Australian Sports Drug Agency

 

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Letter of Transmittal

Chairperson's Summary

2001–2002 Highlights

Australia's Anti-Doping Framework

Organisational Overview

ASDA Corporate Structure

Deterrence

International Response

Business Improvement

People

Australian Sports Drug Medical Committee (ASDMAC)

Appendices

Australian Sports Drug Medical Advisory Committee (ASDMAC)

Responsibilities

ASDMAC provides Australian athletes and sporting organisations with:

  • processes in relation to obtaining approval for the use of prohibited medications for legitimate therapeutic purposes;
  • provision of additional medical and scientific expertise in relation to the determination of positive test results; and
  • provision of additional medical and scientific information arising from positive test results.

ASDMAC’s functions, as prescribed in the ASDA Act, appear at Appendix N.

ASDMAC provides approval for therapeutic use of banned substances to athletes where:

  • their NSO’s anti-doping policy allows for or permits the athlete to seek approval to use a banned substance for a legitimate therapeutic purpose;
  • there is no other (permitted) therapeutic substance available for prescription that can treat the athlete’s condition; and
  • there is evidence a performance enhancement effect will not be gained by the athlete through the use of the substance.

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ASDMAC Members

Chairperson

Prof. Ken Fitch, AM – MBBS, MD, FRACGP, FACRM, FACSM, FASMF, FACSP

Sports Physician, Mount Hospital Medical Centre; Adjunct Professor, Department of Human Movement, University of Western Australia; Secretary, Medication Advisory Committee, IOC Medical Commission; Deputy Chair, WADA Health, Medical and Research Committee; Member, WADA Therapeutic Use Exemption Committee; Emeritus Physician, Sports and Soft Tissue Injury Clinic, Department of Orthopaedic Surgery, Royal Perth Hospital.

Members

Prof. Peter Fricker, OAM – MBBS, FACSM, FASMF, FACSP

Director of Medical Service, AIS; Head of Sports Sciences and Sports Medicine, AIS; Adjunct Professor of Sports Faculty of Science and Design, University of Canberra; Chair Medical Commission, Australian Commonwealth Games Association; Member, Medical Commission, AOC.

Dr. Susan White, MBBS (Hons), FACSP

Member, Medical Commission Australian Paralympic Committee; Chief Medical Officer, Netball Australia; Team Doctor, Australian Netball Team; Medical Officer, Victorian Football League Umpires; Victorian Training Coordinator, Australian College of Sports Physicians; Medical Officer, Victorian Institute of Sport (Rowing); Sports Physician, Olympic Park Sports Medicine Centre (Melbourne).

Dr. Peter Harcourt, MBBS, FACSP Dip Obs

Sports Physician; Medical Coordinator, Victorian Institute of Sport, AIS Medical Convenor, Transport Accident Commission (Victoria); Chief Medical Officer, Basketball Australia; Medical Officer, Australian Football League; Anti-Doping Medical Officer, Australian Cricket Board; Member, International Basketball Federation Medical Council; Member, Medical Commission, Australian Commonwealth Games Association.

Dr. Hugh Hazard, MBBS, Grad Dip Sports Science, FACSP

Sports Physician; Chief Medical Officer and Team Physician, National Rugby League; Team Physician, National Basketball League.

ASDMAC Members Top left Chairman Prof. Ken Fitch – AM, Prof. Peter Fricker – OAM,Front left Dr. Hugh Hazard, Dr. Susan White, Dr. Peter Harcourt

ASDMAC Members Top left Chairman Prof. Ken Fitch – AM, Prof. Peter Fricker – OAM,Front left Dr. Hugh Hazard, Dr. Susan White, Dr. Peter Harcourt

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Approvals Process

The approvals process involves examining a wide range of athlete applications. Some applications are complex and necessitate referral to an independent referee while others are relatively simple.

Athletes seeking approval for therapeutic use of a banned substance should apply via their NSO’s medical officer. An athlete who applies directly to ASDMAC is advised that their NSO will be informed of the application.

The application is registered on ASDMAC’s database, provided a reference number, then faxed to the ASDMAC Chairperson to ensure sufficient information is available to process the application.

If ASDMAC determines the application fulfils the criteria, the Committee prepares an Approval for Therapeutic Use of a Prohibited Medication.

ASDMAC can attach conditions or constraints to approvals e.g. that an approval is not recognised by the athlete’s international sports federation and if tested under their international policy an athlete could be sanctioned. An athlete must comply with any conditions or the approval may be withdrawn.

If further information is required the applicant must provide the additional requested information for the application to be progressed further.

If ASDMAC determines the request does not meet specific guidelines the athlete will be advised that:

  • expert advice is being requested and the athlete will be notified when a decision is made; or
  • the athlete’s application does not fulfil the criteria for granting therapeutic approval and ASDMAC has rejected the application.

Once the application’s outcome is determined, the athlete and the NSO are advised. Details of athletes who receive approval for therapeutic use are entered onto an approvals register from which ASDA may seek information for decision-making purposes.

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Activities

For the year ending 30 June 2002 ASDMAC:

  • processed 77 applications for therapeutic use – a breakdown on applications and approved substances is at Appendix O;
  • further developed guidelines for the approval of stimulant medication in Attention Deficit

Hyperactivity Disorder via consultation with other experts;

  • advised ASDA on five Testosterone/Epitestosterone investigations;
  • provided expert advice to the Australian Cricket Board;
  • provided input to the Australian Submission to WADA regarding the IOC/WADA lists of prohibited medications (banned sports substances);
  • requested WADA to consider prohibiting intravenous rehydration in weight classified sports following weigh-in;
  • provided opinion to ASDA regarding intravenous rehydration;
  • assisted the New Zealand Sports Drug Agency in establishing a therapeutic use committee similar to ASDMAC; and
  • assisted USADA in establishing a therapeutic use committee similar to ASDMAC.

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International Trends

ASDMAC’s operations were consistent with international anti-doping trends.

The Olympic Movement Anti-Doping Code contains therapeutic use provisions that enabled systems (similar to ASDMAC), to operate nationally and internationally subject to transparency and accountability provisions.

WADA sought ASDMAC advice in relation to the guidelines and protocols for the therapeutic use of prohibited medications by athletes. WADA adopted almost all of ASDMAC’s protocols and established a medical committee similar to ASDMAC.

The ASDA Act provides accountability, transparency and independence for ASDMAC to operate within international and domestic sport frameworks. Leading sports medicine practitioners regarded ASDMAC’s framework as best practice.

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Funding

ASDMAC was funded via ASDA appropriation.

Member Fees $55 275.00
Administration Support (ASDA staff) $18 463.55
Consultants $120.00
Legal Fees $0.00
Travel Expenses $5 842.63
General Administration Costs $560.99
Total $80 262.17

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