MARCA

ATLETISMODick Pound y el organismo deberán pagar 10.500 euros

Condenan a la AMA por no respetar la

presunción de inocencia de Cissé El antiguo consejero de Diack consiguió la condena por la redacción del informe sobre su participación en el trama de dopaje ruso Cissé fue detenido por la policía hace dos días por este mismo caso

Dick Pound AFP • o o Compartido2 Actualizado 20/10/2016

El senegalés Habib Cissé, exconsejero de Lamine Diack, expresidente de la IAAF, ha hecho que se condene a la Agencia Mundial Antidopaje (AMA) por no tener en cuenta su presunción de inocencia en el marco de la investigación sobre el dopaje masivo de los atletas rusos y su presunta protección por parte de la IAAF, informó este jueves una fuente judicial. Hace dos días, sin embargo, Cissé fue detenido por la policía francesa por este mismo caso y se encuentra en estos momentos en prisión preventiva. La AMA y el presidente de la comisión que produjo el informe que acusaba a Diack y Cissé, el abogado canadiense Richard W. Pound, fueron condenados solidariamente a pagar 8.000 euros por daños y perjuicios a Habib Cissé y 2.500 euros por los gastos procesales. Un informe del 14 de enero de 2016 describía a Cissé como perteneciente al "centro de los engaños que buscaban perturbar la gestión de los resultados de la IAAF (Federación Internacional de Atletismo), intentando disimular las infracciones a las reglas antidopaje cometidas por los atletas rusos", y haber "participado en la conspiración que buscaba extorsionar a atletas para disimular, retrasar o eliminar las sanciones disciplinarias pronunciadas contra los atletas rusos". Para el tribunal de Gran Instancia (TGI) de París, los términos del informe "traducen un prejuicio de culpabilidad, sin precaución" y no mencionan que es "presuntamente inocente". Por otra parte, oficialmente consejero jurídico de Lamine Diack, que presidió la IAAF durante quince años, Habib Cissé fue inculpado en París por corrupción a principios de noviembre de 2015, igual que Lamine Diack y el médico francés Gabriel Dollé, encargado hasta finales de 2014 de la lucha antidopaje en la IAAF.

http://www.marca.com/atletismo/2016/10/20/5808e43722601d1a048b459c.html

GACETA SANITARIA

OCT 2016 Carta a la directora ¿Tenemos presente en las instituciones sanitarias el consumo indebido de medicamentos con fines de dopaje? Are health institutions aware of the misuse of drugs for doping purposes? Raquel Vázquez Mourellea, , , Arantzazu López Pérezb, Estrella López-Pardo Pardoa, Sinda Blanco Lobeirasa a Gerencia de Gestión Integrada de Santiago de Compostela, Servicio Gallego de Salud, Xunta de Galicia, Santiago de Compostela, A Coruña, España b Inspección Provincial de Servicios Sanitarios de la Delegación Territorial de Cádiz, Consejería de Salud, Junta de Andalucía, Cádiz, España

Autor para correspondencia. Sra. Directora:

En la sociedad actual es conocido desde hace décadas el consumo indebido de medicamentos sin fin terapéutico para conseguir efectos de incremento de la musculatura o del rendimiento físico, a pesar de las graves reacciones adversas que implica esta práctica reconocida como un problema de salud pública1.

Sin embargo, el papel proactivo de las instituciones sanitarias en este ámbito parece más bien escaso: no se conoce programa de salud pública específico orientado a su educación y prevención, ni proceso o protocolo asistencial de algún servicio público de salud, tampoco ningún estudio en España que acredite el consumo de recursos asistenciales para paliar o mitigar las reacciones adversas producidas por este uso ilícito o abuso de fármacos con objeto de dopaje. Sí son conocidos los efectivos programas de control de las inspecciones farmacéuticas de las consejerías de sanidad2, pero no hay establecido por las administraciones sanitarias un abordaje integral, transversal y específico.

Si además nos consta la posibilidad de entrada de medicamentos falsificados a través de Internet3, o de medicamentos ilegales que se presentan como complementos alimenticios4, ajenos a cualquier exigencia de prescripción médica y fuera del control de la cadena legal de suministro, el problema de salud se agrava.

En el año 2014 surge la campaña informativa «Protege tu salud, di NO al dopaje» de la Agencia Estatal de Protección de la Salud en el Deporte (institución deportiva, no sanitaria) junto con el Colegio Oficial de Farmacéuticos de Cádiz, para sensibilizar sobre los efectos perjudiciales del consumo prohibido de determinados fármacos para mejorar el rendimiento atlético. En esta provincia andaluza, los resultados de la inspección farmacéutica de los últimos 3 años muestran que el 65% de los casos detectados tienen su origen en prescripciones de personal médico facultativo, correspondiendo el 70% de ellas a médicos de atención primaria. El porcentaje de hepatotoxicidad asociado al uso recreativo ilícito de medicamentos anabolizantes ha ido aumentando en los últimos años, según el último trabajo publicado en la serie de casos más amplia hasta la fecha5,6.

Por todo lo anterior, y una vez conocida la recién editada Guía de prevención del dopaje para profesionales sanitarios7, de dicha institución deportiva, nos vemos obligados a sensibilizar a la comunidad sanitaria definiendo, dentro de nuestras competencias y habilidades, el primer proceso asistencial integrado para su detección y prevención (fig. 1), cuyo reto es hacerlo propio de la práctica asistencial diaria debido a la laguna existente, y apelar a esta concienciación que deberíamos tener presente en las instituciones sanitarias por tratarse de un problema que, aunque no sea el más prevalente en nuestros centros, existe y parece que va en aumento.

Figura 1.

Proceso asistencial integrado de prevención del dopaje.

Aunque las iniciativas anteriores son un comienzo, para conseguir su real efectividad se necesita que, a la hora de planificar acciones en esta materia, exista un liderazgo claro de las autoridades sanitarias y la implicación de los profesionales sanitarios asistenciales, y siempre recordando que nuestro objetivo y prioridad principal no es que los/las pacientes pasen un control antidopaje oficial, sino hacer un uso terapéutico, responsable y racional de los medicamentos.

Financiación

Ninguna.

Contribuciones de autoría

R. Vázquez Mourelle y A. López Pérez han contribuido de igual manera al desarrollo de la idea original. R. Vázquez Mourelle y E. López-Pardo Pardo elaboraron el primer borrador del manuscrito y el diseño principal del proceso asistencial integrado de la figura. Todas las autoras participaron en las versiones siguientes, en la discusión y la aprobación de la versión final. La autora para la correspondencia, en nombre del resto de firmantes, garantiza la precisión, la transparencia y la honestidad de los datos y la información contenida en el estudio, que ninguna información relevante ha sido omitida y que no ha habido discrepancias entre las autoras.

Conflicto de intereses

Ninguno.

Agradecimientos A los/las profesionales sanitarios/as que colaboraron en alguna medida en el diseño del proceso asistencial integrado de prevención de dopaje (fig. 1): José Mª Cruz Paredes y M. Jesús Vigo Noia, Secretario Técnico y Farmacéutica del Centro de Información de Medicamentos del Colegio Oficial de Farmacéuticos de La Coruña, respectivamente; a Pilar Álvaro Esteban, Inspectora Farmacéutica de la Jefatura Territorial de la Consellería de Sanidade de A Coruña; a Manuel Portela Romero, Jefe de Servicio de Atención Primaria de Padrón, y Alfonso Javier Benítez Estévez, Jefe de Servicio de Análisis Clínicos del Complejo Hospitalario Universitario CHUS, ambos de la Gerencia de Gestión Integrada del Servicio Gallego de Salud del área de Santiago de Compostela.

Bibliografía 1 D. Sagoe,H. Mode,C.S. Andreasen The global epidemiology of anabolic-androgenic steroid use: a metanalysis and meta-regresion analysis Ann Epidemiol., 24 (2014), pp. 393-398 2 R. Vázquez Mourelle,E. Carracedo Martínez,E. Ces Gens Control de la dispensación de esteroides anabolizantes androgénicos Gac Sanit., 29 (2015), pp. 304-307 Artículo | Medline 3 S.H. Cho,H.J. Park,J.H. Lee Determination of anabolic-androgenic steroid adulterants in counterfeit drugs by UHPLC-MS/MS J Pharm Biomed Anal., 111 (2015), pp. 138-146 Medline 4 Agencia Española de Medicamentos y Productos Sanitarios. Nota Informativa 14/2014 [Internet]. Retirada del producto HAVOC cápsulas (metilepitiostanol). (Consultado el 20/12/2015.) Disponible en: http://www.aemps.gob.es/informa/notasInformativas/medicamentosUsoHumano/medIlegales/2014/docs/I CM_MI_14-14-havoc.pdf 5 M. Robles-Díaz,A. González-Jiménez,I. Medina-Cáliz Distinct phenotype of hepatotoxicity associated with illicit use of anabolic androgenic steroids Aliment Pharmacol Ther., 41 (2015), pp. 116-125 Medline 6 J. Neuberger Editorial: showing due DILI-gence – the lessons from anabolic steroids Aliment Pharmacol Ther., 41 (2015), pp. 320-324 Medline 7 E. Gómez,F. Trigo,F. Vallejo Agencia Española de Protección de la Salud en el Deporte Guía de prevención de dopaje para profesionales sanitarios, (2015)pp. 94

http://www.gacetasanitaria.org/es/tenemos-presente-las-instituciones- sanitarias/articulo/S0213911116000042/

Inside the games

WADA to appeal after court condemns "presumption of innocence breach" regarding adviser to former IAAF President

• By Daniel Etchells

• Thursday, 20 October 2016

The World Anti-Doping Agency (WADA) has said it will appeal after the High Court of Paris sentenced the organisation for an "infringement of the presumption of innocence" concerning Habib Cissé, the former adviser to the ex-head of the International Association of Athletics Federations (IAAF) Lamine Diack.

Cissé was placed in custody earlier this week as part of the French investigation into corruption linked to state-sponsored doping of Russian athletes. He was put under investigation in November of last year for corruption along with Diack and former IAAF anti-doping director Gabriel Dollé. This followed the release of the first part of the report of the WADA Independent Commission, chaired by Richard Pound, which was launched to investigate the validity of allegations made by German broadcaster ARD’s documentary titled "Top secret doping - how Russia makes its winners?". On January 14, the second part of Commission's report was released in which Diack's lawyer Cissé was described as being "at the heart of the schemes for disrupting IAAF results management by intentionally delaying results management and interfering with the pursuit of prosecution of Russian athletes, thereby attempting to cover up doping infractions of Russian athletes". The report also claimed "he was also a co-conspirator in the extortion of athletes to cover up, delay or eliminate disciplinary sanctions of Russian athletes". WADA and Pound have been accused of a "prejudice of guilt" against Cissé, who the High Court has determined should receive €8,000 (£7,100/$8,700) in damages and €2,500 (£2,200/$2,700) for legal costs. "WADA can confirm that it will be appealing the decision," the organisation told insidethegames. "As with all pending cases, we will refrain from further comment until the completion of the process." Diack was arrested by French authorities last November over allegations he took payments for deferring sanctions against Russian drugs cheats. His son Papa Massata Diack was among three officials to be banned for life from athletics in January by the IAAF’s Ethics Commission, which concluded that figures within the organisation had been "guilty of blackmail" since 2011. Valentin Balakhnichev, previously the Soviet national athletics coach from 1978 to 1984, was also banned for life along with long-distance running and race-walking coach Alexei Melnikov following allegations of doping cover-ups. Dollé, meanwhile, was handed a five-year ban. Russia is banned by the IAAF from competing abroad following allegations uncovered by Pound in his Independent Commission report. Last week, it was revealed that Alexander Zhukov plans to step down as President of the Russian Olympic Committee. That means he could lose his position as a member of the International Olympic Committee. http://www.insidethegames.biz/index.php/articles/1042836/wada-to-appeal-after-paris- court-condemns-presumption-of-innocence-breach-regarding-adviser-to-former-iaaf-president

Road CC threatens lawsuit against TV show that claims he missed drugs test by Simon MacMichael October 20 2016

Runner-up at 2015 road nationals - now serving doping ban - claims Nibali skipped blood test

Vincenzo Nibali at start of 2016 Giro d'Italia Stage 19 (PHOTO CREDIT ANSA - PERI - DI MEO - ZENNARO).jpg Vincenzo Nibali is reportedly threatening to sue the producers of a TV show after it was alleged that he missed a blood test after winning the 2015 Italian national road race championship – the claim made by the rider who finished second, and who is serving an eight-year ban after testing positive for EPO in the same race. In a report(link is external) on Italia 1 programme Le Iene (The Hyenas) on Sunday evening runner-up Francesco Reda, who was riding for Team Idea 2010 ISD, claimed blood tests were not carried out on himself, defending champion Nibali, and three other riders immediately after the race which finished at Superga, , because the necessary equipment was missing. “The doctor said, ‘there’s a big problem, we don’t have the kit for doing the blood tests’,” Reda told the programme. He claimed that Dr Roberto Bima, the anti-doping representative of national governing body for cycling, the FCI, responded with the words, “For me, the test is null and void.” The missing equipment was flown in a couple of hours after the race finished with Reda among riders to be tested – he would prove positive for EPO and be handed an eight-year ban as a result.

But he claimed Nibali had not undergone a blood test, saying that at the initial control, when the testing kit was found to be missing: “He went in for five minutes and came out with a white envelope. But he was there for five minutes, you understand what that means?” Dr Bima’s notes are reported to have recorded that the testing kit arrived in Turin at 1926 hours, after which Reda and another rider were tested, but also make reference to Nibali and two other cyclists having already completed testing. The implication from Reda is, how could Nibali have completed an anti-doping control and its accompanying paperwork in just five minutes – especially if the equipment necessary to carry out a blood test wasn’t there? After the programme was transmitted on Sunday evening, Nibali tweeted pictures of what appear to be documents establishing that he had indeed been tested in accordance with anti-doping regulations. The reigning Giro d’Italia champion wrote: “My tests were in order, the problem lies with those who have defamed me,” with hashtags that translate as “goodnight” and “peaceful dreams.” I miei controlli sono regolari i problemi sono per i diffamatori ! #Buonanotte(link is external)#sonnitranquilli(link is external) pic.twitter.com/0O9fJfqSgb(link is external)

— Vincenzo Nibali (@vincenzonibali) October 16, 2016(link is external) The following day, Nibali’s lawyer, Fausto Malucchi, was rather more forthright, according to La Gazzetta dello Sport(link is external). “He called me at midnight,” said Malucchi. “He was furious. He’s uncompromising when his name is linked to the word ‘doping'. “The report was scandalous,” he went on, saying it had no foundation and was based on nothing more than “bar-room chat.” He added: “Vincenzo undertook that test straight after the podium, fully in accordance with the rules, and transparently. If other people have a problem with that, it’s not our problem.” Nibali and his lawyers are already said to be taking legal action against the same programme aftera separate report(link is external) earlier this month that repeated claims by ex-professional cyclist , banned for life in 2013 for a third anti-doping rule violation, that it was impossible to finish in the top 10 of the Giro d’Italia without doping. A separate legal action had already been instituted on behalf of Nibali against Di Luca for that allegation, and his lawyer added: “We are drawing up a complaint to the broadcasting authorities and are considering filing a civil complaint against Le Iene and Mediaset,” the media company founded by Sivio Berlusconi that owns Italia 1. “To see ’s greatest cyclist, who has always been a symbol of clean sport, being treated like this hurts,” added Malucchi. The claim against Nibali, who was reigning champion when he took that 2015 national road title, comes as the other two men to have won the yellow jersey in the past five years, Sir and , are under scrutiny due to their use of medicines under Therapeutic Use Exemptions. In Wiggins’ case, attention has also been focused on the delivery of a mysterious package to Team Sky at the 2011 Critérium du Dauphiné, which is now the subject of a UK Anti-Doping investigation. Nibali, who leaves Astana at the end of the year to join the new Bahrain Merida team, has hinted he will skip next year’s Tour de France and will instead look to defend his Giro d’Italia title in the 100th edition of the race, which is said to be paying a visit to the Sicilian’s home city, .

http://road.cc/content/news/208775-vincenzo-nibali-threatens-lawsuit-against-tv-show- claims-he-missed-drugs-test

SUPERSPORT

Jeptoo eyes return to elite marathons

19 October 2016, 17:31

Tweet

Kenyan marathon runner Rita Jeptoo says she hopes to return soon to elite distance running after her two-year doping ban ends at the end this month.

The 35-year-old three-time Boston marathon winner tested positive for the banned blood booster EPO, in an out of competition test in September 2014, and

was given a two-year sanction by Athletics . Rita Jeptoo © Getty Images But her return depends on the outcome of

her appeal to the Court of Arbitration for Sport (CAS), which is set to rule on her case on October 26, after the IAAF requested that the ban be doubled to four years.

"I have returned to serious training with the hope that I will return to the marathon soon," Jeptoo told AFP from her hometown of Eldoret.

"I am optimistic my appeal to CAS will go through," said Jeptoo, who decided to launch her own appeal with the sport's highest court after her lawyer withdrew from the case in July.

Athletics Kenya also opted out of the case despite having previously announced its attendance in the arbitration appeal hearing in Lausanne, Switzerland.

Following her ban, Jeptoo's result as the winner of the 2014 Chicago marathon was disqualified, and she is also likely to forfeit the 2013-2014 World Marathon Majors (WMM) title to fellow Kenyan Edna Kiplagat. http://www.supersport.com/athletics/running/news/161019/Jeptoo_eyes_return_to_elite_m arathons

Sputnik Russian Investigators Question 50 Athletes, Coaches, Managers Over Doping Claims

© Sputnik/ Valeriy Melnikov

RUSSIA 18:41 20.10.2016(updated 18:43 20.10.2016)

Russian investigators have questioned over 50 athletes, coaches and managers as part of the investigation into doping allegations, the Russian Investigative Committee said Thursday. © SPUTNIK/ PAVEL LISITSYN Russia Ready to Reform Anti-Doping Bodies to Ensure Independence - Putin MOSCOW (Sputnik) — The doping scandal involving Russian athletes, simmering since 2014, escalated in July 2016 when an independent World Anti-Doping Agency (WADA) commission published a report accusing Russia of state-run doping program. “Within the legal proceedings the investigators questioned over 50 athletes, their coaches and managers, received the information about medical check-ups of these athletes,” Svetlana Petrenko, deputy head of the Committee's Media Relations Department said. https://sputniknews.com/russia/201610201046553901-russia-doping-investigation/

Cayman Compass Anti-doping conference to be held in Cayman By

Staff

-

October 20, 2016

The Caribbean Regional Anti-Doping Organization will hold its annual board meeting on Grand Cayman starting on Sunday at the Westin resort.

The two-day conference is expected to review the World Anti-Doping Agency’s investigation into and derailment of Russia’s state-sponsored athletics doping before the 2016 , among other issues.

The Cayman Islands Olympic Committee expects delegates from 14 Caribbean countries to attend.

This will be the first time in 11 years that the Cayman Islands has hosted the anti- doping organization’s annual meeting.

Cayman Islands Olympic Committee President Don McLean and the chairman of the committee’s Medical and Anti-Doping Commission, James Myles, will attend the board meeting on behalf of Cayman. Sports Minister Osbourne Bodden is expected to make opening remarks at the conference.

“It is extremely important for each country to conduct anti-doping activities in sports to prevent athletes from getting an unfair advantage and to preserve their health,” Mr. McLean said. “Here in the Cayman Islands, our main focus is on anti- doping education in the schools, and we regularly test our elite athletes.” https://www.caymancompass.com/2016/10/20/anti-doping-conference-to-be-held-in-cayman/ Ex- boss Peter Keen says innocent riders risk being tainted • Man who masterminded British success fears ‘collateral damage’ to Team GB • ‘The need now for conclusive explanations and evidence is greater than ever’

Peter Keen coached to Great Britain’s first Olympic cycling gold in 72 years at the 1992 Games. Photograph: David Levene for the Guardian

Press Association Thursday 20 October 2016 19.51 BSTLast modified on Thursday 20 October 201620.50 BST

The man who set British cycling on the road to the top has said his “greatest fear” is the threat of “collateral damage” from the allegations of wrongdoing that have engulfed the sport in recent months.

A furore has erupted around Team Sky following the decision to seek permission for Sir Bradley Wiggins to use otherwise banned substances, and Sir ’s squad is now part of a UK Anti- Doping investigation into allegations of “wrongdoing” in cycling.

Wiggins’s use of the anti-inflammatory triamcinolone was granted before three of his biggest races between 2011 and 2013, including the which he won.

The controversy follows the earlier launch of ongoing inquiries into bullying and financial impropriety within the Great Britain set-up and a pre-Rio 2016 Olympics row over Lizzie Deignan’s missed anti-doping tests.

Speaking to the BBC 5 Live’s Bespoke cycling show, the former British Cycling performance director Peter Keen said: “The need now for conclusive explanations and evidence is greater than ever. It’s collateral damage.

“When I look at people like [the six-time Olympic champion] Jason Kenny or [the 14-time Paralympic champion] Dame Sarah Storey, these are stories that are so special because they’re about ordinary people who have done extraordinary things. “I have never sensed anything about them that says that what he have seen isn’t the absolute real deal. Where there’s confusion and doubt about a very high-level performance sport, linked to a programme they are a part of, that’s my greatest fear.”

Keen told the BBC he has seen no evidence to suggest anybody at British Cycling or Team Sky has broken any anti-doping rules. Team Sky and British Cycling are cooperating with the Ukad investigation, which Wiggins has welcomed. Team Sky believe there has been no “wrongdoing”.

Keen, who coached Chris Boardman to Great Britain’s first Olympic cycling gold in 72 years at the 1992 Games, took over the British programme in 1997 and immediately set his riders and staff the challenge of becoming the world’s No1 cycling nation.

Using the new inflow of National Lottery money and a no-compromise approach, the team were on the way to achieving that goal by the time Keen took his philosophy to the elite funding agency UK Sport so he could implement his ideas across British sport.

In a wide-ranging interview, Keen calls on Team Sky’s boss, and his successor as British Cycling, Brailsford, to give a “better explanation” for why Wiggins needed three therapeutic use exemptions to take triamcinolone, a drug which has a history of abuse in cycling.

Brailsford, who left his role as British Cycling performance director in April 2014 to concentrate on Team Sky, and Wiggins insist it was medically necessary to deal with a pollen allergy that aggravates Wiggins’s long-standing asthma condition. There is no suggestion any rules were broken and the TUEs were approved by the UCI, cycling’s world governing body, and the relevant anti-doping authorities.

Keen also wants a clearer answer on why a British Cycling employee, Simon Cope, delivered a package to Team Sky’s doctor Richard Freeman at the end of the 2011 Critérium du Dauphiné race, Wiggins’s final tune-up before the Tour de France. Freeman now works for British Cycling. Brailsford has declined to reveal what was in the package, preferring his team to be exonerated by the Ukad investigation.

Keen, who has spent the past year as the Lawn Tennis Association’s performance director, wants greater separation between British Cycling and Team Sky, who have been intertwined since the road squad’s inception in 2009 and first season in 2010. A 2011 review conducted by Deloitte, carried out to ensure UK Sport funds were used appropriately, approved the relationship. But Keen has told the BBC it did not go far enough.

His criticisms will be make for tough listening at the National Cycling Centre headquarters British Cycling shares with Team Sky in Manchester, and the positions of the Team Sky principal Brailsford, and Ian Drake, the governing body’s chief executive, are bound to come under increased scrutiny.

Keen’s comments go beyond Manchester as he also believes sports organisations should scrap in-house doctors in order to avoid the conflicts of interest that arise when an athlete, coach or both wants medication a doctor might have reservations about prescribing, particularly if that medication is on the World Anti-Doping Agency’s banned list.

There have also been allegations over the past availability of tramadol among British riders. The painkiller is not banned but is on Wada’s monitoring list, and many in cycling believe its use has resulted in crashes in races.

“A lot of sport organisations, professional sports and increasingly governing bodies will employ a doctor to look after the health and wellbeing of players and athletes. I am increasingly of the view that is probably not a good thing,” Keen said.

“They probably are going to be able to make a better judgment about where those fine lines now are if they are actually accountable to their peers, from either hospitals, or specialist sports institute environments.”

This week the former British Cycling president and current UCI president said Team Sky may have pushed the TUE rules “to the very limit” when it asked for those triamcinolone injections for Wiggins, the five-time Olympic gold medallist who plans to retire next month. https://www.theguardian.com/sport/2016/oct/20/peter-keen-british- cycling-innocent-riders-risk-tainted