March 10, 2004

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• March 10, 2004

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• National Sport Organization/CCES Communications

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National Sport Organization/CCES Communications

• Communications between the CCES and the National
  Sport Organizations must improve
• The CCES is not only there to conduct Doping
  Control, but can also be a resource for things
  such as education and dealing with International
  Federations

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National Sport Organization/CCES Communications
Example of Poor Communication Between the CCES
and an NSO
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National Sport Organization/CCES Communications

• The Past The CCES would send out a mass email to
  collect Program Plan Information once a year
• This did not work as many sports could not give
  information at that time of their season, it was
  also difficult for many sports to predict their
  National Team programs beyond a few months

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National Sport Organization/CCES Communications

• Under the Code National Sport Organizations are
  responsible for providing accurate and timely
  information regarding their National Teams
  training and competition program, while athletes
  are responsible for providing their individual
  training and competition programs

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National Sport Organization/CCES Communications

• New Program At least once a year the CCES NSO
  rep will meet (in person or by phone) with the
  NSO rep to discuss the upcoming competition
  season. Items that may be discussed include the
  competition and training seasons, the Athlete
  Testing Pool, as well as any other issues

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National Sport Organization/CCES Communications

• New Program Quarterly, each NSO will be sent
  forms to complete detailing their competitions
  and training camps

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• Testing Program Changes

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Testing Program Changes

• The Past The two main categories of testing were
  Announced and Unannounced. NSOs requested
  Announced Testing, while testing conducted at the
  discretion of the CCES were classified as
  Unannounced

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Testing Program Changes

• Under the Code Testing will be classified in two
  categories In-Competition and Out-of-Competition.
  Both types of testing must be planned and
  implemented under a Test Distribution Plan

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Testing Program Changes

• New Program Announced testing will be replaced
  by Event testing, which will be conducted at
  competitions selected by the CCES (following the
  Test Distribution Plan) with input from the NSO.
  Host committees will have the same
  responsibilities for Event Testing as they did
  for Announced testing

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Testing Program Changes

• The Past Athlete selection (for tests conducted
  out-of-competition) was carried out mainly by
  random draws conducted at training sites
• Under the Code A Test Distribution Plan must
  allow for athletes to be selected using weighted,
  random and target selection methods

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Testing Program Changes

• New Program Weighted Draws will be conducted at
  the CCES office, while Random draws will continue
  to be conducted in the field.

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Testing Program Changes

• The Past In order to conduct a Target Test, a
  written request had to be presented by a reliable
  source detailing the reasons for the request,
  this request was then presented to the CCES
  Doping Control Review Board. The Board would then
  grant or deny permission to target the athlete

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Testing Program Changes

• Under the Code Athletes should be considered for
  Target Testing based on a set of criteria
  established under the Code, as part of a Test
  Distribution Plan

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Testing Program Changes

• New Program The CCES will have an internal
  process for considering Target Tests, although
  NSOs and the sport community will continue to be
  encouraged to bring forward information and
  requests for Target Tests

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• Athlete Testing Pools

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Athlete Testing Pools

• The Past NSOs were required to submit an Athlete
  Testing Pool at least annually. The calibre of
  athletes in this pool were determined by the NSO
  using criteria set out by the CCES

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Athlete Testing Pools

• Under the Code A National Registered Testing
  Pool must be defined, the athletes in this pool
  shall include as a minimum Athletes who are part
  of national teams in Olympic and Paralympic
  sports and recognized National Federations. These
  athletes are required to submit Whereabouts
  Information

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Athlete Testing Pools
International Federation
New Program
Registered Testing Pool
Domestic Testing Pool
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Athlete Testing Pools

• Domestic Testing Pool Athletes Athletes who have
  been selected by the NSO in consultation with the
  CCES and are subject to random In and
  Out-of-Competition Testing

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Athlete Testing Pools

• Criteria for the Domestic Testing Pool will be
  set during the annual CCES/NSO meeting
• Avoid the following situations
• NSO X Sport with a relatively low participation
  rate and a low profile 180 athletes in the
  testing pool
• NSO Y Sport with a relatively high participation
  rate and a high profile 12 athletes in the
  testing pool

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Athlete Testing Pools

• Registered Testing Pool Athletes Athletes who
  have been selected by the CCES (based on Sport
  Canada Carding), these athletes are required to
  submit Whereabouts Information and are subject to
  both weighted and random In and
  Out-of-Competition Testing
• International Federation Athletes Athletes who
  have been selected by an International Federation
  to be in their Registered Testing Pool (are
  responsible for providing both the CCES and their
  IF with Whereabouts Information)

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• Athletes Whereabouts Program

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Athletes Whereabouts Program

• Under the Code Athletes in the Registered
  Testing Pool shall be required to submit timely
  and accurate Whereabouts Information

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Athletes Whereabouts Program

• The CCES will establish the Registered Testing
  Pool for each sport based on the sports carding
  schedule
• The CCES will provide each NSO a list of Athletes
  that will be required to complete Athlete
  Whereabouts Information

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Athletes Whereabouts Program

• At least one month before the beginning of a new
  quarter, the CCES will distribute a whereabouts
  package for the athletes in the Registered
  Testing Pool, this package may contain education
  information as well as the Athlete Location Form

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Athletes Whereabouts Program

• The Athletes in the Registered Testing Pool will
  be required to submit the Athlete Location Form
  at least two weeks prior to the start of a
  quarter
• Athlete Location Forms may be submitted via fax,
  email or post
• The CCES will have a dedicated email address and
  fax number for whereabouts information

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Athletes Whereabouts Program

• Athletes will also be provided with a Change of
  Information Form, which can be submitted at any
  time to update the Athlete Location Forms
• Athletes who are required to submit a Location
  Form to their International Federation may submit
  the IF form to the CCES (as long as it meets
  minimum requirements)
• Until the WADA Clearinghouse is up and running,
  Athletes will have to submit forms to their IF
  and to the CCES

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• Failure to Provide Accurate and Timely Whereabouts

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Failure to Provide Timely and Accurate Whereabouts

• When an Athlete fails to submit a Location Form
  by the deadline the following will occur
• The CCES will send a letter to the NSO requesting
  an explanation from the athlete as to why the
  Athlete failed to submit the form
• The explanation will be submitted to an
  independent panel, the panel will determine
  whether or not to declare a Failure to Provide
  Whereabouts
• Should the athlete not submit an explanation, a
  Failure to Provide Whereabouts will be declared

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Failure to Provide Timely and Accurate Whereabouts

• The Athlete Location Form should be up-to-date
  and accurate
• Should a CCES Doping Control Officer make a
  reasonable attempt to test an athlete, making
  several attempts to locate an athlete using all
  of the information on the Location Form, the DCO
  will complete a Missed/Unavailable to Test Form

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Failure to Provide Timely and Accurate Whereabouts

• When the CCES receives a Missed/Unavailable to
  Test Form the following will happen
• The CCES will internally review the DCO paperwork
  to determine whether or not to pursue a Missed
  Test
• The CCES will send a letter to the NSO requesting
  an explanation as to why the Athlete was
  unavailable for testing
• The explanation will be submitted to an
  independent panel, the panel will determine
  whether or not to declare a Missed Test
• Should the athlete not submit an explanation, a
  Missed Test will be declared

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Failure to Provide Timely and Accurate Whereabouts

• Any combination of three Failures to Provide
  Whereabouts and/or Missed Tests in a rolling 18
  month period will result in the declaration of an
  Anti-Doping Rule Violation
• As in the case of any Anti-Doping Rule Violation
  the athlete will have the opportunity to a
  hearing prior to being suspended

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• Therapeutic Use Exemptions (TUE)

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Abbreviated TUE

• (formerly Medication Declaration)
• 4 inhaled beta-2 agonists
• Formoterol
• Salbutamol
• Salmeterol
• Terbutaline
• Glucocorticosteroids by non-systemic routes
• Dermatological (skin creams)
• Inhalation (puffers)
• Ophthalmic (eye drops)
• Aural (ear drop)
• Nasal (sprays and mists)
• Local and intra-articular injections

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() Abbreviated TUE

• Requires proper completion of the Abbreviated TUE
  form
• Valid for the prescribed duration of the
  treatment up to a maximum of one year

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Standard TUE

• (formerly Medical Approval)
• Exemption for the use of prohibited substances or
  prohibited methods used to treat medically
  justified reason
• Common examples Insulin for insulin-dependent
  diabetes, Methylphenidate (Ritalin) for ADD,
  Prednisone for Crohns disease

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() Standard TUE

• Requires proper completion of the Standard TUE
  Application form
• Requires relevant medical documentation to
  confirm physicians diagnosis
• Medical history
• Examinations
• Laboratory investigations
• Imaging studies
• Reports or letters
• Etc.

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() Standard TUE

• Form and documentation are sent to the CCES
  Doping Control Review Board (DCRB) for approval
• If given exemption, valid for the prescribed
  duration of the treatment up to a maximum of two
  years

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Currently

• Only valid under the Canadian Domestic Doping
  Control Program
• International athletes are strongly recommended
  to check with their International Sport
  Federation (different procedures, different
  duration, different forms, etc.)

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The Canadian Anti-Doping Program

• All TUE applications must be submitted no later
  than 21 days prior to competition
• Athletes will receive confirmation of their TUEs
• Athletes are only required (and allowed) to
  submit TUE application to one organisation

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The Canadian Anti-Doping Program

• TUEs granted to athletes in the CCES Registered
  Testing Pool will be forwarded to WADA
• TUEs sent to WADA are subject to review
• WADA can reverse a decision
• Athletes who have been denied TUE can request, at
  their expense,a review by WADA TUEC

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Transition

• Current Medication Declaration and/or Abbreviated
  TUEs will remain valid for up to 6 months after
  the Canadian Anti-Doping Program comes into force
  and effect
• Current Medical Approvals and/or Standard TUEs
  will remain valid for up to one year after the
  Canadian Anti-Doping Program comes into force and
  effect