UK Sport welcomes you to the launch of

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Tutor Training Anti-Doping in 2009 Joe
Marshall Jude Ford, UK Sport
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100 ME The Brand
Personal Governance Effort commitment and
determination Fairness in sport Values
choice Sporting excellence Core principles
applicable to ALL athletes
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AWARENESS
EMPOWERMENT
CHOICE
OUTREACH
ACCREDITATION
AMBASSADORS
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AMBASSADORS
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OUTREACH
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Any EDUCATION
Informal education Workshops / Talks /
1-to-1s Taking 100ME to the athlete - Sport
events
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National School Rugby Sevens
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ACCREDITATION
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Thats you!
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You will NOT BE Anti-doping gurus You will
Establish what information is relevant to which
athletes Equipped with all the relevant
educational resources Point athletes in the
right direction for further information Have a
good working knowledge of ant-doping
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Global Structures
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UKSPORT VS Ukad
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Anti-Doping within UK Sport

• Diversity of the UK Sport remit
• Lottery funding for Elite Olympic/Paralympic
  Sport
• Anti-Doping functions for all elite sport in UK
• International Development in Sport remit
• Case Management for Anti-Doping
• Responsibility resides with the National
  Governing Body of Sport
• So sport prosecutes and supports the athletes at
  a hearing

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Modernisation of the National Anti-Doping
Organisation

• Fight against doping means going Upstream
• - Performance or potential for performance
  enhancing
• - Serious Organised Crime Agency
• - Association Chief Police Officers
• - HM Revenues and Customs
• Focus of 2012 2014
• - London and Glasgow a no go zone for drugs
  cheats

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The World Anti-Doping Code
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World Anti-Doping Program
The World Anti-Doping Code
International Standards
UK Sports National Anti-Doping Rules
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The Code Strict Liability

• Athletes are solely responsible for any
  prohibited substance found in their system
  despite whether there was an intention to cheat
  or not

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THE PROHIBITED LIST
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What is the Prohibited List?

• PART 1
• Produced by WADA it identifies prohibited
  substances and methods
• BUT WHY DO THEY GO ON?

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What criteria do you think WADA should use to put
something on the List?

• 1. Potential to enhance or enhances sport
  performance
• Actual or potential health risk to the athlete
• Use violates the spirit of sport

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So what would you put on the Prohibited List?

• Steroids Social drugs
• EPO
• Growth Hormones
• Inhalers
• Insulin
• Pain injections

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Is it just prohibited substances?

• Gene Doping
• Blood doping
• Providing someone
• elses sample
• Tampering with a sample

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Is it just prohibited substances?

• SUBSTANCES
• Bigger, Faster and Stronger
• Steroids (S1)
• Growth hormones (S2)
• (And associated agents to produce these) (S4)
• Breathe more easily (beta-2) (S3)
• Weight lose (diuretics) (S5)
• Masking agents (S5)

• METHODS
• Blood Doping
• (Oxygen Transfer) (M1)
• Chemical and Physical Manipulation (M2)
• Gene Doping (M3)

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Is the Prohibited List the same all the time?

• PART 2
• WADA distinguish between the status being
  dependent on whether in- and out-of competition
• BUT WHY IS IN-COMPETITION IMPORTANT?

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Specified and Non-Specified Substances

• Specified substances
• Presence could have a credible non-doping
  explanation and taken with no-intent to cheat
• Non-Specified Substances
• S1, S2, S4 and S6a
• M1, M2 and M3

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What is prohibited in-competition?

• SUBSTANCES
• Uppers
• Non-specified Stimulants (S6a)
• Specified Stimulants (S6b)
• Downers
• Cannabinoids (S8)
• Pain reduction
• Narcotics (S7)
• Pain/swelling reduction
• Glucocorticosteroids (S9)

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• Should this be the same for all Sports?
• Alcohol, Beta Blockers
• (TARGET SPORTS)
• Is the List ever updated?
• At least every year

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What does an athlete need to know about the
Prohibited List?

• There is a LIST of things cant take or do
• 2. It changes
• in and out of comp split
• sport specific additions
• updated every year

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• CASE STUDIES

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Questions

• For what substance / method did the athlete test
  positive for which category
• Why might that substance / method have been
  banned
• Was this substance banned in or out of
  competition
• Was the substance specified?

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Break
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CHECKING MEDICATION
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Alain Baxter
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Checking Medications
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Travelling abroad

• Look the same, not the same
• Beware of Counterfeits
• Getting through Customs

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THERAPEUTIC USE EXEMPTIONS
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The Process
Athlete can take
Athlete can take
Denied
Approved
Prohibited
Sent to ADO
TUE Committee Review
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Medical Requirements

• Is the medical history well-documented?
• How accurate is the diagnosis?
• Is the treatment appropriate?
• Is the dosage time period of treatment defined?

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Criteria for granting a TUE

• The absence of the substance would harm the
  athletes health
• No performance enhancing effect
• No authorized therapeutic alternatives exist
• Condition not resulting from prior use of a
  prohibited substance

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2009 TUE Changes

• Removal of abbreviated TUE (ATUE) process
• Non-systemic GCs Declaration of use
• Beta-2 agonists TUE for asthma
• All other substances methods TUE

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Declaration of Use

• Restricted to localised injections inhalation
  routes only
• NRTP athletes ? ADAMS
• All other athletes ? UK Sport online form
• SCF tick box (tick if GCs used in last 4 weeks
  prior to Sample Collection)
• Guidance document on how to declare

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Asthma/EIA (beta-2 agonists)

• 4 year TUE for asthma if medical file contains
• Medical history
• Clinical review
• Baseline spirometry
• Spirometry following lung function test
• Current ATUEs are valid until they expire in 2009
  (exception ATUEs that expire in 2010 will now
  expire 31-Dec-09)
• Guidance document for physicians application
  form specifically for asthma

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The Process
Athlete can take
Athlete can take
Denied
Approved
Prohibited
Sent to ADO
TUE Committee Review
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Testing procedures
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Doping Control Summary

• Notification of selection for a drug test
• Reporting for testing
• Selecting a collection vessel
• Providing the sample under supervision
• Selecting the sampling kit
• Dividing and sealing the sample
• Testing the suitability of the sample
• Recording and certifying the Information

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Lunch
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What are the side effects of doping?

• Its difficult to know Why?
• Relevant studies only for therapeutic reasons,
  not for doping
• Substances or methods used by athletes are
  developed for patients with disease, not for
  healthy people

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What are the side effects?

• 3 Athletes using prohibited substances
• Are not necessarily followed by a health
  professional
• Often take larger doses than patients
• Might use drugs in combination with other
  substances
• 4. Illegal and counterfeit substances are likely
  to contain impurities or additives
• But we know a couple of side effects

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Anabolic Steroids
General side effects

• Increased risk of liver disease
• High blood pressure
• Increased risk of cardiovascular disease
• Psychological dependence
• Increased risk of contracting infectious diseases
  such as hepatitis and HIV/AIDS

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Anabolic Steroids
Also in Males
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Anabolic Steroids
Also in Females
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Anabolic Steroids
Also in Adolescents
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SUPPLEMENTS IN SPORT
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Supplements in Sport

• What is a supplement?
• Why would you use them?
• What are the desired effects?
• What are the risks?

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ADAM DEAN
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Supplements in Sport

• International IOC-study (2001) showed
  Cross-contamination of nutritional supplements
• Analyses of 634 nutritional supplements from 215
  companies located in 15 different countries
• 14,8 of the nutritional supplements contained
  prohormones not declared on the label
  demonstrating that labelling of preparations does
  not reflect their actual content

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Supplements in Sport

• Assess the Need
• Assess the Risk

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WHATS NEXT
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UK Sports Accountability

• Regular updates
• Resources
• Answer any questions
• Tutor section
• Statistics on workshops presented
• Workshop Attendance Register

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100 ME licensing scheme

• Your accreditation is valid for one year
• Tutor portal
• Quarterly on-line assessments
• Attendance register or account of
• Update personal information
• Signpost!! You know a man who does!!

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Resources

• drug-free_at_uksport.gov.uk
• Name and address
• What
• By when
• Numbers
• Purpose

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100 ME Website
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