Incoming Changes to the Canadian Anti-Doping Program for 2009 Julie Vallon, Athlete Services Manager Megan Cumming, Athlete Services Coordinator

What in the world is going on?  In 2004, the World Anti-Doping Agency implemented the first World-Anti-Doping Code (The Code)  The World Anti-Doping Code is the core document that provides the framework for harmonized anti-doping policies, rules and regulations within sports organizations and among public authorities  The current World Anti-Doping Code has undergone a thorough review and consultation  The revised Code will come into effect January 1, 2009

So why do we have to change?  CCES administers the Canadian Anti-Doping Program (CADP)  The CADP is the set of rules that govern doping control in Canada  The CADP is compliant with the World Anti-Doping Code and all international standards Therefore: When The Code changes, the CAPD must follow to stay compliant.

How will this affect you?  Athlete Whereabouts  Therapeutic Use Exemptions (TUE)  Results Management and Sanctions  Education  The Prohibited List  Sample Collection Process  CADP Adoption

Athlete Whereabouts The CADP will proceed with two tiers of Registered Testing Pool (RTP) athletes, each with a different set of requirements: National (NRTP) General (GRTP) Lists of NRTP and GRTP athletes will be posted on the CCES website prior to December 1. I’ll be at the track from 8:30 to 9:30.

Athlete Whereabouts - NRTP National Registered Testing Pool (NTRP) athletes must:  Participate in mandatory anti-doping education  Submit quarterly and maintain accurate Whereabouts  Provide general Whereabouts for the day and a “one hour compliance window”  Be available for testing at any time, not only during the “one hour” Athletes who fail to be in the “one hour” location during a test attempt will be required to provide an explanation and will potentially be given a missed test or ‘strike’. Keep your Whereabouts information up to date!

Athlete Whereabouts - GRTP General Registered Testing Pool (GRTP) athletes:  Must submit Whereabouts quarterly and ensure they are accurate  Are not required to provide a “one hour compliance window” GRTP athletes who fail to provide accurate Whereabouts information will be elevated to the NRTP and one-hour reporting. And again… Keep your Whereabouts information up to date!

How will this affect you?  Athlete Whereabouts  Therapeutic Use Exemptions (TUE)  Results Management and Sanctions  Education  The Prohibited List  Sample Collection Process  CADP Adoption

Therapeutic Use Exemption (TUE) A Therapeutic Use Exemption (TUE) may be granted by the CCES to an athlete permitting the use of a substance or method contained on the WADA Prohibited List. And how will this process change with the new International Standard for Therapeutic Exemption (ISTUE)…

Therapeutic Use Exemption for Asthma  TUE application requirements for Beta2-agonist asthma medications will be similar to that of the current Standard TUE process  The minimum requirements for Beta2-agonist asthma medications, and its clinical variants, when applying for a TUE must reflect current best medical practice to include: Complete medical history Comprehensive report of the clinical examination Spirometry report Contact info for examining physician

Therapeutic Use Exemption for Asthma Who applies to whom? Athletes in the IF RTP IF Athletes in CCES RTP only CCES Athletes not in an RTP Apply after an AAF

Therapeutic Use Exemption for GCS Glucocorticosteroids (GCS) are used to treat conditions common in the athlete population. There will be a simple declaration of use on ADAMS instead of the ATUE. Example:  GCS asthma inhalers  Intraarticular injections to reduce joint inflammation

How will this affect you?  Athlete Whereabouts  Therapeutic Use Exemptions (TUE)  Results Management and Sanctions  Education  The Prohibited List  Sample Collection Process  CADP Adoption

Results Management and Sanctions  Sanctions will be within a range, rather than a set time Specified substances Substantial assistance Aggravated sanctions  Mandatory provisional suspensions for steroid and hormone and other non-specified substances  Emphasis on investigations  Athletes will be less likely to be given a ‘warning’ as a result of Cannabis use  Athletes will be given 1-2 year sanctions for Whereabouts violations

Results Management and Sanctions Whereabouts Sanctions:  Athletes in the IF or CCES RTP are subject to anti-doping rule violations for not complying with Whereabouts requirements. The resulting sanction can range from the one-year minimum to two years.  Athletes in the CCES National RTP are subject to missed tests if they are not available during the “one-hour” compliance window. In addition, they are subject to quarterly filing failures.  Athletes in the CCES General RTP are subject to filing failure strikes only.

Results Management and Sanctions Whereabouts Sanctions:  The CCES and IFs will share athlete Whereabouts information submitted by: Athlete Location form ; and ADAMS (Anti-Doping Administration and Management System)  When an athlete fails to provide Whereabouts information or receives a missed test, this information is shared between jurisdictions. The athlete is always given an opportunity to explain.

How will this affect you?  Athlete Whereabouts  Therapeutic Use Exemptions (TUE)  Results Management and Sanctions  Education  The Prohibited List  Sample Collection Process  CADP Adoption I can’t wait to learn more about anti-doping!

Education Athletes are encouraged to take advantage of all available anti-doping resources:  Take E-learning courses  Visit the CCES web site regularly  Subscribe to for  Check all medications before use and again at the beginning of every year  Read the CADP rules  Know your rights and responsibilities

How will this affect you?  Athlete Whereabouts  Therapeutic Use Exemptions (TUE)  Results Management and Sanctions  Education  The Prohibited List  Sample Collection Process  CADP Adoption

The Prohibited List BIG classification change: “All Prohibited Substances shall be Specified Substances except substances in the classes of anabolic agents and hormones and those substances identified on the Prohibited List.” Which means: Anti-doping rule violations will be subject to more flexible sanctions. BUT are still anti-doping rule violations. But don’t forget: An athlete is held to strict liability which means that he/she will be held responsible for everything that is found in his/her system.

The Prohibited List Infusion Confusion Definition has been updated: Intravenous infusions are prohibited except in the management of surgical procedures, medical emergencies or clinical investigations.

The Prohibited List Supplements Athletes should know that supplements:  Are not subject to strict manufacturing regulations  May be contaminated with prohibited substances  May be counterfeit or made by an unauthorized source  May be incorrectly or misleadingly labeled Strict liability also extends to supplement and sport nutrition supplement use.

The Prohibited List Still not sure? Check before you use it! Call or Oh, hi CCES. What can you tell me about Ondansetron?

How will this affect you?  Athlete Whereabouts  Therapeutic Use Exemptions (TUE)  Results Management and Sanctions  Mandatory Education  The Prohibited List  Sample Collection Process  CADP Adoption

Sample Collection Process 1.New minimum volume requirement is 90ml 2.Minors (under 18) must have a representative with them during the doping control session 3.The athlete will be required to wash and rinse their hands thoroughly prior to sample provision 4.The athlete will open the collection vessel package after hand washing 5.Once the sample is split between glass bottles and sealed, the DCO will place the bottles in plastics bags. This is transportation requirement. Changes athletes may notice in the Sample Collection Process : 90ml

How will this affect you?  Athlete Whereabouts  Therapeutic Use Exemptions (TUE)  Results Management and Sanctions  Education  The Prohibited List  Sample Collection Process  CADP Adoption CADPWADA Code Chad

Incoming Changes to the Canadian Anti-Doping Program for 2009 Julie Vallon, Athlete Services Manager Megan Cumming, Athlete Services Coordinator

CADP Adoption  Revised CADP release date – October 15, 2008  CADP signatories (NSO/MSOs) must adopt by Dec. 31, 2008  Adoption = formal NSO/MSO acceptance (e.g. board motion) with copy to CCES  An adoption package will be directed to each NSO/MSO signatory to be completed and returned by the deadline  CCES will acknowledge all Canadian adoptions and file compliance reports with WADA  New CADP comes into force on January 1, 2009.

How can you help?  Be aware of the changes to the CADP that are forthcoming  Encourage other athletes in your sport to be aware and to know their rights and responsibilities  Advise your committees and Board of Directors that adoption of the new CADP by the deadline is important to ensuring a strong anti-doping program in Canada Tell them to watch for the Adoption package Encourage them to particpate  Know where to direct athletes, volunteers and/or staff for more information on the CADP and the changes forthcoming:

Know your Rights and Responsibilities!