arian <strong>in</strong>tervention is repeatedly justifiedon the basis of cl<strong>in</strong>ical ‘need’ (i.e. <strong>in</strong>flict<strong>in</strong>g acutepa<strong>in</strong> for long-term benefit). One of the key issues <strong>in</strong> thedebate that surrounds the use of AI is the <strong>in</strong>terpretationof ‘need’, as any ‘unnecessary procedure’ would representan <strong>in</strong>fr<strong>in</strong>gement of the dog’s wellbe<strong>in</strong>g and wouldnot be an ethically acceptable <strong>in</strong>tervention under themajority of EU veter<strong>in</strong>ary codes of practice. This impliesthat before AI is considered appropriate a comprehensivereproductive assessment must be carried out by aveter<strong>in</strong>arian. It also implies that a sequential approachshould be applied with the justification for each decisionstep [i.e. rul<strong>in</strong>g out natural service and proceed<strong>in</strong>g to theuse of AI(V)]. This <strong>in</strong>formation should then beproactively offered to future puppy owners and kennelclubs, etc.While the use of AI can result <strong>in</strong> a number of positiveethical impacts (for example for disease control orpreservation of genetic material), which outweigh potentialrisks, such benefits appears to be predicated onfour conditions: (i) a sequential decision-mak<strong>in</strong>g process,which ensures that the use of AI is applied after naturalmat<strong>in</strong>g options are ruled out for cl<strong>in</strong>ical reasons, (ii)<strong>in</strong>formed choice for breeder and owner is ensuredthrough proactive <strong>in</strong>formation provision and appropriaterecord keep<strong>in</strong>g, (iii) veter<strong>in</strong>arian competence <strong>in</strong> use ofAI technologies is ensured, and (iv) the welfare consequencesfor the bitch are measured as negligible.If AI per se is acceptable under these conditions, italso appears that the judgment on whether surgical AI isacceptable (when all other options are excluded) ismodulated by evidence on (i) the <strong>in</strong>cidence and nature ofthe reproductive failure and (ii) welfare consequencesfor the bitch. What appears to confound the assessmentof these two issues is a paucity of data. The literatureconta<strong>in</strong>s very few reports on the consequences for thebitch and there are even fewer studies that record thefrequency of use and the form of the decision-mak<strong>in</strong>gprocess. There is a significant need for peer-reviewedevidence <strong>in</strong> these areas <strong>in</strong> order to facilitate an <strong>in</strong>formedethical evaluation.Without explicitly conduct<strong>in</strong>g an ethical analysis, anumber of national bodies and professional organizationshave articulated their approach to ‘weigh<strong>in</strong>g’ theconflict<strong>in</strong>g impacts and set out their ethical positions(e.g. through guidel<strong>in</strong>es, regulations, etc.). It is usefulhere to exam<strong>in</strong>e a few of these positions and to reflect onthe risks associated with these strategies. In the UK, theRoyal College of Veter<strong>in</strong>ary Surgeons (RCVS) set outtheir position (RCVS, 2005), stat<strong>in</strong>g that, although theuse of surgical AI ‘is unlikely to be carried out <strong>in</strong> the best<strong>in</strong>terests of any particular dog’, veter<strong>in</strong>ary surgeons mayperform the procedure when justified (e.g. ‘for example,the <strong>in</strong>corporation of new genetic traits’). The RCVS<strong>in</strong>dicated that the reasons for not us<strong>in</strong>g other approaches,e.g. transcervical <strong>in</strong>sem<strong>in</strong>ation, should berecorded. The RCVS approach is more conservativethan that applied <strong>in</strong> the USA where AI(S) is morecommonly used. It is important to note that the RCVS’sethical position is based on the assumption that, <strong>in</strong>exceptional circumstances, the potential welfare consequencesfor the dog are acceptable only if a sequentialdecision-mak<strong>in</strong>g process and good record keep<strong>in</strong>goccur. However, no explicit advice is given on ensur<strong>in</strong>g<strong>in</strong>formed choice [i.e. <strong>in</strong>formation provision on theavailability of AI(TC)] or whether the ‘recorded justification’for the procedure will be audited and reviewedby the RCVS. Because the surgical procedure is <strong>in</strong>vasive,there may also be a proactive duty of care for theattend<strong>in</strong>g veter<strong>in</strong>arian to monitor and report on thewelfare outcomes for the bitch. These three aspects mayrepresent a significance risk to the RCVS’s pr<strong>in</strong>cipledapproach (ethical position) on the use of AI(S).Some EU countries, for example, Sweden, haveprohibited the use of AI(S). In the light of uncerta<strong>in</strong>tyÓ 2008 The Authors. Journal compilation Ó 2008 Blackwell Verlag

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