Misplaced Pages

Therapeutic use exemption

Article snapshot taken from Wikipedia with creative commons attribution-sharealike license. Give it a read and then ask your questions in the chat. We can research this topic together.

A therapeutic use exemption ( TUE ), also known as a temporary use exemption , is a term created in 1991 and refers to an official medical document. The document gives an athlete permission to take a medication listed on the World Anti-Doping Agency’s (WADA) Prohibited List , normally prohibited because its use would be considered a performance enhancing drug . In 2017, the Australian and New Zealand Sports Law Journal referred to the abuse of TUEs as “The Legal Dope”.

#670329

65-469: An example of a TUE is the World Anti-Doping Agency 's exemption for testosterone replacement therapy . The average for a normal functioning male is a 1:1 ratio, but WADA allows up to a 4:1 ratio without testing positive for elevated testosterone. Mixed martial arts do not have as stringent anti-doping regulations as most other sports. The Journal of Legal Medicine quotes Dr. Johnny Benjamin,

130-551: A double-standard as Russian figure skater Kamila Valieva tested positive for TMZ and used the same excuse, but was subsequently banned for four years. WADA argued, based on non-published information and pharmacokinetics , that contamination would not have been possible in Valieva's case. In the case of the Chinese swimmers, that no international competition was occurring around the time of the positive tests, only athletes who stayed at one of

195-417: A former WADA investigator called for WADA to be restructured and that WADA's claims about the informant operation amounted to defamation , alleging that both WADA's former director-general and number two official were aware of its cooperation with USADA. WADA said the official that USADA was in touch with was a DEA agent who left WADA in 2016 and had no authority to approve such schemes. WADA reiterated that it

260-475: A historic long-term extension was signed establishing a partnership until 2032. The NPCs receive financial support for the training and development of Paralympic teams, Paralympic athletes and Paralympic hopefuls. There are 17 international federations recognized by the IPC, and there are three disability specific organizations, while the IPC has served as the international federation for multiple sports. As of 2021,

325-429: A medical journalist, as stating that in regards to TUEs in mixed martial arts, “TRT is far too easily abused”. In 2016, Russian cyberespionage group Fancy Bear disclosed information about TUEs granted to more than 100 Olympic athletes from over 20 countries, raising concerns over the misuse of TUEs for cheating, including Bradley Wiggins using the corticosteroid triamcinolone acetonide in 2011, 2012, and 2013. In

390-470: A recent study, 51% of professional athletes interviewed believed that athletes within their sport had received an unnecessary TUE, and another study reported 40% of professional athletes interviewed distrusted the TUE system. Abuse of TUEs happens for more than just steroids. Adderall pills were permitted by Major League Baseball and 85% of players used them as performance enhancing drugs until 2006. In that year,

455-539: A result of the report, many Russian athletes were barred from participating in the 2018 Winter Olympics. Despite widely accepted evidence, in 2018 WADA lifted its ban on Russian athletes. The reinstatement was strongly criticised by, among others, Russian whistleblower Grigory Rodchenkov , and his lawyer, James Walden . WADA is an international organisation. It delegates work in individual countries to Regional and National Anti-Doping Organisations (RADOs and NADOs) and mandates that these organisations are compliant with

520-554: Is Kelly Fairweather from South Africa, and Maja Makovec Brenčič of Slovenia is the public authority (government) nominee. There also exist several sub-committees with narrower remits, including a Finance and Administration Committee and an Athlete Committee peopled by athletes. The World Anti-Doping Code is a document published by WADA that approximately 700 sports organisations across the world are signatories to. The code "harmonizes anti-doping policies, rules, and regulations within sport organisations and among public authorities" for

585-592: Is an international organization co-founded by the governments of over 140 nations along with the International Olympic Committee based in Canada to promote, coordinate, and monitor the fight against drugs in sports. The agency's key activities include scientific research, education, development of anti-doping capacities, and monitoring of the World Anti-Doping Code, whose provisions are enforced by

650-572: Is composed of representatives from 183 National Paralympic Committees (NPCs), four international organizations of sport for the disabled (IOSDs) and five regional organizations. The IPC's headquarters is located in Bonn, Germany . On the basis of being able to organize the Paralympic Games more efficiently and to give the Paralympic movement one voice, the four international organizations of sports for

715-493: Is not a top priority for WADA. [REDACTED] Media related to World Anti-Doping Agency at Wikimedia Commons International Paralympic Committee The International Paralympic Committee ( IPC ; German : Internationales Paralympisches Komitee ) is an international non-profit organisation and the global governing body for the Paralympic Movement. The IPC organizes the Paralympic Games and functions as

SECTION 10

#1732905214671

780-525: Is not fully respected or if the application of the world antidoping code is hindered or undermined." NPR described the move as an attempt to crush the ongoing DOJ investigation in the United States. The agreement was signed off by the United States Olympic & Paralympic Committee (USOPC) and Salt Lake City officials but criticized by USADA. In response, U.S. lawmakers proposed a bill to give

845-568: Is president, and Yang Yang is vice-president of the committee. The Nominations Committee was created in September 2019 in order to ensure that the right people are recruited to serve in senior governance roles within the organisation. Independent Australian business executive Diane Smith-Gander was appointed as inaugural chair of the committee. Other independent members appointed are German human resources expert Regine Buettner and British business executive Simon Gillham . The sports movement nominee

910-462: The 2024 Chinese Olympic swimming team . In June 2024, US Olympic swimmers Michael Phelps and Allison Schmitt criticized the WADA in a Congressional hearing. In July, the International Olympic Committee accepted Salt Lake City 's bid to host the 2034 Winter Olympics under the condition that the contract could be terminated "in cases where the supreme authority of the WADA in the fight against doping

975-642: The British Paralympic Association and UK Sport to assist in spinning off World Para Athletics and World Para Swimming as independent federations that would be based in Manchester . Para dance sport was transferred to World Abilitysport (formerly IWAS) in 2024. Supervises and co-ordinates the World Para Athletics Championships , World Para Athletics European Championships and other competitions. Supervises and co-ordinates

1040-861: The Council of Europe in Strasbourg was opened for signature on 16 December 1989 as the first multilateral legal standard in this field. It has been signed by 52 states including all 47 member states of the Council of Europe and non-member states Australia, Belarus, Canada, Morocco, and Tunisia. It was revealed in May 2011 that the American National Football League (NFL), which does not participate in any international competition and had previously resisted more stringent drug testing, might allow WADA to conduct its drug tests instead of doing it in-house. This could lead

1105-556: The International Paralympic Committee . The World Anti-Doping Agency is a foundation created through a collective initiative led by the national governments of over 140 countries along with the International Olympic Committee (IOC). It was set up on 10 November 1999 in Lausanne , Switzerland, nearly a year after meetings that resulted in what was called the "Declaration of Lausanne", to promote, coordinate and monitor

1170-537: The Office of National Drug Control Policy permanent authority to withhold U.S. funding for WADA if it deems WADA's anti-doping actions sub-standard. British swimmer Adam Peaty , who competed at the 2024 Summer Olympics , also expressed dissatisfaction with the World Anti-Doping Agency's efforts to combat cheating in sports. In September 2024, Swiss prosecutor Eric Cottier, who was picked by WADA to investigate

1235-619: The Salt Lake 2002 Organizing Committee (SLOC), chose to follow the practice of "one bid, one city" already at the 2002 Games in Salt Lake City, with one Organizing Committee for both Games, which was followed up by the 2004 Games in Athens and Beijing in 2008. The agreement was adjusted in 2003. An extension was signed in June 2006. A further extension was signed in 2012, valid until 2020. In March 2018,

1300-727: The UNESCO International Convention Against Doping in Sport . The aims of the Council of Europe Anti-Doping Convention and the United States Anti-Doping Agency are also closely aligned with those of WADA. WADA is responsible for the World Anti-Doping Code , adopted by more than 650 sports organisations, including international sports federations, national anti-doping organisations, the IOC, and

1365-660: The World Para Dance Sport Championships and other competitions. The rebranding saw the sport renamed from "wheelchair dance sport" to "Para dance sport" due to the IPC's desire to expand the sport beyond wheelchair users. Supervises and co-ordinates the World Para Ice Hockey Championships and other competitions. With the November 2016 rebranding, the official name of the sport was changed from "sledge hockey" to "Para ice hockey". This change

SECTION 20

#1732905214671

1430-504: The "whereabouts" requirements. The International Association of Athletics Federations and UK Sport are two of the most vocal supporters of this rule. Both FIFA and UEFA have criticised the system, citing privacy concerns, as has the BCCI . WADA has published a Q&A explaining the rationale for the change. Professor Donald A. Berry has argued that the closed systems used by anti-doping agencies do not allow statistical validation of

1495-644: The 2021 Code Review Process, which also involved simultaneous review of the International Standards. During this time, stakeholders had multiple opportunities to contribute and make recommendations on how to further strengthen the global anti-doping program. Following the review process, stakeholders were invited to intervene publicly on the proposed Code and Standards during the Agency's Fifth World Conference on Doping in Sport in Katowice, Poland – an opportunity which

1560-540: The Chinese swimming team tested positive for a performance-enhancing drug called trimetazidine (TMZ) seven months prior to the start of the 2020 Summer Games and were allowed to participate in the games with some of the swimmers winning medals. Following the publication of the report, Travis Tygart , CEO of the United States Anti-Doping Agency , accused the WADA and the China Anti-Doping Agency (CHINADA) of covering up doping by Chinese swimmers. WADA argued

1625-640: The DCA in question lacked proper identification, a situation that he said had happened previously with the same assistant. FINA's Doping Panel issued Sun with a warning but imposed no penalty. WADA appealed the FINA decision to the Court of Arbitration for Sport . A three-member CAS panel found Sun guilty of refusing to co-operate with sample testers and banned him from competitive swimming until February 2028. On 20 April 2024, The New York Times and ARD revealed that 23 members of

1690-698: The General Assembly, including the President and Vice President. The most recent election for the Governing Board was held on 12 December 2021: The IPC Athletes' Council Chairperson, Jitske Visser , and IPC Athletes' Council First Vice Chairperson, Josh Dueck , also have voting rights on the board. The IPC has an honorary board of distinguished individuals who support the IPC's goals and use their profile to raise funds and awareness for its work. Current honorary board members are: Chronology of milestones in

1755-425: The IOC, and the International Paralympic Committee . As of 2020 , its president is Witold Banka . Initially funded by the International Olympic Committee , WADA receives half of its budgetary requirements from them, with the other half coming from various national governments. Its governing bodies are also composed in equal parts by representatives from the sporting movement (including athletes) and governments of

1820-614: The IPC between meetings of the General Assembly. Robert D. Steadward became the first President in 1989. Since 2017, Andrew Parsons is President of the IPC. The International Paralympic Committee has had three presidents to date. Its founding president, who presided over it from 1989 to 2001, was the Canadian Robert Steadward , who had previously founded the Canadian Sports Fund for the Physically Disabled. He

1885-554: The IPC governed Paralympic alpine skiing, athletics, biathlon, cross country skiing, sledge hockey (Para ice hockey), powerlifting, shooting (shooting Para sport), snowboarding, swimming, and wheelchair dancesport (Para dance sport). On 30 November 2016, to distinguish them from the Paralympic Games, the IPC adopted the new blanket branding World Para Sports , with the subcommittees rebranded accordingly. It also renamed three sports to align with this new name; Paralympic shooting

1950-642: The IPC's governance "created perceptions of conflict of interest, disparity in the application of resources, a sense of unfairness between the IPC Sports and those which are not and confusion about the IPC’s role, all of which is impacting its reputation." In July 2022, the IPC transferred governance of skiing, snowboard, and biathlon to the International Ski and Snowboard Federation (FIS) and International Biathlon Union (IBU) respectively, and in June 2023 appointed

2015-642: The IPC. In June 2001, the International Olympic Committee (IOC) and the International Paralympic Committee (IPC) signed an agreement that would ensure that the staging of the Paralympic Games is automatically included in the bid for the Olympic Games . The agreement came into effect at the 2008 Paralympic Summer Games in Beijing, and the 2010 Paralympic Winter Games in Vancouver. However,

Therapeutic use exemption - Misplaced Pages Continue

2080-494: The Russian hacking group Fancy Bear . According to WADA, some of the data the hackers released had been forged. Due to evidence of widespread doping by Russian athletes , WADA recommended that Russian athletes be barred from participating in the 2016 Rio Olympics and Paralympics. Analysts said they believed the hack was in part an act of retaliation against whistleblowing Russian athlete Yuliya Stepanova , whose personal information

2145-506: The World Anti-Doping Code. WADA also accredits around 30 laboratories to perform the required scientific analysis for doping control. The statutes of WADA and the World Anti-Doping Code mandate the Court of Arbitration for Sport 's ultimate jurisdiction in deciding doping-related cases. The highest decision-making authority in WADA is the 38-member Foundation Board, which is comprised equally of IOC representatives and representatives of national governments. The Foundation Board appoints

2210-550: The agency's president. Most day-to-day management is delegated to the executive committee. The executive committee, comprising 16 members, is delegated the Foundation Board to manage the day-to-day operations of the WADA. They are also responsible for all decisions not reserved by WADA's Statutes to the Board. Representatives are appointed by the IOC and governments. Many are current or former athletes. As of April 2024 Witold Bańka

2275-465: The amount detected was too low to enhance performance, and CHINADA, who had reported the results to WADA and FINA (now World Aquatics), blamed them on contamination from a hotel kitchen, a rationale that potentially exempts findings from being made public. WADA released a statement, explaining that "[it] was not possible for WADA scientists or investigators to conduct their enquiries on the ground in China given

2340-563: The announcement, only the world championships were immediately changed to reflect the new branding; the full switchover did not occur until the 2017–18 season. In December 2021 during its virtual General Assembly, the IPC voted on a mandate to transfer its international governance of Paralympic sports to independent bodies by 2026, either by transferring them to an existing governing body, or spinning off subcommittees as independent federations. A governance review published in October 2019 found that

2405-490: The case of the 23 Chinese swimmers, released his final report noting that some rules were not followed by CHINADA but this did not affect the "acceptance of the contamination hypothesis". The report said WADA did not show favouritism but its administrative processes could be strengthened. The findings largely matched Cottier's June interim report. On 28 July 2024, The Guardian ran a special report on USADA's recruitment of dopers to act as undercover informants to assist with

2470-458: The case was acknowledged by sources from World Athletics . On 7 August 2024, WADA referred Reuters story exposing a scheme whereby the U.S. Anti-Doping Agency (USADA) allowed doped athletes to compete for years in direct contravention of the World Anti-Doping Code and USADA's own rules. According to WADA, the USADA "scheme threatened the integrity of sporting competition" and was "in clear breach of

2535-610: The code took effect on 1 January 2021. In 2004, the World Anti-Doping Code was implemented by sports organisations prior to the Olympic Games in Athens , Greece . In November 2007, more than 600 sports organisations (international sports federations, national anti-doping organisations, the International Olympic Committee, the International Paralympic Committee, and a number of professional leagues in various countries of

2600-484: The development of the International Paralympic Committee and the Summer and Winter Paralympics . The IPC publishes The Paralympian three times a year. In addition, the IPC maintains an active Instagram among other social media channels to share updates. The Paralympics and other sport events related to the Paralympic movement are broadcast on ParalympicSportTV, an internet TV channel for Paralympic sports created by

2665-536: The disabled founded the International Co-ordination Committee of World Sports Organizations for the Disabled (ICC) in 1982. In the upcoming years, other organizations joined and the need for a democratically guided organization emerged, as demanded by the nations participating in the Paralympic Movement. They desired a democratic structure, to improve national and regional representation, which led to

Therapeutic use exemption - Misplaced Pages Continue

2730-451: The extreme restrictions in place due to a COVID-related lockdown. WADA ultimately concluded that it was not in a position to disprove the possibility that contamination was the source of TMZ and it was compatible with the analytical data in the file." World Aquatics 's investigation agreed with WADA. After the story was leaked, WADA was criticised by the United States Anti-Doping Agency (USADA) and athletes for not being transparent about

2795-437: The federal Drug Enforcement Administration 's (DEA) efforts to catch other dopers. This is permitted if WADA agrees. WADA later said it was not notified and the action breached its rules. Following the report, WADA stated that USADA allowed at least three athletes who had violated anti-doping rules to continue competing for years in exchange for their serving as undercover agents to identify other dopers. The effectiveness of

2860-606: The fight against drugs in sports . Since 2002, the organisation's headquarters have been located in Montreal , Quebec , Canada. The Lausanne office became the regional office for Europe. Other regional offices have been established in Africa, Asia/Oceania and Latin America. WADA is responsible for the World Anti-Doping Code, adopted by more than 650 sports organisations, including international sports federations, national anti-doping organisations,

2925-411: The findings and keeping "clean athletes in the dark". WADA's choice of Swiss attorney Eric Cottier to lead an investigation into the matter also drew criticism because he was hand-picked by the agency. Experts interviewed by The New York Times said trace amounts of TMZ can be detected near the end of a doping excretion period but could not rule out contamination either. WADA was also accused of having

2990-608: The foundation of the IPC as it is known today. The 1994 Winter Paralympics , in Norway, were the first to be organized by the IPC. The IPC functions as an umbrella organization, representing several sports and disabilities, in contrast to other international sports organizations for athletes with a disability, which are predominantly limited to a single sport or disability (as well as the International Olympic Committee , which relies on separate member sanctioning bodies representing each Olympic sport). A fifteen-member Governing Board oversees

3055-430: The hotels tested positive, and some individuals alternated between positive and negative results all point to contamination, not doping. In May 2024, WADA announced that it held an extraordinary meeting to discuss the positive test results of the Chinese swimmers. WADA said it asked USADA to produce the whistleblowers alleging doping by the Chinese but has received no response, adding that American athletes had "some of

3120-487: The international federation for nine sports. Founded on 22 September 1989 in Düsseldorf , West Germany , its mission is to "enable Paralympic athletes to achieve sporting excellence and inspire and excite the world". Furthermore, the IPC aims to promote the Paralympic values and to create sport opportunities for all persons with a disability, from beginner to elite level. The IPC has a democratic constitution and structure and

3185-546: The most elaborate and surprising contamination scenarios" in the past. USADA in response criticised WADA for attacking the messenger and its lack of transparency. The United States has threatened to stop funding WADA and called the Federal Bureau of Investigation (FBI) under the United States Department of Justice (DOJ) to look into the matter. Eleven of the 23 swimmers involved in the controversy were named to

3250-499: The organization banned “greenies” but started granting TUEs for the substance. In eight years, the percentage of MLB players with TUEs for Adderall increased from 3 percent to 14 percent, prompting concerns that the substance is again being abused as a performance enhancing drug. In addition to steroids, insulin is a concern for cheating with TUEs. As the Cycling Independent Reform Commission’s 2015 report to

3315-472: The president states, “One team doctor stated that he believed the TUE system had been regularly abused, particularly as previously mentioned, in the area of corticoids. Today there appears to be concern among riders about the way in which TUEs are used for corticoids and insulin in particular, and the extent to which they are being abused”. World Anti-Doping Agency The World Anti-Doping Agency ( WADA ; French : Agence mondiale antidopage , AMA )

SECTION 50

#1732905214671

3380-437: The purpose of "protect[ing] the athletes' fundamental right to participate in doping-free sport". The code is supplemented by eight international standards published by WADA covering the topics of prohibited substances, testing and investigations, laboratories, Therapeutic Use Exemptions , protection of privacy and personal information, code compliance by signatories, education, and results management. The most recent version of

3445-410: The rules". WADA also highlighted that in one case, the USADA suppressed the publication by WADA of any information about an offending athlete on grounds of risk to that athlete's personal security, and WADA had no choice but to accede to the USADA request for confidentiality. On August 8, 2024, CHINADA strongly urged that an independent investigation be conducted into the matter. On August 19, 2024,

3510-483: The tests. This argument was seconded by an accompanying editorial in the journal Nature (7 August 2008). The anti-doping community and scientists familiar with anti-doping work rejected these arguments. On 30 October 2008, Nature (Vol 455) published a letter to the editor from WADA countering Berry's article. There has been at least one case where the development of statistical decision limit used by WADA in HGH use testing

3575-475: The way to testing for HGH, which had previously been without testing in professional American football . However, as of September 2013 , cooperation was stalemated because "blood-testing for human growth hormone in the NFL had been delayed by the NFL's players union , who had tried 'every possible way to avoid testing ' ". As American football players do not participate in international sporting events, that issue

3640-622: The world) unanimously adopted a revised Code at the Third World Conference on Doping in Sport, to take effect on 1 January 2009. In 2013, further amendments to the Code were approved, doubling the sanction for a first offence where intentional doping is established, but allowing for more lenient sanctions for inadvertent rule violations or for athletes co-operating with anti-doping agencies. The updated code came into effect on 1 January 2015. On 16 November 2017, WADA's Foundation Board initiated

3705-542: The world. The Agency's key activities include scientific research, education, development of anti-doping capacities, and monitoring of the World Anti-Doping Code. In 2016, academic Richard McLaren , an independent investigator working on behalf of WADA, published a second part of his report (the first having been published in July 2016) showing that more than 1,000 Russian athletes in over 30 sports had been involved in or benefited from state-sponsored doping from 2011 to 2015. As

3770-496: Was found invalid by the Court of Arbitration for Sport . In 2018,a case containing samples from an anti-doping test, but not the vials themselves, was smashed by the security guards of Chinese swimmer Sun Yang . In justification, the Doping Control Assistant (DCA) in charge of the testing mission was later criticised by Sun Yang, Chinese media, journalists, and scholars for not following the proper protocols. Sun argued

3835-627: Was made upon the request of the sport's community, partly due to the word "sledge" having different meanings across languages. Supervises and co-ordinates the World Para Powerlifting Championships and other competitions. Supervises and co-ordinates the World Shooting Para Sport Championships and other competitions. The rebranding saw the sport renamed as "shooting Para sport" to avoid possible confusion with parachuting . Supervises and co-ordinates

3900-443: Was not aware of the practice until 2021 and as soon as it learned of the practice, it asked USADA to stop. In August 2016, the World Anti-Doping Agency reported the receipt of phishing emails sent to users of its database claiming to be official WADA communications requesting their login details. After reviewing the two domains provided by WADA, it was found that the websites' registration and hosting information were consistent with

3965-1040: Was released in the breach. In August 2016, WADA revealed that their systems had been breached, explaining that hackers from Fancy Bear had used an IOC-created account to gain access to their Anti-doping Administration and Management System (ADAMS) database. The hackers then used the website fancybear.net to leak what they said were the Olympic drug testing files of several American athletes who had received therapeutic use exemptions, including gymnast Simone Biles for methylphenidate , tennis players Venus Williams (for prednisone , prednisolone , triamcinolone , and formoterol ), and Serena Williams (for oxycodone , hydromorphone , prednisone , prednisolone , and methylprednisolone ), and basketball player Elena Delle Donne (for an amphetamine and hydrocortisone ). The hackers focused on athletes who had been granted exemptions by WADA for various reasons. Subsequent leaks included athletes from many other countries. The Anti-Doping Convention of

SECTION 60

#1732905214671

4030-539: Was renamed to "shooting Para sport" (to reduce confusion with parachuting ), wheelchair dancesport became "Para dance sport" (as the committee expressed interest in governing dancesport for other classifications besides wheelchair), and sledge hockey became "Para ice hockey" (for both branding and linguistic reasons). Sports contested in the Summer Paralympics began using the new branding immediately. For winter sports, whose competitive seasons had already started by

4095-575: Was succeeded in 2001 by Philip Craven , a British Paralympian and former President of the International Wheelchair Basketball Federation , who served as president until 2017. Craven was succeeded by Brazil's Andrew Parsons , who was IPC Vice President from 2013 to 2017 and a former President of the Brazilian Paralympic Committee . The IPC Governing Board consists of 14 members, of which 12 are elected at

4160-399: Was taken up by over 70 stakeholder organisations – before the Code and the full suite of Standards were approved by the Foundation Board and executive committee respectively. The anti-doping code revised the whereabouts system in place since 2004, under which, as of 2014 , athletes are required to select one hour per day, seven days a week to be available for no-notice drugs tests. This

4225-556: Was unsuccessfully challenged at law in 2009 by Sporta, the Belgian sports union, arguing that the system violated article 8 of the European Convention on Human Rights ; and by FIFPro , the international umbrella group of football players' unions, basing its case on data protection and employment law. A significant number of sports organisations, governments, athletes, and other individuals and organisations have expressed support for

#670329