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Communication 1030 - Medical Code - Anti-Doping Rules

(This Communication replaces Communication No. 956)
1.1 	Doping or Doping Methods are contrary to the spirit of good and fair sportsmanship and 	
        are forbidden according to ISU Rule 139. A competitor who is found to have used doping 	
        substances or methods and any person who has aided the competitor in the use of 	
        doping substances or methods is subject to sanctions of this Rule.

1.2. 	Definitions

1.2.1. 	Doping - is defined as the use of an artifice, whether substance or method, potentially
       	dangerous to athletes' health and/or capable of enhancing their performances, or the 	
        presence in the athletes' body of a substance, or the ascertainment of the use of a 	
        method on the list annexed to the Olympic Movement Anti-Doping Code.
	
        This Code applies to all athletes, coaches, instructors, officials, and to all medical 	
        and  paramedical staff working with athletes or treating athletes participating in or	
        training for sports competitions organized within the framework of the ISU.

1.2.2	Doping Methods

	a) Blood Doping is any use of transfusions of blood, blood products or artificial oxygen 	
           carriers either obtained, stored and reinfused from the competitor, or obtained from 	
           another individual and transfused into the competitor in order to increase 	
           athletic performance and is forbidden.

	b) Pharmacological, chemical, and physical manipulation - any use of forbidden 	
           substances or methods to enhance performance including those which alter the 	
           integrity or validity of the urine or blood samples used in doping controls is forbidden.

1.2.3	Classes of drugs subject to certain restrictions

	a) The use of corticosteroids is limited to topical use (creams etc.), inhalation
 	   (e.g. in asthma rhinitis) and local or intra-articular injections.

	b) Of the Beta 2 agonists, only salbutamol, terbutaline and salmeterol are permitted and
 	   only by inhalation.

	c) Written notification of insulin dependant diabetes must be submitted to the ISU
 	   Secretariat by the skater's endocrinologist or team physician. 

1.2.4 	The administration and use of corticosteroids or Beta 2 agonists as listed 	
        above must be reported on the ISU Medical Notification Form which must be given to the 	
        ISU Medical Advisor or the ISU Representative PRIOR to the competition. Such written	
        report will be recorded on the doping control form.

1.2.5	Each skater requiring Beta 2 agonists or inhaled corticosteroids for asthma must submit
 	a letter, to the ISU Secretariat, from a respiratory physician or team physician at the
 	beginning of each season.

1.3	Doping classes and Methods
	The ISU recognizes the current International Olympic Committee list of doping classes
 	and methods which is upgraded frequently and may be obtained from the ISU Secretariat.

1.3.1	Rule 139 ISU General Regulations
	Team managers, coaches and skaters are expected to know, enforce and fully respect
	Rule 139 at all times.

1.4	Doping Control Tests

1.4.1	Without any notice at any time and at any place, the ISU has the right to carry out
 	Doping tests of skaters including suspended skaters, of ISU Members, including out of
 	competition tests (see Rule 139, paragraph 3). The Members are required to support the
 	work of the ISU, especially in presenting the selected skaters and providing all
 	necessary information. Out of competition tests may be done by a doping control
 	agency approved and appointed by the ISU.

1.4.2	Doping tests must be carried out at all ISU sanctioned events in accordance with the
 	current ISU Rules and the current Medical Code/ Doping Rules as published in an ISU
 	Communication which includes :
	ISU Championships, World Cup Competitions (Speed Skating and Short Track Speed 	Skating), 
        regional qualifying events for World Speed Skating Championships, Grand Prix
  	Series and Final and Junior Grand Prix Series and Final of Figure Skating, Olympic
 	Qualifying Events, "Open" International Competitions, and all other ISU sanctioned
 	Events. 

1.4.3	International Competitions - Doping Control tests may be carried out at International
 	Competitions in accordance with current ISU Rules and Communications.

1.4.4	Olympic Winter Games - Doping Control tests at each Olympic Winter Games will be
 	carried out according to current International Olympic Committee Regulations
 	which may vary from ISU Rules. It is the responsibility of ISU Members, competitors,
	coaches, physicians and officials to become informed of any variances.

1.4.5	It is recommended that all Members conduct doping control tests of their competitors
 	during training without advance notice (ISU Rule 139, Paragraph 2 ).

1.4.6	It is the financial responsibility of the organizing Member of a competition to provide
 	doping control equipment and facilities for analysis of samples. 	

1.5	Medical Doping Control Commission for Competition (MDCC) at ISU Championships and
 	International Competitions.

1.5.1	In the presence of an ISU Medical Advisor at ISU Championships, Grand Prix Final and
 	Junior Grand Prix Final of Figure Skating doping control will be carried out according
	to the ISU regulations. 

	The Doping Control committee must include the following: 

	a) a chairperson (the ISU Medical Advisor).

	b) a chief doping control officer who is a certified doping control officer of the
 	   National Doping Control Governing Body of the country organising the competition, or a
           doping control officer appointed by and approved by the ISU Medical Advisors.

	c) at least one other doping control officer who must be of the appropriate sex and
           familiar with doping procedures, so that proper witness of the specimens may be
           done for all the participants male and female.

	d) additional members such as secretaries, attendants, couriers, escorts/chaperones
     	   etc. to aid in the carrying out of the duties and functions of the MDCC (refer to the
    	   current Memorandums for the guidance for holding ISU Championships).


1.5.2 	In the absence of an ISU Medical Advisor at International Competitions, World Cup
 	Competitions ( Speed Skating and Short Track Speed Skating), Regional Qualifying Events for the
 	World Speed Skating Championships, Grand Prix Series and Junior Grand Prix Series of
 	Figure Skating, Open International Competitions sanctioned by the ISU and Olympic
 	Qualifying Events, doping control will be carried out according to the ISU regulations
 	under the supervision of an ISU Representative or an ISU Technical Representative, or a
 	Doping Control Officer approved by the ISU Medical Advisors.

 	The Doping Control committee must include the following:
 
	a) a chairperson who is a certified doping control officer of the National Doping Control
 	   Governing Body of the country organising the competition, or a doping control officer
 	   appointed by and approved by the ISU Medical Advisors.

	b) at least one other doping control officer who must be of the appropriate sex and
 	   familiar with doping procedures, so that proper witness of the specimens may be done
  	   for all the participants male and female.

	c) additional members such as secretaries, attendants, couriers, escorts/chaperones
 	   etc. to aid in the carrying out of the duties and functions of the MDCC (refer to the
 	   current Memorandums for the guidance for holding ISU Championships).

1.5.3	The Medical Doping Control Station - A separate secure area shall be provided by the
 	Organizing Committee for use by the Medical Doping Control Commission to carry out
 	its duties in accordance with the current Memorandum for guidance in holding ISU
 	Championships. This should include a separate waiting area and an administration area
 	with toilet, washing facilities and a sink.

1.6	Medical Doping Control Laboratory

1.6.1	Only laboratories approved by the International Olympic Committee shall be used for
 	testing specimens. Exceptions may be granted by the President of the International
 	Skating Union.

1.6.2	The current IOC list of accredited laboratories and list of prohibited doping classes
 	and methods with examples may be obtained from the ISU Secretariat in Lausanne. All
	Members, skaters, team physicians, managers and coaches should make
 	themselves aware of the current IOC list.

1.7 	Reports

1.7.1	Reports of the tests shall be sent, within 15 working days, directly to the ISU
 	Secretariat only. The reports may be made at Championships but in this case should only
  	be submitted to the ISU President or his Representative, except as noted in Paragraph
 	1.4.5 when the reports may be sent to the Member and the ISU.

1.7.2	Written reports from the laboratory shall be forwarded in a timely manner, to the ISU
 	General Secretary only, and in no case more than four weeks after the receipt of the
 	specimens. 

1.7.3	The invoice for the cost of analysing the samples shall be sent to, and paid by, the
 	Organizing Committee.

2.1	Selection of Skaters

2.1.1	Each competitor in all ISU Events, Olympic Winter Games and any other International
 	Competition, is subject to Doping Control at any time during his or her presence in the
 	country or city where the competitions are scheduled to occur, including the official
 	practice sessions in Figure Skating, at the discretion of the ISU Representative. A
 	random selection will be drawn in the presence of the Medical Advisor (if appointed and
 	attending the event), the ISU Representative or Representative of the Technical
 	Committee and the local doping control officer if available.

2.1.2	A competitor may be tested for doping substances on more than one occasion.

2.1.3	It shall be the responsibility of each competitor to ensure that he or she has not been
 	selected for doping control before leaving the competition site after the completion of
	the final event in which he or she is entered. The Chairperson of the Medical Doping
 	Control Commission shall post a list of those competitors selected for testing outside
	the Medical Doping Control Station immediately after the final result has been 	determined.
        In addition, each competitor selected for Doping Control shall be notified
	in accordance with paragraph 3.1.4 of this Communication.

2.1.4	Out of competition tests may be conducted at any time and any place on skaters,
 	including suspended skaters, of the ISU Members.

2.1.5	Any competitor who achieves a World Record time must have been selected for doping
 	control and have been tested negative on the day of the race in order to have the
	World Record ratified, see Rule 273, paragraph 4 f) and Rule 295, paragraph d).

2.1.6 	In case of a skater suspended for a doping offence, at least one doping test must be
 	conducted with a negative result during the suspension before the skater can return to
 	competition. In the year following reinstatement of a suspended skater for a doping
 	offence at least one doping test should be conducted.

2.2	Figure Skating

2.2.1	In ISU Championships the following minimum Doping Control tests will be carried out:
 	the four best ranked skaters of the final result in the Singles (after the Free Program),
 	Pair Skating (after the Free Program) and Ice Dance (after the Free Dance) shall be
 	tested. One skater from the remainder of the skaters shall be selected by random draw
 	in Singles, Pair Skating and Ice Dance. In Pair Skating and Ice Dancing either the man
 	or the lady but not both shall be tested and shall be selected by draw.
	If there are qualifying rounds, doping controls may be carried out at this time. In this
 	case two skaters will be selected by random draw from each group, A and B, Men and
 	Ladies. Skaters may be tested more than once during the competition.						
					
2.2.2	Other participants - additional competitors may be selected for testing by the ISU
 	Representative or at his/her discrection by the CMDCC. Such selection may be
	based upon a random draw determined by the placement in a previous portion of that
 	competition, or by the final result.	
						
2.2.3 	In the Junior Grand Prix Series and Final and Grand Prix Series and Final Doping tests
 	will be carried out on the best skater of the final result in Singles (after the free program),
 	Pair Skating (after the free program) and Ice Dance (after the free Dance). One skater
 	from the remainder of the skaters shall be selected by random draw in Singles, Pair
 	Skating and Ice Dance. In Pair Skating and Ice Dancing either the man or the lady but
 	not both shall be tested and shall be selected by random draw. Doping tests will be
 	carried out according to ISU Regulations and the current Doping Rules.	

2.2.4	In Open International Competitions or New Method/System Competitions sanctioned by
 	the ISU, doping tests are mandatory and all skaters competing at International Open
 	Competitions or New Method/System Competitions including the ineligible skaters may
 	be tested. In addition to the winner, a minimum of 1 skater per discipline shall be
	selected by random draw to be tested. 		 
	Prior to the competition, all skaters entered for such competitions must accept in
 	writing to be submitted to doping tests that will be conducted under the control of
        the ISU Member and in consultation with the ISU Medical Advisors.  Skaters who refuse to
 	accept this procedure will not be allowed to skate. In case of refusal to give the
 	required sample after the competition (after initially having agreed) and in case of
 	positive results, sanctions as per ISU Regulations will apply for the eligible skaters.
 	For the ineligible skaters the ISU Council will take the necessary decision which could
 	consist of preventing the ineligible skater involved from being invited to Open	
        International Competitions/New Method/System Competitions for a certain period of time,
 	as well as withholding the payment of prize money and other benefits.						
	In this respect, the organizers will pay the skaters' benefits after the competitions
 	and only upon receipt of the doping test results. 

2.3 	Synchronized Skating

2.3.1	For the World Synchronized Skating Championships (as of year 2000) and other Events
 	designated by the ISU, two competitors randomly selected from the 1st, 2nd,
	and 3rd teams plus two competitors from one other team randomly selected shall be
	tested. Both junior and senior teams will be tested.

2.4	Speed Skating

2.4.1	For Two Day Championships (World Sprint Championships for Ladies and Men)
	Minimum skaters to attend the doping control: First day - The best ranked and two other
 	competitors, randomly drawn, in the long distance shall be selected for testing. Second
 	day - The four best ranked of the final result and two other skaters randomly drawn
 	according to paragraph 2.1.1.

2.4.2	For Three Day Championships
	Minimum skaters to attend the doping control: First day - The best ranked and two
 	others, randomly drawn, in the longest distance for Men. Second day - The best
 	ranked and two others, randomly drawn, in the long distance for Ladies. Third day - The
 	three best ranked skaters of the final result and two other competitors, randomly drawn,
 	Ladies and Men, shall be selected for testing. In a three day Championship where the
 	program for the Ladies and Men is completed in two days then the 2 day selection
 	procedure in paragraph 2.4.1 will apply.
 
 2.4.3  For World Speed Skating Championships Single Distance.
	Minimum skaters to attend the doping control: The best ranked and one randomly
 	selected skater in each distance. The same skater will be tested only once on the
 	same day.

2.4.4	For World Cup Competitions. 
	Minimum skaters to attend the doping control: The best ranked and one randomly
 	selected skater in each distance. The same skater will be tested only once on the
 	same day.
		
2.4.5	Any competitor who achieves a World Record time must have been selected for doping
 	control and have been tested negative on the day of the race in order to have the World
 	Record ratified, see Rule 273, paragraph 4 f).

2.5	Short Track Speed Skating

2.5.1	For the World and European Short Track Speed Skating Championships. 
	Minimum skaters to attend the doping control: Second day, the first ranked and three
 	others drawn randomly from the 500m event Ladies and Men. Final day, the first,	second
        and third after the overall final classification Ladies and Men plus one lady and
 	one man randomly drawn from the relay competition.

2.5.2	For World Short Track Speed Skating Team Championships
	Using the team starting lists 1 skater is randomly selected from each team. After the
 	overall classification for ladies and men the previously selected skaters from the 1st,
 	2nd, 3rd teams, and one other team randomly selected will be tested.

2.5.3	For World Junior Short Track Speed Skating Championships
	Minimum skaters to attend the doping control: First day, the first and one other
 	selected by random draw for the 500m for Ladies and Men. Second day, the first and one
 	other selected by random draw after the final classification Ladies and Men.

2.5.4	For Short Track Speed Skating World Cup Competitions
	The minimum doping control to be carried out in the ladies and men's events will be on
 	the 1st, 2nd, and 3rd placed skaters and one random from the overall individual
 	classification.

2.5.5	For Short Track Speed Skating Olympic Qualifying Competitions
	Minimum skaters to attend the doping control: The first ranked plus one skater from
 	1000 and 500 metres Men and Ladies selected by random draw. In the relay
 	competition one skater from two teams Ladies and Men from the 8 ranked teams
 	selected by random draw.

2.5.6	Any competitor who achieves a World Record time must have been selected for doping
 	control and have been tested negative on the day of the race in order to have the
	World Record ratified, see Rule 295, paragraph d).

2.6	For all competitions/disciplines: Either the ISU Representative, or the Chairperson of
	the Medical Doping Control Commission, has the right to select other competitors for
 	testing.

3.1	Guidelines for sample - taking procedure

3.1.1	These guidelines must be followed as closely as possible, however deviation(s) from
 	these guidelines shall not invalidate the finding of a prohibited substance or method,
 	unless it was such as to cast substantial doubt on the reliability of the finding. See 	5.1.1.

3.1.2	Competitors selected for doping control shall be notified by a representative of the
 	Medical Doping Control Commission using the ISU Doping Control form. Competitors
 	must acknowledge notification by signature and must appear immediately with
	photographic identification. They must be accompanied at all times after notification by
 	a representative of the MDCC. Brief delays for press conferences (not more than one
 	hour), may be allowed with the permission of the Chairperson MDCC.

3.1.3	The representative of the MDCC shall give ISU Doping control forms to the official in
 	charge of the Doping Control Station who shall keep it on file.

3.1.4	Should the competitor fail to report to the Doping Control Station according to
 	paragraph 2.1.3, the fact shall be recorded, signed by the official in charge of
 	the station and	delivered immediately through the Chairperson of the Medical Doping
	Control Commission to the ISU Representative. The skater is then liable for sanctions
	according to ISU Rule 139.

3.1.5	Upon arrival at the Doping Control Station, the competitor and one person acceptable to
 	the competitor shall be attended in the waiting room by a member of the Doping
 	Control Commission who shall confirm the identity of the competitor, and shall note the
 	time of arrival. Once the skater has reported to the Doping Control Station he or she
 	must remain there unless continuously chaperoned by a doping control official until the
 	sampling procedure is complete.

3.1.6	Personal belongings of the competitor and accompanying person may be searched for
 	evidence of manipulation any time during the sampling procedure.

3.1.7	No photographs, video or tape recordings may be taken inside the station during doping 	procedures.

3.1.8	In addition to the competitor and the one accompanying person, only the following
 	persons may be present in the Doping Control Station :

	The official in charge of the Doping Control Station
	A medical technician, whose duties may include keeping records
	A representative of the ISU
	An ISU Medical Advisor
	The Chairperson of the Medical Doping Control Commission
	The Official (lady and/or man) in charge of taking and witnessing samples
	An Interpreter
	Escorts

3.1.9	The competitor shall select a sealed sterile urine collector. He or she shall then void
 	minimum of 70 ml of urine into the collector, witnessed by a member of the Medical
 	Doping Control Commission of the same sex. Any clothing preventing the direct
 	observation of the urination shall be removed.

3.1.10	If the competitor refuses to comply, this shall be noted on records and the ISU
 	Representative informed.

3.1.11	If a competitor is unable to provide a sufficient volume of urine, the sample shall be
 	sealed with a tamper-proof seal and documented. If needed, only sealed drinks should
 	be provided for the competitors to drink.
	When an adequate sample volume is available from the competitor, the sample container
 	seal may be opened and the sampling procedure completed.
	
3.1.12	The competitor shall then select two tamper-proof  bottles in a sealed bag, and transfer
 	approximately two thirds of the urine from the collecting vessel into bottle A and one
 	third into bottle B and close the bottles to ensure that there is no leak. The doping
 	control officer shall measure the specific gravity and the pH. of the urine left in the
 	collecting vessel. If the sample does not meet the criteria of the sg of 1.010 or higher
 	(using sticks) or 1.005 (using refractometer) and a pH of not less than 5 and not greater
 	than 7 then further samples may be required. Code numbers selected by the competitor
 	will be affixed to these bottles unless already on the bottles (Versapak or Bereg
 	systems).

3.1.13	The bottles shall then be sealed with a tamper-proof method which cannot be violated
 	without leaving obvious evidence of such violation.

3.1.14	The code numbers shall be entered on the Doping Control Form.

3.1.15	The Medical Notification Form must be completed and submitted BEFORE the competition.
	During testing the fact that the ISU Medical Notification Form was completed must
	be recorded on the Doping Control Form. The ISU Notification form is returned to the
	ISU Secretariat with the doping control documents.

3.1.16	The competitor and team official shall certify by signing the form that the details are
 	correct and accurate and that there have been no irregularities in the entire sample
 	taking and sealing procedure. The Chairperson of MDCC and / or ISU Representative
 	shall check and sign the Doping Control Form. The competitor is given his / her copy.
 	Laboratory copies should be placed in the sealed bag but separate to the sealed
 	samples for return to the laboratory. The ISU copy is returned to the ISU Secretariat in
 	Lausanne. The remaining copy is retained on file by the ISU Medical Advisor, ISU
 	Representative or Referee.

3.1.17	Sealed samples are placed in transmittal bags or containers and sent with the
 	appropriate ISU transmittal forms, and chain of custody shall be maintained by signature
 	until arrival at the laboratory. New carbonless transmittal forms must be obtained from
 	the ISU Secretariat.

4.1	Sample analysis

4.1.1	The sample analysis shall be completed as soon as possible after its arrival at the
 	laboratory.

4.1.2	The analysis of the samples shall be carried out according to the ISU requirements of
 	the laboratory and the current IOC list of prohibited doping substances.

4.1.3	In addition to the head of the laboratory and the laboratory staff, only the following
 	persons may be admitted to the laboratory during analysis :

	An ISU Medical Advisor.
	Persons with special authorisation from the ISU Representative.
	The Chairperson of the Medical Doping Control Commission.

4.1.4	The results will be sent only to the ISU Secretariat.

4.2	Procedures for analytically positive samples

4.2.1	Should analysis prove positive, The Head of the IOC accredited laboratory shall send the
 	results to :
	a) The organization having initiated the doping control, (the responsible authorities).
 	At ISU Championships and Events this will be the ISU.
	b) A copy to the Medical Commission of the IOC in Lausanne.
	c) A copy to the ISU if not identical to the responsible authority in a) above.

	The ISU will then inform immediately the ISU President, the Chairperson of the ISU
 	Medical Advisors and the National Federation of the skater who will then inform the
 	skater. No other sports governing body, person, organization or media may be notified.

4.2.2	A written explanation by the National Federation and skater must be submitted to the
 	ISU Secretariat within 14 days of notification of the analytically positive result. In
	the case of no response within 14 days arrangements will be made to proceed with the
 	analysis of the "B" sample.

4.2.3	The General Secretary must inform the President and the Chairperson of the Medical
 	Advisors of the explanation of the circumstances of the positive result or any other
 	communications about the positive results.

4.2.4 	If the skater accepts in writing the positive result in the "A" sample, no analysis
	of the "B" sample will be carried out and sanctions according to Rule 139 will be
 	taken.

4.2.5	In the case of non acceptance of the positive result in the "A" sample, arrangements
	will be made with the laboratory to analyse the "B" sample within two weeks.

4.2.6	The analysis of the "B" sample will be carried out in an IOC accredited laboratory and
 	may be supervised by an ISU Medical Advisor or his/her representative. The Member in
 	question shall be allowed to send a maximum of three representatives, which may
 	include the skater and a representative of the National Federation, to the laboratory,
	but at their expense.

4.2.7	If the results are confirmed, the laboratory informs the ISU Secretariat and sanctions
	will be applied immediately by the Council according to ISU Rule 139.

4.2.8	The National Federation, skater and respective Technical Committee Chairperson will be
 	informed in writing of the sanction imposed and any results achieved and/or medals
 	awarded will be declared void, starting from the day of sampling. Any sanctions imposed
 	will begin from that time.

4.2.9	An appeal against the imposed sanction may be lodged in accordance with Articles 22
 	and 23 of the ISU Constitution.

5.1	Various

5.1.1	In any case where the above regulations do not apply or suffice, the ISU Representative
 	is authorized to take a decision in consultation with the Chairperson of the Medical
	Doping Control Commission or the Chairperson of the Medical Advisors, or the ISU
 	President.

5.1.2	Persons participating in Medical Doping Control shall not make any statement relative
	to their activities to the media.

5.1.3	The Versapak and Bereg 94 systems are approved by the ISU for use by doping control
 	commissions. The ISU Medical Advisor or ISU Representative must approve alternative
 	systems in advance and in writing.

5.1.4	Written confirmation is required in advance that the Organizing Committee acknowledges
	that they have read and understood this Medical code, ISU Rule 139 and Memorandum for
 	guidance in holding ISU Championships of the respective discipline and will
	comply.
	
	The following must be obtained from the ISU Secretariat in advance of the competition :
	1. Doping Control Forms
	2. Doping Control Chain of Custody Forms
	3. Medical notification Forms
	4. Instructions for the Forms
	5. Doping Control sign in Forms


6.1	New/future Medical Code
	The provisions of this Communication are valid immediately. However, in accordance
 	with ISU Regulations, Rule 139, paragraph 14, in case a single Medical Code or more
 	suitable Medical Code is adopted by entities of the Olympic Movement, i.e. the
 	International Olympic Committee (IOC), the International Olympic Federations (IFs)
 	recognized by the IOC and the National Olympic Committees (NOCs) recognized by the
 	IOC, the ISU Council shall have the right to modify or supplement with immediate effect
 	Rule 139 in favor of the new Medical Code - Doping Rules. Such a decision including all
 	details of the new Medical Code will be published in an ISU Communication as a Rule.


	A separate ISU Communication regarding Blood Testing will be released shortly.





Milan,						Ottavio Cinquanta, President
	July 10, 1999
Lausanne,					Fredi Schmid, General Secretary

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