Doping in sport
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|Doping in sport|
The use of banned performance-enhancing drugs in sport(s) is commonly referred to as doping,[Note 1] particularly by those organizations that regulate competitions. The use of drugs to enhance performance is considered unethical by most international sports organizations and especially the International Olympic Committee, although ethicists have argued that it is little different from the use of new materials in the construction of suits and sporting equipment, which similarly aid performance and can give competitors an unfair advantage over others. The reasons for the ban are mainly the alleged health risks of performance-enhancing drugs, the equality of opportunity for athletes, and the alleged exemplary effect of "clean" ("doping-free") sports for the public.
Texts going back to antiquity suggest that humans have always tried to work harder or at least suffer less as they were doing so. When the fittest of a nation were selected as athletes or combatants, they were fed diets and given treatments considered beneficial. For instance, Scandinavian mythology says Berserkers could drink a mixture called "butotens", perhaps prepared from the Amanita muscaria mushroom, to increase their physical power a dozen times at the risk of insanity.[Note 2] In more recent times, the German missionary and doctor Albert Schweitzer wrote of Gabon in the early 19th century: "The people of the country can, having eaten certain leaves or roots, toil [pagayer] vigorously all day without feeling hungry, thirsty or tired and all the time showing a happiness and gaiety."
A participant in an endurance walking race in Britain, Abraham Wood, said in 1807 that he had used laudanum, or opium, to keep him awake for 24 hours while competing against Robert Barclay Allardyce. By April 1877, walking races had stretched to 500 miles and the following year, also at the Agricultural Hall in Islington, London, to 520 miles. The Illustrated London News chided:
- It may be an advantage to know that a man can travel 520 miles in 138 hours, and manage to live through a week with an infinitesimal amount of rest, though we fail to perceive that anyone could possibly be placed in a position where his ability in this respect would be of any use to him [and] what is to be gained by a constant repetition of the fact.
The event proved popular, however, with 20,000 spectators attending each day. Encouraged by this, promoters developed the idea and soon held similar races for cyclists.
- "...and much more likely to endure their miseries publicly; a tired walker, after all, merely sits down - a tired cyclist falls off and possibly brings others crashing down as well. That's much more fun".
The fascination with six-day bicycle races spread across the Atlantic and the same appeal to base instincts brought in the crowds in America as well. And the more spectators paid at the gate, the higher the prizes could be and the greater was the incentive of riders to stay awake—or be kept awake—to ride the greatest distance. Their exhaustion was countered by soigneurs (the French word for "carers"), helpers akin to seconds in boxing. Among the treatments they supplied was nitroglycerine, a drug used to stimulate the heart after cardiac attacks and which was credited with improving riders' breathing. Riders suffered hallucinations from the exhaustion and perhaps the drugs. The American champion Major Taylor refused to continue the New York race, saying: "I cannot go on with safety, for there is a man chasing me around the ring with a knife in his hand."
Public reaction turned against such trials, whether individual races or in teams of two. One report chided:
- An athletic contest in which the participants 'go queer' in their heads, and strain their powers until their faces become hideous with the tortures that rack them, is not sport, it is brutality. It appears from the reports of this singular performance that some of the bicycle riders have actually become temporarily insane during the contest... Days and weeks of recuperation will be needed to put the racers in condition, and it is likely that some of them will never recover from the strain.
The father of anabolic steroids in the United States was John Ziegler (1917–1983), a physician for the U.S. weightlifting team in the mid-twentieth century. Ziegler learned from his Russian days that the Soviet weightlifting team's success was due to their use of performance-enhancing drugs. Deciding that U.S. athletes needed chemical assistance to remain competitive, Ziegler worked with the CIBA Pharmaceutical Company to develop an oral anabolic steroid. This resulted in the creation of methandrostenolone, which appeared on the market in 1960. During the Olympics that year, the Danish cyclist Knud Enemark Jensen collapsed and died while competing in the 100-kilometer (62-mile) race. An autopsy later revealed the presence of amphetamines and a drug called nicotinyl tartrate in his system.
The American specialist in doping, Max M. Novich, wrote: "Trainers of the old school who supplied treatments which had cocaine as their base declared with assurance that a rider tired by a six-day race would get his second breath after absorbing these mixtures."  John Hoberman, a professor at the University of Texas in Austin, Texas, said six-day races were "de facto experiments investigating the physiology of stress as well as the substances that might alleviate exhaustion." 
Strychnine at the Olympics 
These "de facto experiments investigating the physiology of stress as well as the substances that might alleviate exhaustion" were not unknown outside cycling.
Thomas Hicks, an American born in England on January 7, 1875, won the Olympic marathon in 1904. He crossed the line behind a fellow American, Fred Lorz, whose concept of marathon-running extended to riding half the way in a car thereby disqualifying him. However, Hicks was also aided by outside help. His trainer, Charles Lucas, pulled out a hypodermic and came to his aid as his runner began to struggle.
- I therefore decided to inject him with a milligram of sulphate of strychnine and to make him drink a large glass brimming with brandy. He set off again as best he could [but] he needed another injection four miles from the end to give him a semblance of speed and to get him to the finish.
The use of strychnine, far from being banned, was thought necessary to survive demanding races, says the sports historian Alain Lunzenfichter. The historian of sports doping, Dr Jean-Pierre de Mondenard, said:
- It has to be appreciated that at the time the menace of doping for the health of athletes or of the purity of competition had yet to enter the morals because, after this marathon, the official race report said: The marathon has shown from a medical point of view how drugs can be very useful to athletes in long-distance races.
Hicks was, in the phrase of the time, "between life and death" but recovered, collected his gold medal a few days later, and lived for almost 60 more years, although he never again took part in athletics.
The Convicts of the Road 
In 1924 the journalist Albert Londres followed the Tour de France for the French newspaper, Le Petit Parisien. At Coutances he heard that the previous year's winner, Henri Pélissier, his brother Francis and a third rider, Maurice Ville, had resigned from the competition after an argument with the organiser, Henri Desgrange. Henri explained the problem—whether or not he had the right to take off a jersey—and went on to talk of drugs, reported in Londres' race diary, in which he invented the phrase Les Forçats de la Route (The Convicts of the Road):
- "You have no idea what the Tour de France is," Henri said. "It's a Calvary. Worse than that, because the road to the Cross has only 14 stations and ours has 15. We suffer from the start to the end. You want to know how we keep going? Here..." He pulled a phial from his bag. "That's cocaine, for our eyes. This is chloroform, for our gums."
- "This," Ville said, emptying his shoulder bag "is liniment to put warmth back into our knees."
- "And pills. Do you want to see pills? Have a look, here are the pills." Each pulled out three boxes.
- "The truth is," Francis said, "that we keep going on dynamite."
Henri spoke of being as white as shrouds once the dirt of the day had been washed off, then of their bodies being drained by diarrhea, before continuing:
- "At night, in our rooms, we can't sleep. We twitch and dance and jig about as though we were doing St Vitus's Dance..."
- "There's less flesh on our bodies than on a skeleton," Francis said.
Francis Pélissier said much later: "Londres was a famous reporter but he didn't know about cycling. We kidded him a bit with our cocaine and our pills. Even so, the Tour de France in 1924 was no picnic."
The acceptance of drug-taking in the Tour de France was so complete by 1930, when the race changed to national teams that were to be paid for by the organisers, that the rule book distributed to riders by the organiser, Henri Desgrange, reminded them that drugs were not among items with which they would be provided.
The use of Pot Belge by road cyclists in continental Europe exemplifies a cross-over between recreational and performance-enhancing abuse of drugs by sportsman.
Benzedrine is a trade name for amphetamine. The Council of Europe says it first appeared in sport at the Berlin Olympics in 1936. It was produced in 1887 and the derivative, Benzedrine, was isolated in the U.S. in 1934 by Gordon Alles. Its perceived effects gave it the street name "speed". British troops used 72 million amphetamine tablets in the Second World War and the RAF got through so many that "Methedrine won the Battle of Britain" according to one report. The problem was that amphetamine leads to a lack of judgement and a willingness to take risks, which in sport could lead to better performances but in fighters and bombers led to more crash landings than the RAF could tolerate. The drug was withdrawn but large stocks remained on the black market. Amphetamine was also used legally as an aid to slimming and also as a thymoleptic before being phased out by the appearance of newer agents in the 1950s.
- I cannot remember how they first came to be offered to us. But they were distributed in the dressing rooms. We didn't have to take them but most of the players did. The tablets were mostly white but once or twice they were yellow. They were used through the 1961–62 season and the championship season which followed it. Drug-taking had previously been virtually unnamed in the club. But once it had started we could have as many tablets as we liked. On match days they were handed out to most players as a matter of course. Soon some of the players could not do without the drugs.
The club agreed that drugs had been used but that they "could not possibly have had any harmful effect." Dunlop, however, said he had become an addict.
Benzedrine and its sister drugs were irresistible in other sports. In November 1942, the Italian cyclist Fausto Coppi took "seven packets of amphetamine" to beat the world hour record on the track. In 1960, the Danish rider Knud Enemark Jensen collapsed during the 100 km team time trial at the Olympic Games in Rome and died later in hospital. The autopsy showed he had taken amphetamine and another drug, Ronicol, which dilates the blood vessels. The chairman of the Dutch cycling federation, Piet van Dijk, said of Rome that "dope - whole cartloads - [were] used in such royal quantities." 
The British professional Jock Andrews used to joke: "You need never go off-course chasing the peloton in a big race - just follow the trail of empty syringes and dope wrappers." 
The Dutch cycling team manager Kees Pellenaars told of a rider in his care:
- I took him along to a training camp in Spain. The boy changed then into a sort of lion. He raced around as though he was powered by rockets. I went to talk to him. He was really happy he was riding well and he told me to look out for him. I asked if he wasn't perhaps "using something" and he jumped straight up, climbed on a chair and from deep inside a cupboard he pulled out a plastic bag full of pills. I felt my heart skip a beat. I had never seen so many fireworks together. With a soigneur we counted the pills: there were 5,000 of them, excluding hormone preparations and sleeping pills. I took them away, to his own relief. I let him keep the hormones and the sleeping pills.
- Later he seemed to have taken too many at once and he slept for a couple of days on end. We couldn't wake him up. We took him to hospital and they pumped out his stomach. They tied him to his bed to prevent anything going wrong again. But one way or another he had some stimulant and fancied taking a walk. A nurse came across him in the corridor, walking along with the bed strapped to his back.
Anabolic steroids 
Anabolic-androgenic steroids (AAS) were first isolated, identified and synthesized in the 1930s, and are now used therapeutically in medicine to induce bone growth, stimulate appetite, induce male puberty, and treat chronic wasting conditions, such as cancer and AIDS. Anabolic steroids also increase muscle mass and physical strength, and are therefore used in sports and bodybuilding to enhance strength or physique. Known side effects include harmful changes in cholesterol levels (increased Low density lipoprotein and decreased High density lipoprotein), acne, high blood pressure, liver damage. Some of these effects can be mitigated by taking supplemental drugs.
AAS use in sports began in October 1954 when John Ziegler, a doctor who treated American athletes, went to Vienna with the American weightlifting team. There he met a Russian physician who, over "a few drinks", repeatedly asked "What are you giving your boys?" When Ziegler returned the question, the Russian said that his own athletes were being given testosterone.
Returning to America, Ziegler tried low doses of testosterone on himself, on the American trainer Bob Hoffman and on two lifters, Jim Park and Yaz Kuzahara. All gained more weight and strength than any training programme would produce but there were side-effects. Ziegler sought a drug without after-effects and hit on an anabolic steroid, methandrostenolone, (Dianabol, DBOL), made in the US in 1958 by Ciba.
The results were impressive—so impressive that lifters began taking ever more. Steroids spread to other sports where bulk mattered. Paul Lowe, a former running back with the San Diego Chargers American football team, told a California legislative committee on drug abuse in 1970: "We had to take them [steroids] at lunchtime. He [an official] would put them on a little saucer and prescribed them for us to take them and if not he would suggest there might be a fine."
Olympic statistics show the weight of shot putters increased 14 percent between 1956 and 1972, whereas steeplechasers weight increased 7.6 per cent. The gold medallist pentathlete Mary Peters said: "A medical research team in the United States attempted to set up extensive research into the effects of steroids on weightlifters and throwers, only to discover that there were so few who weren't taking them that they couldn't establish any worthwhile comparisons."
In 1984, Jay Silvester, a former four-time Olympian and 1972 silver medalist in the discus, who was then with the physical education department of Brigham Young University in the U.S., questioned competitors at that year's Olympics. The range of steroid use he found ranged from 10 mg a day to 100 mg.
|Have you taken anabolic steroids within the past six months?||61%||39%||0%|
|Have you ever taken anabolic steroids?||68||32||0|
|Ethically, do you approve of anabolic steroids in athletics?||50||27||23|
|If a test could positively identify steroid users, would you favour banishment of the drug in sport?||48||35||17|
|Are you aware of any specific reason why athletes who have not attained full maturity should avoid anabolic steroid usage?||42||48||10|
|If you were a coach, would you commend anabolic steroid usage to (mature) athletes in your event?||45||35||20|
|Do you feel anabolic steroids have positively affected the performance of athletes in your event?||65||16||19|
|Do you feel that steroids have negatively affected the performance of athletes in your event?||6||61||33|
|Do you feel that steroids enable a person to gain strength faster than otherwise possible?||84||3||13|
|Do you believe that steroids enable a person to gain cardio-respiratory endurance more quickly than otherwise possible?||13||42||45|
|Do you believe that steroids enable a person to gain greater cardio-respiratory endurance than otherwise possible?||6||45||49|
|Have you ever gained localised muscular endurance faster when taking anabolic steroids?||48||42||10|
|Have you gained greater local muscular endurance faster when taking anabolic steroids?||32||22||46|
|Do steroids enhance mental attitude? Do you feel more in control of your life? Do you feel you will perform better in your event?||68||10||22|
|Has steroid usage appeared to contribute to injury problems?||26||32||42|
|Are you aware of the undesirable side-effects?||74||19||7|
|Do steroids increase body weight?||55||16||29|
|Are steroids difficult to obtain?||22||61||17|
Several successful athletes and professional bodybuilders have admitted long-term methandrostenolone use before the drug was banned, including Arnold Schwarzenegger and Sergio Oliva.[dead link] Dianabol is no longer produced but similar drugs are made elsewhere.
The use of anabolic steroids is now banned by all major sporting bodies, including the ATP, WTA, ITF, International Olympic Committee, FIFA, UEFA, all major professional golf tours, the National Hockey League, Major League Baseball, the National Basketball Association, the European Athletic Association, WWE, the NFL and the UCI. However, drug testing can be wildly inconsistent and, in some instances, has gone unenforced.
1988 Seoul Olympics 
A famous case of illicit AAS use in a competition was Canadian Ben Johnson's victory in the 100 m at the 1988 Summer Olympics. He subsequently failed the drug test when stanozolol was found in his urine. He later admitted to using the steroid as well as Dianabol, testosterone, Furazabol, and human growth hormone amongst other things. Johnson was therefore stripped of his gold medal as well as recognition of what had been a world-record performance. Carl Lewis was then promoted one place to take the Olympic gold title. Lewis had also run under the current world record time and was therefore recognized as the new record holder. In 2003, however, Dr. Wade Exum, the United States Olympic Committee (USOC) director of drug control administration from 1991 to 2000, gave copies of documents to Sports Illustrated which revealed that some 100 American athletes who failed drug tests and should have been prevented from competing in the Olympics were nevertheless cleared to compete. Among those athletes was Carl Lewis. Lewis then broke his silence on allegations that he was the beneficiary of a drugs cover-up, admitting he had tested positive for banned substances but claiming he was just one of "hundreds" of American athletes who were allowed to escape bans, concealed by the USOC. Lewis has now acknowledged that he failed three tests during the 1988 US Olympic trials, which under international rules at the time should have prevented him from competing in the Seoul games two months later.
Former athletes and officials came out against the USOC cover-up. "For so many years I lived it. I knew this was going on, but there's absolutely nothing you can do as an athlete. You have to believe governing bodies are doing what they are supposed to do. And it is obvious they did not," said former American sprinter and 1984 Olympic champion, Evelyn Ashford.
East Germany 
In 1977, one of East Germany's best sprinters, Renate Neufeld, fled to the West with the Bulgarian she later married. A year later she said that she had been told to take drugs supplied by coaches while training to represent East Germany in the 1980 Olympic Games.
- At 17, I joined the East Berlin Sports Institute. My speciality was the 80m hurdles. We swore that we would never speak to anyone about our training methods, including our parents. The training was very hard. We were all watched. We signed a register each time we left for dormitory and we had to say where we were going and what time we would return. One day, my trainer, Günter Clam, advised me to take pills to improve my performance: I was running 200m in 24 seconds. My trainer told me the pills were vitamins, but I soon had cramp in my legs, my voice became gruff and sometimes I couldn't talk any more. Then I started to grow a moustache and my periods stopped. I then refused to take these pills. One morning in October 1977, the secret police took me at 7am and questioned me about my refusal to take pills prescribed by the trainer. I then decided to flee, with my fiancé.
She brought with her to the West grey tablets and green powder she said had been given to her, to members of her club, and to other athletes. The West German doping analyst Manfred Donike reportedly identified them as anabolic steroids. She said she stayed quiet for a year for the sake of her family. But when her father then lost his job and her sister was expelled from her handball club, she decided to tell her story.
East Germany closed itself to the sporting world in May 1965. In 1977 the shot-putter Ilona Slupianek, who weighed 93 kg, tested positive for anabolic steroids at the European Cup meeting in Helsinki and thereafter athletes were tested before they left the country. At the same time, the Kreischa testing laboratory near Dresden passed into government control, which was reputed to make around 12,000 tests a year on East German athletes but without any being penalised.
The International Amateur Athletics Federation suspended Slupianek for 12 months, a penalty that ended two days before the European championships in Prague. In the reverse of what the IAAF hoped, sending her home to East Germany meant she was free to train unchecked with anabolic steroids, if she wanted to, and then compete for another gold medal, which she won.
After that, almost nothing emerged from the East German sports schools and laboratories. A rare exception was the visit by the sports writer and former athlete, Doug Gilbert of the Edmonton Sun, who said:
- Dr (Heinz) Wuschech knows more about anabolic steroids than any doctor I have ever met, and yet he cannot discuss them openly any more than Geoff Capes or Mac Wilkins can openly discuss them in the current climate of amateur sports regulation. What I did learn in East Germany was that they feel there is little danger from anabolica, as they call it, when the athletes are kept on strictly monitored programmes. Although the extremely dangerous side-effects are admitted, they are statistically no more likely to occur than side-effects from the birth control pill. If, that is, programmes are constantly medically monitored as to dosage.
Other reports came from the occasional athlete who fled to the West. There were 15 between 1976 and 1979. One, the ski-jumper Hans Georg Aschenbach, said: "Long-distance skiers start having injections to their knees from the age 14 because of their intensive training." He said: "For every Olympic champion, there at least 350 invalids. There are gymnasts among the girls who have to wear corsets from the age of 18 because their spine and their ligaments have become so worn... There are young people so worn out by the intensive training that they come out of it mentally blank [lessivés - washed out], which is even more painful than a deformed spine."
After German reunification, on 26 August 1993 the records were opened and the evidence was there that the Stasi, the state secret police, supervised systematic doping of East German athletes from 1971 until reunification in 1990. Doping existed in other countries, says the expert Jean-Pierre de Mondenard, both communist and capitalist, but the difference with East Germany was that it was a state policy.
The Sportvereinigung Dynamo (English:Dynamo Sports Club) was especially singled out as a center for doping in the former East Germany. Many former club officials and some athletes found themselves charged after the dissolution of the country. A special page on the internet was created by doping victims trying to gain justice and compensation, listing people involved in doping in the GDR.
State-endorsed doping began with the Cold War when every eastern bloc gold was an ideological victory. From 1974, Manfred Ewald, the head of the GDR's sports federation, imposed blanket doping. At the 1968 Mexico City Olympics, the country of 17 million collected nine gold medals. Four years later the total was 20 and in 1976 it doubled again to 40. Ewald was quoted as having told coaches, "They're still so young and don't have to know everything." He was given a 22-month suspended sentence, to the outrage of his victims.
Often, doping was carried out without the knowledge of the athletes, some of them as young as ten years of age. It is estimated that around 10,000 former athletes bear the physical and mental scars of years of drug abuse, one of them is Rica Reinisch, a triple Olympic champion and world record-setter at the Moscow Games in 1980, has since suffered numerous miscarriages and recurring ovarian cysts.
Two former Dynamo Berlin club doctors, Dieter Binus, chief of the national women's team from 1976 to 80, and Bernd Pansold, in charge of the sports medicine center in East-Berlin, were committed for trial for allegedly supplying 19 teenagers with illegal substances. Binus was sentenced in August, Pansold in December 1998 after both being found guilty of administering hormones to underage female athletes from 1975 to 1984.
Virtually no East German athlete ever failed an official drugs test, though Stasi files show that many did, indeed, produce positive tests at Kreischa, the Saxon laboratory (German:Zentrales Dopingkontroll-Labor des Sportmedizinischen Dienstes) that was at the time approved by the International Olympic Committee, now called the Institute of Doping Analysis and Sports Biochemistry (IDAS).
In 2005, fifteen years after the end of the GDR, the manufacturer of the drugs in former East Germany, Jenapharm, still finds itself involved in numerous lawsuits from doping victims, being sued by almost 200 former athletes.
Former Sport Club Dynamo athletes who publicly admitted to doping, accusing their coaches:
Former Sport Club Dynamo athletes disqualified for doping:
- Ilona Slupianek (Ilona Slupianek was tested positive along with three Finnish athletes at the 1977 European Cup, becoming the only East German athlete ever to be convicted of doping)
Based on the admission by Pollack, the United States Olympic Committee asked for the redistribution of gold medals won in the 1976 Summer Olympics. Despite court rulings in Germany that substantiate claims of systematic doping by some East German swimmers, the IOC executive board announced that it has no intention of revising the Olympic record books. In rejecting the American petition on behalf of its women's medley relay team in Montreal and a similar petition from the British Olympic Association on behalf of Sharron Davies, the IOC made it clear that it wanted to discourage any such appeals in the future.
Modern times 
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Currently, tetrahydrogestrinone (THG) and modafinil are causing controversy throughout the sporting world, with many high-profile cases attracting major press coverage as prominent United States athletes have tested positive for these doping substances. Some athletes who were found to have used modafinil protested as the drug was not on the prohibited list at the time of their offence; however, the World Anti-Doping Agency (WADA) maintains it is a substance related to those already banned, so the decisions stand. Modafinil was added to the list of prohibited substances on 3 August 2004, ten days before the start of the 2004 Summer Olympics.
Use of Performance-enhancing drugs in football (soccer) 
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Unlike individual sports such as bicycling, weight-lifting, and track and field, Football (soccer) is not widely associated with performance enhancing drugs. Like most high-profile team sports, football suffers more from an association with recreational drugs, the case of Diego Maradona and cocaine in 1991 being the best known of those.
Football has however been criticised for not sanctioning players implicated in performance enhancing drug scandals. Most recently, Operation Puerto implicated approximately 50 cyclists and 150 sportspersons of other sporting codes, including several "high-profile football players". While the cyclists were named and pursued by the governing bodies of cycling, none of the football players were named or punished for their involvement in the doping ring.
Lance Armstrong Doping Case 
Since October 22, 2012 Lance Armstrong was officially stripped of all of his Tour de France titles since 1998. According to the Washington Post, the president of the UCI, Pat McQuaid, said “Lance Armstrong has no place in cycling, and he deserves to be forgotten.” Armstrong is no longer eligible to participate in any sport that uses the World Anti-Doping Code. As a response to the decisions of the USADA and UCI, Armstrong resigned from the Lance Armstrong Foundation and companies that sponsored him have revoked such contracts including his largest contributor, Nike. On January 14, 2013, Armstrong confessed to doping in an interview with Oprah Winfrey which was then aired on January 17th on the Oprah Winfrey Network.
Endurance sports 
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In 1998 the entire Festina team were excluded from the Tour de France following the discovery of a team car containing large amounts of various performance-enhancing drugs. The team director later admitted that some of the cyclists were routinely given banned substances. Six other teams pulled out in protest including Dutch team TVM who left the tour still being questioned by the police. The Festina scandal overshadowed cyclist Marco Pantani's tour win, but he himself later failed a test. The infamous "pot belge" or "Belgian mix" has a decades-long history in pro cycling, among both riders and support staff. More recently David Millar, the 2003 World-Time Trial Champion, admitted using EPO, and was stripped of his title and suspended for two years. Still later, Roberto Heras was stripped of his victory in the 2005 Vuelta a España and suspended for two years after testing positive for EPO.
In triathlon, 2004 Hawaii Ironman winner, Nina Kraft, was disqualified for a positive test to EPO. She remains the only Hawaii Ironman Winner to be disqualified for doping offences.
For extensive discussions of doping in the sport of competitive cycling, see:
- List of doping cases in cycling
- Doping at the Tour de France, with specific articles on the following doping cases in the Tour:
The use of performance-enhancing drugs in sport has become an increasing problem across a wide range of sports. It is defined as any substance or drug that, when taken, gives an athlete an unfair advantage relative to a "clean" athlete. The banning of these drugs promotes a more level playing field which most if not all sporting organisations seek to achieve. Recently, the use of 'the suit' in swimming, which gives athletes an advantage in the way of hydrodynamics, has been banned from international competition due to the unfair advantage it delivered. The drugs taken by athletes differ widely based on the performance needs of the sport. Erythropoietin (EPO) is largely taken by endurance athletes who seek a higher level of red blood cells, which leads to more oxygenated blood, and a higher VO2 max. An athlete's VO2 max is highly correlated with success within endurance sports such as swimming, long-distance running, cycling, rowing, and cross-country skiing. EPO has recently become prevalent amongst endurance athletes due to its potentcy and low degree of detectability when compared to other methods of doping such as blood transfusion. While EPO is believed to have been widely used by athletes in the 1990s, there was not a way to directly test for the drug until 2002. Athletes at the Olympic Games are tested for EPO through blood and urine tests. Testing endurance athletes for blood doping protects them from the deleterious effects that the practice can have on them. Stringent guidelines and regulations can lessen the dangerous culture of doping that has existed within a handful of endurance sports. As of 2012, 18 pro cyclists in the last fifteen years have died from using EPO.
Non-endurance sports 
In sports where physical strength is favored, athletes have resorted to anabolic steroids, known for their ability to increase physical strength and muscle mass. The drug mimics the effect of testosterone and dihydrotestosterone in the body. They were developed after Eastern Bloc countries demonstrated success in weightlifting during the 1940s. At the time they were using testosterone, which carried with it negative effects; anabolic steroids were developed as a solution. The drug has been used across a wide range of sports from football and basketball to weightlifting and track and field. While not as inherently life threatening as the drugs used in endurance sports, anabolic steroids have many negative side effects including, but not limited to, the following:
Side effects in men 
- impaired liver function
- breast formation (gynecomastia)
- increase in estrogen
- erectile dysfunction
- increased sex drive
- male pattern baldness
Side effects in women 
- hair loss
- male pattern baldness
- hypertrophy of the clitoris
- increased sex drive
- irregularities of the menstrual cycle
- development of masculine facial traits
- increased coarseness of the skin
- premature closure of the epiphysis
In countries where the use of these drugs is controlled, there is often a black market of smuggled or counterfeit drugs. The quality of these illegal drugs may be poor and other contaminants can cause health risks. In countries where anabolic steroids are strictly regulated, some have called for a regulatory relief.
Reaction from sports organizations 
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Many sports organizations have banned the use of performance enhancing drugs and have very strict rules and consequences for people who are caught using them. The International Amateur Athletic Federation, now the International Association of Athletics Federations, were the first international governing body of sport to take the situation seriously. In 1928 they banned participants from doping, but with little in the way of testing available they had to rely on the word of the athlete that they were clean.
It was not until 1966 that FIFA (world football) and Union Cycliste Internationale (cycling) joined the IAAF in the fight against drugs, closely followed by the International Olympic Committee the following year.
Progression in pharmacology has always outstripped the ability of sports federations to implement rigorous testing procedures but since the creation of the World Anti-Doping Agency in 1999 more and more athletes are being caught.
The first tests for athletes were at the 1966 European Championships and two years later the IOC implemented their first drug tests at both the Summer and Winter Olympics. Anabolic steroids became prevalent during the 1970s and after a method of detection was found they were added to the IOC's prohibited substances list in 1976.
Over the years, different sporting bodies have evolved differently to the war against doping. Some, such as athletics and cycling, are becoming increasingly vigilant against doping in their sports. However, there has been criticism that sports such as soccer and baseball are doing nothing about the issue, and letting athletes implicated in doping away unpunished. An example of this was Operation Puerto—approximately 200 sportspersons were implicated in blood doping. Of these, approximately 50 were cyclists and 150 were other sportspersons, including several "high-profile soccer and tennis players" . The cyclists were pursued over their involvement, with many of them getting bans, such as Ivan Basso and Tyler Hamilton. By contrast, not a single soccer player involved in the doping ring was named, and to this day, all remain unpunished.
A handful of commentators maintain that, as outright prevention of doping is an impossibility, all doping should be legalised. Most disagree with this assertion, pointing out the claimed harmful long-term effects of many doping agents. However, with no medical data to support these claimed health problems, it is, at best, questionable. Opponents claim that with doping legal, all competitive athletes would be compelled to use drugs, and the net effect would be a level playing field but with widespread health consequences. Considering that anti-doping is largely ineffective due to both testing limitations and lack of enforcement, this is not markedly different than the situation already in existence.
Another point of view is that doping could be legalized to some extent using a drug whitelist and medical counseling, such that medical safety is ensured, with all usage published. Under such a system, it is likely that athletes would attempt cheat by exceeding official limits to try to gain an advantage; this could be considered conjecture as drug amounts do not always correlate linearly with performance gains. To police such a system could be as difficult as policing a total ban on performance enhancing drugs.
Anti-Doping organizations and legislation 
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- In February 2011, the United States Olympic Committee and the Ad Council launched an anti-steroid campaign called Play Asterisk Free aimed at teens. The campaign first launched in 2008 under the name "Don't Be An Asterisk!".
- In October 2012, the USADA released evidence to corroborate their doping claim against cyclist Lance Armstrong. According to USADA CEO Travis T. Tygart, the evidence against Armstrong includes, "...scientific data and laboratory test results that further prove the use, possession and distribution of performance enhancing drugs".
- On November 1, 1989, US Senator Joseph Biden introduced S. 1829, The Steroid Trafficking Act of 1989. The purpose of the act was simple: It would “amend the Controlled Substances Act to further restrict the use of steroids. By designating anabolic steroids as a Schedule II controlled substance, the bill would crack down on illegal steroid use”. (Senate Judiciary Committee, 2002, p. 282).
Anti-Doping Convention of the Council of Europe 
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The Anti-Doping Convention of 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 48 states including the Council of Europe non-member states Australia, Belarus, Canada and Tunisia. The Convention is open for signature by other non-European states. It does not claim to create a universal model of anti-doping, but sets a certain number of common standards and regulations requiring Parties to adopt legislative, financial, technical, educational and other measures.
The main objective of the Convention is to promote the national and international harmonisation of the measures to be taken against doping. In their constitutional provisions, each contracting party undertakes to:
- create a national co-ordinating body;
- reduce the trafficking of doping substances and the use of banned doping agents;
- reinforce doping controls and improve detection techniques;
- support education and awareness-raising programmes;
- guarantee the efficiency of sanctions taken against offenders;
- collaborate with sports organisations at all levels, including at international level;
- and to use accredited anti-doping laboratories.
Furthermore the Convention describes the mission of the Monitoring Group set up in order to monitor its implementation and periodically re-examine the List of prohibited substances and methods which can be found in annex to the main text.
An Additional Protocol to the Convention entered into force on 1 April 2004 with the aim of ensuring the mutual recognition of anti-doping controls and of reinforcing the implementation of the Convention using a binding control system.
Drug testing 
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Statistical validity 
Professor Donald A. Berry has argued that the closed systems used by anti-doping agencies do not allow scientific (statistical) validation of the tests. This argument was seconded by an accompanying editorial in the magazine Nature (7 August 2008).
Test methods 
Under established doping control protocols, the participant will be asked to provide a urine sample, which will be divided into two, each portion to be preserved within sealed containers bearing the same unique identifying number and designation respectively as A- and B-samples.
WADA's Executive Committee and Foundation Board clarified at a meeting on 19–20 November, that an athlete whose A-sample has revealed the presence of a prohibited substance or method to request the analysis of his or her B-sample.
"The B-sample helps confirm that an anti-doping rule violation has occurred and protects the rights of the athletes", said WADA Director General David Howman. "It should be stressed that anti-doping is one of the few types of controls in society in which a confirmation procedure is used in order to protect individuals, and the very rare cases in which the analysis of the B-sample did not match the results of the A-sample have shown the usefulness of such procedure."
Re-testing of samples 
According to Article 6.5 in the World Anti-Doping Code samples may be re-tested later. Samples from high-profile events, such as the Olympic Games, are now re-tested up to eight years later to take advantage of new techniques for detecting banned substances. 
Cheating the tests 
Athletes seeking to avoid testing positive for doping use various methods to cheat on the drug tests. The most common methods include:
- Urine replacement, which involves replacing dirty urine with clean urine from someone who is not taking banned substances. Urine replacement can be done by catheterization or with a prosthetic penis such as The Original Whizzinator.
- Diuretics, used to cleanse the system before having to provide a sample.
- Blood transfusions, which increase the blood's oxygen carrying capacity, in turn increasing endurance without the presence of drugs that could trigger a positive test result.
G. Pascal Zachary argues in a Wired essay that legalizing performance-enhancing substances, as well as genetic and cyborg enhancements once they became available, would satisfy society's need for übermenschen and reverse the decline in public interest in sports. Despite the health problem brought by PEDs, some athletes point to the already dangerous environment in sports like football and martial arts and wonder if there is a double standard where health concerns brought by the aggressive nature of these sports is viewed acceptable but not PEDs.
Anti-doping policies instituted by individual sporting governing bodies may conflict with local laws. A notable case includes the National Football League (NFL) inability to suspend players found with banned susbstances; after it was ruled by a federal court, that local labor laws superseded the NFL's anti-doping regime. The challenge was supported by the National Football League Players Association.
Athletes caught doping may be subject to penalties from their locality as well from the individual sporting governing body. The legal status of anabolic steroids varies from country to country.
See also 
- Doping at the Olympic Games
- Doping in association football
- Technology doping
- Concussions in sports
- Operación Puerto doping case
- There are many suggestions as to the origin of the term doping.
- One is that it is derived from dop, an alcoholic drink used as a stimulant in ceremonial dances in 18th century Southern Africa. Verroken Baillière's (2000) Clin Endocrinol Metab; 14: 1–23. cited by A. J. Higgins (2006) From ancient Greece to modern Athens: 3000 years of doping in competition horses Journal of Veterinary Pharmacology and Therapeutics V 29 I s1 Pg 4-8.
- Another suggestion is that the word comes from the Dutch word doop (a thick dipping sauce) that entered American slang to describe how robbers stupefied victims by mixing tobacco with the seeds of Datura stramonium, known as jimsonweed, which contains a number of tropane alkaloids, causing sedation, hallucinations and confusion. See Clarke (1962) Med Leg J; 30: 180–194. cited by A. J. Higgins (2006) From ancient Greece to modern Athens: 3000 years of doping in competition horses Journal of Veterinary Pharmacology and Therapeutics V 29 I s1 Pg 4-8; Ratsch (2005), The Encyclopedia of Psychoactive Plants: Ethnopharmacology and its Applications. Rochester Ed. Park Street Press.cited by A. J. Higgins (2006) From ancient Greece to modern Athens: 3000 years of doping in competition horses Journal of Veterinary Pharmacology and Therapeutics V 29 I s1 Pg 4–8.
- By 1889, "dope" was used in connection with the preparation of a thick viscous preparation of opium for smoking, and during the 1890s this extended to any stupefying narcotic drug.
- In 1900, dope was also defined as "a preparation of drugs designed to influence" the performance of a racehorse. Barnhart (2003). In Chambers Dictionary of Etymology. Chambers Harrap, Edinburgh, cited by A. J. Higgins (2006). From ancient Greece to modern Athens: 3000 years of doping. Journal of Veterinary Pharmacology and Therapeutics, vol. 29, issue s1, pp. 4–8.
- This theory, which dates back to research done centuries ago (see Berserker entry) has been disputed and other causes suggested, mostly that different drugs were involved but also the theory of mental illness
- Schweitzer, Albert: À l'Orée de la Forêt Vierge, récits et réflexions d'un médecin en Afrique équatoriale française, Albin Michel, France 1952
- Dr Jean-Pierre de Mondenard (2000). Dopage : L'imposture des performances. Wilmette, Ill: Chiron. ISBN 2-7027-0639-8.
- Grajewski, Tadeusw: The Building That Would Not Go Away, Royal Agriciultural Hall, UK, 1989
- Woodland, Les: This Island Race, Mousehold Press, UK, 2005
- Novich, Max M., Abbotempo, UK, 1964
- Bearings, US, 24 December 1896, cited Ritchie, Andrew, Major Taylor, Bicycle Books, US, 1988
- New York Times, US, 1897, cited McCullagh, James, American Bicycle Racing, Rodale Press, U.S., 1976
- Novich, ibid. Cited De Mondenard, Dr Jean-Pierre: Dopage, l'imposture des performances, Chiron, France, 2000
- Hoberman, John; Dopers on Wheels: The Tour's sorry history, www.msnbc.msn.com/id/19462071/ retrieved December 2007
- La Fabuleuse Histoire des Jeux Olympiques. France: ODIL. 1973. ISBN 2-8307-0583-1.
- Lunzenfichter, Alain (10 December 2007). "L'Équipe". France.
- Woodland, Les (1980). Dope, the use of drugs in Sport. UK: David and Charles. ISBN 0-7153-7894-5.
- Londres, Albert: Les frères Pélissier et leur camarade Ville abandonnent, Le Petit Parisien, 27 June 1924, France
- Woodland, Les: Yellow Jersey Guide to the Tour de France, Yellow Jersey, London, 2007
- Maso, Benji:Zweet van de Goden, Holland
- Doping of athletes, a European survey, Council of Europe, FRrance, 1964
- Grant, D.N.W.; Air Force, UK, 1944
- Gabbert, Michael: How we uncovered the Everton drug scandal, The People, UK, 13 September 1964
- Brera, G. Le Géant et la Lime (French title), Ed. Campagnolo, Italy, 1995, cited De Mondenard
- Van Dijk, Pieter: Doping bestaat en doen we eraan, Het Vrije Volk, Holland, 13 December 1961
- Cited by fellow professional Tony Hewson in Journal, Fellowship of Cycling Old Timers, 158/72
- Huyskens, P: Daar was 't, een biografie van Kees Pellenaars, Netherlands,1973
- Kanayama G, Hudson JI, Pope HG (November 2008). "Long-term psychiatric and medical consequences of anabolic-androgenic steroid abuse: A looming public health concern?". Drug and alcohol dependence 98 (1-2): 1–12. doi:10.1016/j.drugalcdep.2008.05.004. PMC 2646607. PMID 18599224.
- Laure, P.: Les répresentations du dopage; approche psycho-sociologique, Thèse STAPS, Nancy, France, 1994
- Yesalis CE, Anderson WA, Buckley WE, Wright JE (1990). "Incidence of the nonmedical use of anabolic-androgenic steroids" (PDF). NIDA research monograph 102: 97–112. PMID 2079979.
- Fair JD (1993). "Isometrics or Steroids? Exploring New Frontiers Of Strength in the Early 1960s" (PDF). Journal of Sport History 20 (1).
- Peters, Mary: Mary P, Arrow Books, UK, 1976
- Steve Theunissen: Arnold & Steroids: Truth Revealed 2002
- Interview with Sergio Oliva
- Mackay, Duncan (April 24, 2003). "Lewis: 'Who cares I failed drug test?'". The Guardian (London). Retrieved 2009-04-13.
- This idol has feet of clay, after all
- Sport Information Dienst, W Germany, December 1978
- Costelle D, Berlioux M, Histoires des Jeux Olympiques, Larousse, France, 1980
- Cited Woodland, Les: Dope, the use of drugs in sport, David and Charles, UK, 1980
- Le Figaro, France, 19 January 1989
- "Sports Doping Statistics Reach Plateau in Germany". Deutsche Welle. 2003-02-26. Retrieved 2007-08-04.
- Pain And Injury in Sport: Social And Ethical Analysis, Section III, Chapter 7, Page 111, by Sigmund Loland, Berit Skirstad, Ivan Waddington, Published by Routledge in 2006, ASIN: B000OI0HZG
- "Dynamo Liste (in German)". email@example.com. September 2002. Retrieved 2008-03-10.
- "Dynamo Liste: Die Täter (in German)". firstname.lastname@example.org. September 2002. Retrieved 2008-03-11.
- "Jenapharm says drugs were legal". ESPN. 2005-04-28. Retrieved 2008-03-11.
- "Obituary: Manfred Ewald". The Independent. 2002-10-25. Retrieved 2008-03-11.[dead link]
- "GDR athletes sue over steroid damage". BBC News Europe. 2005-03-13. Retrieved 2008-03-11.
- "New doping charges against East German doctors". BBC News. 1997-11-25. Retrieved 2008-03-07.
- "East German coaches fined over doping". BBC News. 1998-08-31. Retrieved 2008-03-11.
- "Doping of underage athletes in the former GDR (in German)". Schwimmverein Limmat Zürich. 2000-03-23. Retrieved 2008-03-10.
- "Drug claim could be a bitter pill". Times Online. 2005-03-02. Retrieved 2008-03-13.
- "Accredited Laboratories". World Anti-Doping Agency. January 2004. Retrieved 2008-03-13.
- Harding, Luke (2005-11-01). "Forgotten victims of East German doping take their battle to court". London: The Guardian. Retrieved 2008-03-11.
- "Drugs update". Sports Publications. July 1998. Retrieved 2008-03-11.[dead link]
- "1977: Here comes Mr. Doping". European Cup - Milan 2007. 2007. Retrieved 2008-03-11.
- Longman, Jere (1998-10-25). "OLYMPICS; U.S. Seeks Redress for 1976 Doping In Olympics". The New York Times. Retrieved 2008-03-12.
- "Despite Doping, Olympic Medals Stand". International Herald Tribune. 1998-12-16. Retrieved 2008-03-12.[dead link]
- "Lance Armstrong Doping Accusation". Washington Post. Retrieved 22 October 2012.
- "Lance Armstrong". CBS News. Retrieved 22 October 2012.
- Witch hunting in the 21st century
- Rosen, Daniel. Dope: A History of Performance Enhancement in Sports from the Nineteenth Century to Today.
- Wilson, Wayne (2000). Doping in Elite Sport: The Politics of Drugs in the Olympic Mvnt: The Politics of Drugs in the Olympic Movement. Human Kinetics.
- "Full Body Swimsuit Now Banned for Professional Swimmers". Retrieved 2012-03-01.
- Michael Powers, "Performance-Enhancing Drugs" in Joel Houglum, in Gary L. Harrelson, Deidre Leaver-Dunn, "Principles of Pharmacology for Athletic Trainers", SLACK Incorporated, 2005, ISBN 1-55642-594-5, p. 330
- Adcouncil.org, Ad Council, August 8, 2008
- NPR, October 10, 2012
- Berry DA (August 2008). "The science of doping". Nature 454 (7205): 692–3. doi:10.1038/454692a. PMID 18685682.
- "A level playing field?". Nature 454 (7205): 667. August 2008. doi:10.1038/454667a. PMID 18685647.
- O'Leary, John (2001). Drugs and Doping in Sports – Socio-Legal Perspectives. Cavendish Publishing. ISBN 1-85941-662-4.
- "WADA Clarifies B-Sample Procedure". WADA.com. 22 November 2006. Retrieved 2009-08-29.
- "IOC to apply today's drug testing standards to 2006 Olympic samples". CBC Sports. 20 March 2013. Retrieved 2009-03-21.
- Belson, Ken (2009-11-04). "N.F.L. Seeks Congressional Help on Drug Policy". The New York Times. Retrieved 2010-05-27.
- Magraken, Erik (2013-03-09). "Legal Ramifications for Using PEDs in MMA?". TopMMANews.com. Retrieved 2013-03-09.
Further reading 
- Franke WW, Berendonk B (July 1997). "Hormonal doping and androgenization of athletes: a secret program of the German Democratic Republic government". Clinical chemistry 43 (7): 1262–79. PMID 9216474.
- Mottram, David (2005); Drugs in Sport, Routledge. ISBN 978-0-415-37564-1.
- Murray, Thomas H. (2008); "Sports Enhancement", in From Birth to Death and Bench to Clinic: The Hastings Center Bioethics Briefing Book for Journalists, Policymakers, and Campaigns.
- Waddington and Smith (2008); An Introduction to Drugs in Sport, Routledge. ISBN 978-0-415-43125-5.
- Sports Doping: From the Laboratory to the Playing Field. Radio and
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