OUR MISSION: PRESERVING the integrity of competition INSPIRING true sport PROTECTING the rights of U.S. athletes

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1 U i t e d S t a t e s A t i - D o p i g A g e c y A u a l R e p o r t G A M E P L A N

2 OUR VISION: To be the guardia of the values ad life lessos leared through true sport OUR MISSION: PRESERVING the itegrity of competitio INSPIRING true sport PROTECTING the rights of U.S. athletes

3 G A M E P L A N The corerstoe of 2009 was the implemetatio of the agecy s four-year strategic pla, Game Pla 2012, which serves as the roadmap for USADA over the ext four years. With a reewed missio to preserve the itegrity of competitio, ispire a commitmet to the core priciples of true sport, ad to protect the rights of U.S. athletes to compete healthy ad clea, Game Pla 2012 provides a platform that supports clea athletes i achievig fair, hoest, ad true competitive edeavors. A u a l R e p o r t

4 Chia Photos/Getty Images Table of Cotets Foreword Highlights at a Glace... 4 Leadership... 8 Key Milestoes ad Presetatios by USADA Leadership Olympic Divisio Sportfolio Teams Olympic Educatio Testig Statistics Sport Testig ad Resources (STAR) Divisio Drug Referece Iteratioal Partership Techology ad Techical Assistace Sciece Research Supplemet Safety Now Outreach Educatio Commuicatios ad Media Results Maagemet Audit Report Permissio to reprit or redistribute altered or excerpted material will be grated o a case-by-case basis; all requests must be made i writig to the U.S. Ati-Dopig Agecy. Editor: Eri Haa, Commuicatios & Outreach Director Desig: APEX Commuicatios, Ic.

5 f o r e w o r d A Letter From the CEO ad the Chairma Every year the clea sport movemet grows ad advaces for the good, ad our efforts are o exceptio. I may ways, 2009 was a watershed year for USADA. Sadwiched i betwee the Beijig summer Olympic Games of August 2008 ad the Vacouver witer Olympic Games i early 2010, 2009 offered a opportuity to implemet uprecedeted strategic goals for the orgaizatio ad for our valued costituecies. Takig effect o Jauary 1, 2009, USADA implemeted its Game Pla 2012, the agecy s four-year strategic pla developed by the Board ad staff i 2008 ad the corerstoe of USADA s efforts through This was our ith year ad we were focused with laser-sharp purpose ad determiatio o the goals of the Game Pla We reaffirmed our foudatio ad advaced our positio as the gold stadard i ati-dopig testig, results maagemet, research, ad educatio. Carryig out the sigificat objectives we set for ourselves i Game Pla 2012, we deliberately aimed our efforts throughout the year o iitiatives that would: 1) cotiue ad ehace our positio as a strog ad ifluetial parter ad voice i the ati-dopig commuity, 2) expad our ifluece i the scietific commuity, 3) build cliet-focused teams accoutable for providig exceptioal service, ad 4) ispire a commitmet to the core priciples of true sport. This year brought importat advacemets to the WADA Code ad Iteratioal Stadards. This meat uprecedeted commuicatio ad educatio with all stakeholders, key traiig for dopig cotrol ad testig resource teams, extesive evolutio of policies, protocols, ad mauals, ad sigificat sciece ad research cosultatio ad activities. It also meat cotiuig efforts as major cotributors i the establishmet of best practices iteratioally, implemetig educatioal mechaisms to restore a atioal commitmet of itegrity i sport, ad providig subject-matter expertise o a rage of subjects to a variety of audieces from testifyig i Cogress to providig expert presetatios. Also i 2009, with the partership ad support of several other sport orgaizatios, such as MLB, NFL, the USOC, NHL, ad NBA, USADA lauched a groudbreakig iitiative, to give voice to cosumers, ad i particular our athletes, regardig the issue of dagerous drugs camouflaged as over-the-couter dietary supplemets. Supplemet Safety Now was developed to urge Cogress to establish a regulatory framework esurig all supplemets sold over-the-couter, i retail stores ad olie, are safe ad effective, as well as free of cotamiatio, ad that the federal agecies regulatig this idustry have the tools to effectively protect cosumers health. Wove throughout all of these iitiatives is the core missio for which all our Board ad staff work so hard preservig the itegrity of competitio, protectig the rights of clea athletes to compete healthy ad clea, ad ispirig true sport. At the ed of the day, everythig we do is drive by the desire to esure that all athletes have their rightful opportuity to pursue excellece fairly ad justly, without pressure to cheat to wi. Travis T. Tygart, CEO Ralph W. Hale, m.d., Chair, USADA Board of Directors A u a l R e p o r t

6 highlights a t a g l a c e jauary 2009 Game Pla 2012, USADA s four-year strategic pla, is put ito actio. jauary 2009 Importat chages to the Iteratioal Stadards for Testig (IST) take effect. USADA implemets comprehesive educatio ad maagemet processes (developed ad iitiated i 2008) to esure a seamless trasitio. february 2009 A ew logo ad idetity for USADA are lauched, icludig a set of graphic stadards ad orgaizatioal positioig, which guide the agecy s cosistet messagig. april 2009 USADA s Sport Testig ad Resources Director, Adrew K. Morriso, presets at the Associatio of Natioal Ati-Dopig Agecies coferece regardig blood testig program implemetatio. may 2009 The Partership for Clea Competitio, a research collaborative betwee USADA, the USOC, MLB, ad the NFL, aouces its first grat recipiet, Dr. J. Thomas Brea of Corell Uiversity for his research project, The Characterizatio of the Huma Uriary Steroidome. 4 u. s. a t i - d o p i g a g e c y

7 G A M E P L A N G O A L 1 Be a strog ad ifluetial parter ad voice i the ati-dopig commuity. G O A L 2 Expad ifluece i the Ady Lyos /Allsport/Getty Images scietific commuity. jue 2009 USADA CEO, Travis T. Tygart, addresses the Natioal Associatio of Attoreys Geeral at their Aual Coferece regardig the marketig of dagerous supplemets i the U.S. august 2009 USADA True Sport Awards are lauched i partership with Discovery Educatio for educators ad commuity leaders to promote positive life lessos leared through sport. august 2009 USADA lauches a mobile applicatio, allowig athletes to update their whereabouts directly from their phoes. USADA CEO, Travis T. Tygart, testifies at the Seate Judiciary Committee, Subcommittee o Crime ad Drugs Body Buildig Products ad Hidde Steroids: Eforcemet Barriers. september 2009 A u a l R e p o r t

8 G A M E P L A N G O A L 3 Build cliet-focused teams that are accoutable for deliverig exceptioal service. G O A L 4 Ispire ad impart a commitmet to the core priciples of true sport. Micke Frasso/AFP/Getty Images highlights a t a g l a c e october 2009 USADA lauches a ew website icludig ew fuctioality, ituitive avigatio ad leveragig stateof-the-art techology. october 2009 Global Drug Referece Olie (Global DRO) lauches, buildig upo the success of the existig Drug Referece Olie (formerly DRO), ad creatig a iteratioal resource for olie search services. october 2009 USADA hosts the 2009 Aual Symposium o Ati-Dopig Sciece i Vacouver, BC, Caada- Detectio of Ehacemet of O 2 Trasport: Seve Years of Progress. 6 u. s. a t i - d o p i g a g e c y

9 october 2009 USADA develops its fourth clea sport campaig, I COMPETE CLEAN because..., i collaboratio with seve promiet witer Olympic ad Paralympic athletes. ovember 2009 Athlete s Advatage, the latest versio of USADA s iteractive olie educatio tutorial lauches. ovember 2009 USADA CEO, Travis T. Tygart, testifies i the U.S. House of Represetatives, Committee o Eergy ad Commerce, Subcommittee o Commerce, Trade ad Cosumer Protectio The NFL StarCaps Case: Are Sports Ati-Dopig Programs at a Legal Crossroads? USADA hosts a group of Athlete Ambassadors i Colorado Sprigs, CO, icludig Kristi Armstrog, Nathalie Bartleso, Jeremiah Bishop, Joh Godia, April Holmes ad Dee Dee Trotter. ovember 2009 USADA collaborates with the NFL, MLB, NBA, NHL, USOC, ad other atioal sports ad health orgaizatios to lauch the Supplemet Safety Now iitiative. december 2009 A u a l R e p o r t

10 U S A D A l e a d e r s h i p Board of Directors Chaired by Dr. Ralph W. Hale, the USADA Board of Directors icludes te experieced, professioal, ad pricipled idividuals, offerig a well-rouded ad diverse perspective i cocert with USADA s strog ad taleted staff. Ralph W. Hale, M.D., Chair The Executive Vice Presidet of the America College of Obstetricias ad Gyecologists, Hale became the USADA Board Chair i April 2003 after servig as Vice Chair sice He was a member of the U.S. delegatio staff at four Olympic Games (1988, 1992, 1994 ad 1996) ad served o the Uited States Olympic Committee Board of Directors for 16 years as a represetative of U.S. Water Polo. Hale was also Chef de Missio for the Uited States at the 1996 Olympic Games i Atlata. His extesive work i iteratioal sport icludes servig as a member of the U.S./USSR Ati-Dopig Commissio ( ) ad as a USOC Vice Presidet ( ). Aette Salmee, Ph.D., Secretary Salmee captured a gold medal i the 800m freestyle relay as a member of the 1996 U.S. Olympic Swimmig Team. Earlier that year, as co-captai of the wome s swim team at the Uiversity of Califoria, Los Ageles (UCLA), she became the NCAA champio i the wome s 200m butterfly ad received UCLA s Outstadig Female Athlete award. Salmee s accomplishmets eared her a additioal prestigious hoor i 1996, the NCAA Top VIII Award, preseted to oly eight NCAA studetathletes aually for excellece i academics ad athletics. Salmee graduated with hoors from UCLA i 1997 ad completed her doctorate i biochemistry as a Rhodes Scholar at Oxford Uiversity i Richard W. Cohe, M.D., Vice Chair Cohe became Vice Chair of the USADA Board i April He is a former member of the Dopig Cotrol Commissio for both USA Weightliftig ad the U.S. Bobsled ad Skeleto Federatio, ad chaired the Atlata Committee for the Olympic Games Dopig Cotrol Commissio. Cohe also served as a advisor o dopig cotrol to the Nagao Olympic Orgaizig Committee durig the 1998 Olympic Witer Games i Nagao, Japa. A oted orthopedic surgeo, Cohe is Chair of both the Wellstar Health System Ethics Committee i Atlata ad the Adult Total Joit Committee. Barry Axelrod, Treasurer A graduate of UCLA Law School, Axelrod is a attorey specializig i sports, etertaimet ad busiess law. His cliet roster icludes athletes Michelle Kwa, Rich Aurilia, Jeff Bagwell, Craig Biggio, Matt Clemet, Jake Peavy, Kevi Correia, ad Phil Nevi; broadcasters Rick Sutcliffe, Mark Grace ad Wally Joyer; ad etertaiers Mark Harmo ad Pam Dawber. Carl Sweso A outstadig competitor i both cross coutry skiig ad moutai bikig, Sweso joied the USADA Board i October, A three-time Olympic team member (1994, 2002, ad 2006) he was captai of the ski team i each of the latter two years. A atioal champio i moutai bikig i 2000, he represeted the U.S. i five World Champioships ad wo a silver medal i the 1999 Pa-America Games. Sweso eared his J.D. from the Uiversity of Utah ad is ow a attorey with the New Hampshire Public Defeder i Dover, NH. 8 u. s. a t i - d o p i g a g e c y

11 Lawrece S. Brow Jr., M.D., M.P.H., FASAM A physicia-researcher with traiig i iteral medicie, euroedocriology ad addictio medicie, Dr. Brow is Executive Seior Vice Presidet at the Addictio Research ad Treatmet Corp. i Brookly, NY. With over 100 peer-reviewed publicatios ad presetatios atioally ad iteratioally, he has appoitmets as Visitig Physicia at Rockefeller Hospital ad Cliical Assistat Professor of Public Health of the Weill Medical College at Corell Uiversity. Dr. Brow has served o advisory committees of the Food ad Drug Admiistratio ad several istitutes of the Natioal Istitutes of Health ad provides cosultatio to a host of local, state, ad federal govermet ad private agecies. He also serves as a medical advisor to the Natioal Football League. Evely Ashford Oe of the greatest female spriters i track ad field history, Ashford was a member of the gold medal-wiig 4x100m relay at the 1984, 1988 ad 1992 Olympic Games, ad eared a gold ad a silver i the 1984 ad 1988 Olympic Games, respectively, i the 100 meters. Also a member of the 1976 U.S. Olympic Team, Ashford was the top-raked spriter i the world o four occasios ad umber oeraked America seve times. She was a twotime world record holder i the 100 meters, a member of 15 U.S. atioal teams ad wo 19 atioal titles, icludig six idoors. Ashford was iducted ito the Track & Field Hall of Fame i 1997 ad was amog the Class of 2006 iductees to the U.S. Olympic Hall of Fame. Jea Fourcroy, M.D., Ph.D., M.P.H. A urologist ad retired medical officer with the Food ad Drug Admiistratio i the Divisio of Cliical Laboratory Devices, Fourcroy is regarded as a expert o the subject of aabolic steroids, adroges, ad their alteratives. A oted cliicia, researcher, ad scietist, Fourcroy has worked extesively o the developmet of regulatory ad educatioal formats, both domestically ad abroad, with the U.S. Drug Eforcemet Admiistratio. I 2008, Fourcroy also edited Pharmacology, Dopig ad Sports A Scietific Guide for Athletes, Coaches, Physicias, Scietists ad Admiistrators. Doald L. GambriL Elected to the USADA Board i May 2006, Gambril served as the head coach for the 1984 U.S. Olympic Swimmig Team ad was a assistat coach for the sport s 1968, 1972, 1976 ad 1980 U.S. Olympias. A swimmig coach for more tha 35 years, he started his career at the high school level ad compiled a record as a collegiate coach durig stits at Pasadea City College, Log Beach State, Harvard ad Alabama (270-49). I 1990, Gambril retired from collegiate coachig ad became a assistat athletic director at the Uiversity of Alabama. He retired from that positio i 1996, but has cotiued to teach at the uiversity. Adrew Mecca, Dr.PH, m.p.h. Prior to assumig his curret positio as Presidet of the Califoria Metor Foudatio, Mecca held several posts with the state of Califoria, icludig Drug Czar ( ), Chair of the Goveror s Policy Coucil o Drug ad Alcohol Abuse, ad Chair of the Califoria Commissio o Improvig Life Through Service. A accomplished triathlete ad marathoer, he has assisted i the developmet of programs desiged to curb substace abuse i more tha 15 coutries. A u a l R e p o r t

12 U S A D A l e a d e r s h i p USADA Executive Staff Travis T. Tygart, Chief Executive Officer Travis T. Tygart joied USADA i October 2002 as Director of Legal Affairs. I October 2004, he became Seior Maagig Director, Geeral Cousel, overseeig all legal ad commuicatio matters for USADA, icludig adjudicatio of alleged dopig offeses i arbitratio before the America Arbitratio Associatio ad the Court of Arbitratio for Sport. Tygart was ivolved with draftig the USADA Protocol for Olympic Movemet Testig ad directed USADA s efforts i its BALCO ivestigatio that led to the discovery of tetrahydrogestrioe (THG) ad resulted, to date, i 19 cases. He has bee a expert preseter i the Uited States ad iteratioally at umerous cofereces ad symposiums, ad has testified i Cogress o umerous occasios o ati-dopig ad supplemet idustry issues. Prior to joiig USADA, Tygart was a attorey i the sports law practice group at Holme, Roberts ad Owe, LLP i Colorado Sprigs, Colorado. While at HRO, Travis worked with idividual athletes ad several sport etities, icludig the Uited States Olympic Committee, USA Basketball ad USA Swimmig. Tygart graduated from the Uiversity of North Carolia with a bachelor s degree i philosophy ad eared his J.D. from Souther Methodist Uiversity, graduatig Order of the Coif. Larry Bowers, Ph.D., Chief Sciece Officer Larry Bowers is Chief Sciece Officer of USADA, with resposibility for providig scietific support for USADA s programs i research, sample collectio plaig, result maagemet, arbitratio, ad educatio. He has orgaized the USADA Aual Sciece Symposium sice 2002 with the ivaluable assistace of members of the Sciece Departmet. He also serves as Chairma of the Scietific Advisory Board for the Partership for Clea Competitio. He was recipiet of the 2007 Frakli & Marshall Alumi Citatio for Distiguished Professioal Achievemets, the 1990 America Associatio for Cliical Chemistry Award for Outstadig Cotributios i a Selected Area of Research, ad the 1985 Leroy Sheldo Palmer Award i Chromatography. Bowers received his A.B. i chemistry from Frakli & Marshall College ad his Ph.D. i aalytical chemistry from the Uiversity of Georgia. Followig a postdoctoral fellowship i cliical chemistry/foresic toxicology at the Uiversity of Orego Health Scieces Ceter, he joied the faculty of the Departmet of Laboratory Medicie ad Pathology at the Uiversity of Miesota. After 18 years at Miesota, Bowers moved to Idiaa Uiversity Departmet of Pathology ad Laboratory Medicie to direct the IOC-accredited Athletic Drug Testig ad Toxicology Laboratory. While there, he was a member of the seior laboratory staff at the 1996 Olympic Games ad the 1998 Pa America Games. Bowers is a member of the Drug Testig Advisory Board of the U.S. Departmet of Health ad Huma Services Substace Abuse ad Metal Health Services Admiistratio, a member of the Food ad Drug Admiistratio Medical Devices Advisory Committee, a member of the WADA Laboratory Accreditatio Workig Group, ad serves i a advisory capacity to umerous other atioal ad iteratioal drug testig orgaizatios. He has published more tha 100 papers, book chapters, ad books, most i the areas of aalytical toxicology ad drug metabolism, ad was Associate Editor (Drug Testig ad Toxicology) for the joural Cliical Chemistry. 1 0 u. s. a t i - d o p i g a g e c y

13 USADA Executive Staff Joh Frothigham, Seior Maagig Director, Operatios Joh Frothigham joied USADA i March 2008 ad brigs more tha 20 years of fiacial ad busiess operatios experiece for a variety of for-profit ad o-profit orgaizatios. As Seior Maagig Director, Operatios, for USADA, Frothigham is resposible for maagig the Olympic, Sport Testig ad Resources, Sciece, ad Iformatio Techology divisios of the orgaizatio. Prior to joiig USADA, he was the Chief Operatig Officer of Carmichael Traiig Systems, Ic. (CTS) a compay offerig hads-o edurace coachig ad performace testig services. As part of the seior leadership team, he was resposible for developig log-term strategic plas ad explorig joit veture opportuities as well as maagig the fiacial, iformatio techology ad regioal ceter operatios. Durig his teure, CTS more tha doubled its traiig camp ad performace testig offerigs ad expaded from its corporate headquarters i Colorado Sprigs, Colorado, to traiig ceters i Asheville, North Carolia, ad Tucso, Arizoa. Previous to this, Frothigham held positios with Trasactio System Architects (TSA), USA Swimmig, Ic. ad Price Waterhouse Coopers. Frothigham is a Certified Public Accoutat ad holds a Master of Sciece degree i Taxatio ad a Bachelors degree i Accoutig. USADA Seior Staff William Bock III Geeral Cousel Sadi Briggs, CPA Busiess Affairs ad Fiace Director Daiel Eicher, PhD Sciece Director Eri Haa Commuicatios ad Outreach Director Adrew K. Morriso Sport Testig ad Resources Director Stephe Starks Legal Affairs Director A u a l R e p o r t

14 U S A D A l e a d e r s h i p Ke y Aw a r d s, M i l e s t o e s, a d E v e t s a d d r e s s e d b y U S A DA l e a d e r s h i p: Jauary 23, 2009 Washigto ad Lee Uiversity, Istitute for Hoor, Lexigto, VA Sports i America: Playig Fair Travis T. Tygart March 1-3, 2009 Asia NADO Symposium, Tokyo, Japa Dopig Cotrol Testig Program Developmet ad DCO Program Maagemet Adrew K. Morriso ad Kelli Feltma April 20, 2009 Associatio of Natioal Ati-Dopig Orgaizatios (ANADO) Blood Collectio ad Testig Workshop, Lausae, Switzerlad Blood Testig Program Implemetatio Adrew K. Morriso Jue 18, 2009 Natioal Associatio of Attoreys Geeral Aual Coferece, Colorado Sprigs, CO The Marketig of Dagerous Supplemets i the Uited States - Travis T. Tygart August 21-25, 2009 Sports Medicie & Sports Sciece Coferece, Newcastle, UK Dopig Prevetio i Sport: The America Approach to Ati-Dopig Larry D. Bowers, Ph.D. September 8-10, 2009 USOC Olympic Assembly, Chicago, IL Aual Meetig of Associatio of Chief Executives for Sports (ACES) Travis T. Tygart September 12, 2009 IAHPSTC VI Forum o Elite Sport, USOC Olympic Traiig Ceter, Colorado Sprigs, CO - Daiel Eicher, Ph.D. October 15-16, 2009 Sports Dietetics Workshop Nutritio ad Athletic Performace, U.S. Olympic Committee, Olympic Traiig Ceter, Colorado Sprigs, CO Larry D. Bowers, Ph.D. October 29, Amateur Sports Symposium, Uiversity of Baltimore School of Law From Dopig to Diversity: Legal Issues i the America Olympic Movemet Travis T. Tygart November 11, 2009 Legal Research Foudatio Icorporated Sports Law: The Chagig Game Aucklad, NZ Travis T. Tygart December 18, 2009 Associatio of Media ad Etertaimet Cousel (AMEC) - Fifth Aual Cousel of the Year Awards Travis T. Tygart hoored with Cousel of the Year Award USADA i Cogress September 29, 2009 Seate Judiciary Committee, Subcommittee o Crime ad Drugs Hearig, Body Buildig Products ad Hidde Steroids: Eforcemet Barriers Travis T. Tygart November 3, 2009 U.S. House of Represetatives, Committee o Eergy ad Commerce, Subcommittee o Commerce, Trade ad Cosumer Protectio Hearig The NFL StarCaps Case: Are Sports Ati-Dopig Programs at a Legal Crossroads? Travis T. Tygart O September 29, 2009, Travis T. Tygart testified before the Seate Judiciary Committee s Crime ad Drugs Subcommittee durig a hearig o Body Buildig Products ad Hidde Steroids: Eforcemet Barriers i Washigto, D.C. i support of legislatio that would elimiate the practice of illegal steroids beig marketed ad sold as safe ad legal dietary supplemets. Chip Somodevilla/Getty Images 1 2 u. s. a t i - d o p i g a g e c y

15 Valery Hache/Afp/Getty Images A u a l R e p o r t

16 o l y m p i c d i v i s i o I the Fall of 2008, USADA developed the Olympic Divisio i aligmet with Game Pla 2012, with the goal of creatig customer-focused teams aliged by sport ad accoutable for deliverig exceptioal customer service. The Olympic Divisio staff is resposible for implemetig the testig program ad fulfillig all elemets of cliet cotracts, followig the WADA Code ad Iteratioal Stadards, as well as recogized global Best Practices, the USOC Ati-Dopig Policies, ad the USADA Protocol for Olympic ad Paralympic Movemet Testig. The Olympic Divisio is broke up ito two sectios Sportfolio Teams ad Olympic Educatio - which together are dedicated to esurig seamless maagemet of USADA s Registered Testig Pool (RTP), test distributio pla, ad athlete educatio programs. Sportfolio Teams The Sportfolio teams are resposible for the operatio of USADA s testig program, icludig both I-Competitio ad Out-of-Competitio testig. Teams focus o specific groups of sports, with the resposibility of esurig that all elemets of the test distributio pla are executed. Those o the Sportfolio Teams also act as liaiso betwee USADA ad the Natioal Goverig Bodies (NGB) to esure that the USADA RTP is updated, I-Competitio tests are coducted at specified evets, ad to direct ivaluable sharig ad commuicatio of pertiet iformatio betwee orgaizatios. Throughout the year, Sportfolio Staff -- as the mai commuicators to the athletes i the USADA RTP -- field critical questios o USADA policies ad processes such as the USADA Olie Accout ad Whereabouts Filigs, as well as reachig out through direct cotact regardig key deadlies ad aoucemets. Vacouver Olympic Games Testig I the Fall of 2009, the Sportfolio Teams put i place a comprehesive program to esure that all U.S. athletes participatig i the 2010 Vacouver Witer Olympics were tested withi 150 days of the start of the games. I order to accomplish this work, the Sportfolio Teams worked closely with USADA s results maagemet team, the laboratories, the NGBs, ad the USOC to have all samples collected ad results reported i a timely fashio. This was highly successful, eve icludig athletes who were added to the team withi close proximity to the Opeig of the Games. Olympic Educatio Athletes ad Support Teams The Olympic Educatio team, through each ad every touchpoit with USADA, is committed to ehacig the athlete experiece, esurig maximum comprehesio ad compliace for those who are subject to the program. The iitial ad primary focus icludes the For Athletes ad Resources sectios of the USADA website, as well as o-goig educatio iitiatives such as olie tutorials ad updated publicatios that guide athletes through the processes of Whereabouts Filig, Sample Collectio, Results Maagemet, ad the Therapeutic Use Exemptio process. The Olympic Educatio team coordiates ad coducts the majority of educatio sessios to athletes i the USADA Registered Testig Pool (RTP) through formal presetatios to athlete groups ad i iformal settigs at the U.S. Olympic Traiig Ceters. I additio to prevetio ad health messages, USADA presetatios comprehesively cover a variety of ati-dopig program topics, such as the Prohibited List, drug referece resources, RTP iformatio, Whereabouts, sample collectio processes, Results Maagemet, ad Therapeutic Use Exemptios. 1 4 u. s. a t i - d o p i g a g e c y

17 Olympic Educatio - Presetatios, Audieces Reached, Publicatios Distributed, ad Materials Created I 2009, the Olympic Educatio team reached more tha 5,300 athletes ad athlete support persoel through face-to-face presetatios, webiars, material distributio, outreach activities, ad evets. Efforts were heavily prioritized o educatio for those athletes i the USADA RTP who had ot atteded presetatios i prior years. The Olympic Educatio team also collaborated with the Commuicatios ad Outreach team to coduct outreach efforts more broadly throughout the Uited States, sharig USADA s missio to ispire a commitmet to the core priciples of true sport. New athletes to the RTP were provided may valuable opportuities to coect directly with the Educatio team, icludig webiars desiged to explai the program requiremets i practical terms. The Olympic Educatio team also reached out to athletes ad athlete support persoel at the Olympic Traiig Ceters through a series of Diig Hall Chats, eablig distributio of USADA materials ad remiders of importat deadlies ad resposibilities, ad facilitatig commuicatio of USADA s clea sport iitiatives. Durig 2009, the team also created publicatios ad media materials which provided the athletes a clearer uderstadig of the ati-dopig process. The Athlete Pocket Guide summarizes key ati-dopig iformatio i a short ad cocise documet. The iformatio is targeted to RTP athletes, but is beeficial for all athletes who are subject to testig. A comprehesive Sample Collectio video was created to provide a overview of the sample collectio process ad the steps that occur both i-competitio as well as out-of-competitio. The video paits a real-life picture of the athletes resposibilities durig the sample collectio process ad what a athlete might experiece, as well as depictig the requiremet of beig available for testig at ay time ad at ay locatio. USADA cotiued to keep athletes ad athlete support persoel aware of ati-dopig ews through the periodic Spirit of Sport ewsletter, utilizig a traditioal prited versio, as well as a olie virtual book techology for idividuals to access through the USADA website. Iteratioal Stadards for Testig Chages ad Athlete Survey Effective Jauary 1, 2009, i a effort to harmoize ati-dopig regulatios, the World Ati-Dopig Agecy (WADA) istituted dramatic ad importat revisios to the Iteratioal Stadards for Testig (IST), icludig sigificat updates to the Whereabouts program. Leadig up to Jauary 1, 2009, USADA eacted sigificat educatio iitiatives that were itegrated ito all educatioal efforts throughout As those chages took effect, USADA implemeted steps to gauge the athletes opiios ad determie how they were complyig with the sigificat updates. A survey was coducted to ask specific questios ad garer feedback about the implemetatio of these ew procedures. USADA, accompaied by USOC Athlete Advisory Coucil (AAC) members, met with WADA represetatives ad preseted the survey fidigs to deliver iformatio about athletes opiios ad direct experieces with the ew rules. As ati-dopig authorities all over the world cotiue to maximize the applicatio of the WADA Code, the IST, ad iteratioal Best Practices, USADA cotiues to participate actively i the developmet of regulatory actio ad establishmet of protocols that drive global efforts. A u a l R e p o r t

18 o l y m p i c d i v i s i o Athlete s Advatage a Olie Educatio Iitiative Athlete s Advatage, a olie educatio tutorial, is a aual requiremet for all athletes icluded i the USADA RTP. The iteractive tool is iteded to itroduce as well as reiforce athlete resposibilities uder the World Ati-Dopig Code ad other applicable ati-dopig rules. It is also iteded to provide maximum comprehesio of ad compliace with the program. The iitial phase of Athlete s Advatage was developed i 2008 ad the focus for 2009 was to improve ad ehace the tutorial cotet ad features. Four modules comprise the Athlete s Advatage program: The Prohibited List Whereabouts Filig Sample Collectio Process Therapeutic Use Exemptios (TUEs) Each module cotais a itroductio led by a Olympic or Paralympic athlete, followed by ati-dopig cotet, ad the various tests preseted i a game format challegig the comprehesio of each idividual for the subject matter discussed. Pre-Vacouver Plaig ad Educatio I advace of the 2010 Vacouver Witer Olympic ad Paralympic Games, a sigificat iitiative i the latter part of 2009 was aidig preparedess for all athletes o the rules that would be goverig the Games. The Olympic Educatio team prepared a comprehesive pla to esure delivery of these ati-dopig rules for all athletes ad athlete support persoel. This pla icluded a microsite, targeted specifically as a Vacouver Games ati-dopig resource, available via mobile applicatio as well, ad featurig materials ad documets to aid i the athletes uderstadig of the applicable rules. The program also icluded iitiatives such as face-to-face presetatios, webiars, direct correspodece, ad persoal phoe calls to athletes ad athlete support persoel esurig that all were aware of their ati-dopig resposibilities. 1 6 u. s. a t i - d o p i g a g e c y

19 Testig Statistics USADA performed a total of 8,580 dopig cotrol tests i Of those tests, 7,131 were domestic tests ad 1,449 were tests admiistered o U.S. ad o-u.s. athletes i the Uited States o behalf of other ati-dopig ad sports orgaizatios. Out-of-Competitio (OOC) testig accouted for 4,765 (67%) of the total domestic testig umber. I additio, USADA was cotracted to provide dopig cotrol services for 980 OOC tests o behalf of other ati-dopig ad sports orgaizatios. OOC testig typically occurs at the athlete s home, traiig facility or other locatio ad is performed with o advace otice to the athlete; however, some OOC tests are coordiated durig team traiig camps. I-Competitio (IC) tests coducted at 141 competitios aroud the U.S. accouted for 2,366 (33%) of the total domestic testig umbers i I additio, USADA was cotracted to provide dopig cotrol services for 469 user-pay tests at 50 sport evets throughout the Uited States Testig Quarterly Breakdow 500 1,000 1,500 2,000 2,500 Q1 Q2 Q3 Q4 USADA Tests User Pay Tests Q1 Q2 Q3 Q4 Total USADA Tests OOC 971 1,299 1,195 1,300 4,765 IC ,366 Total 1,404 2,286 1,794 1,647 7,131 User Pay Tests OOC IC Total ,449 Totals 1,887 2,581 2,087 2,025 8,580 A u a l R e p o r t

20 o l y m p i c d i v i s i o 2009 testig Statistics By Sport Sport OOC I Comp Total Archery Badmito Ballroom Dacig Baseball Basketball Biathlo Billiards Bobsled & Skeleto Bowlig Boxig Caoe & Kayak Climbig Curlig Cyclig Divig Equestria Fecig Field Hockey Figure Skatig Football Gymastics Ice Hockey Judo Karate Luge Moder Petathlo Motocross Racquetball Roller Sports Rowig Rugby Sailig Shootig Skiig & Sowboardig Soccer Softball Speedskatig Sport OOC I Comp Total Squash Swimmig Sychroized Swimmig Table Teis Taekwodo Team Hadball Teis Track & Field Triathlo Volleyball Water Polo Water Skiig Weightliftig Wrestlig Paralympic Alpie Skiig Paralympic Archery Paralympic Basketball Paralympic Boccia Paralympic Curlig Paralympic Cyclig Paralympic Equestria Paralympic Fecig Paralympic Goalball Paralympic Judo Paralympic Nordic Skiig Paralympic Powerliftig Paralympic Rowig Paralympic Rugby Paralympic Sailig Paralympic Shootig Paralympic Sled Hockey Paralympic Soccer Paralympic Swimmig Paralympic Table Teis Paralympic Teis Paralympic Track & Field Paralympic Volleyball Total 5,745 2,835 8, u. s. a t i - d o p i g a g e c y

21 Phillip MacCallum/Getty Images A u a l R e p o r t

22 s p o r t t e s t i g a d r e s o u r c e s ( S T A R ) Coceived ad developed i the fall of 2008, ad formally iitiated i February 2009, the Sport Testig ad Resources (STAR) divisio placed its mai focus for 2009 o establishig effective iteral operatios ad processes to ehace Dopig Cotrol Officer (DCO) ad Sample Collectio process maagemet. The STAR divisio is split ito two mai fuctios: Project Maagemet - charged with creatig resources ad processes to assist i DCO operatios; ad DCO Maagemet - cocetratig o the day-to-day maagemet of DCOs. I m p l e m e t a t i o o f t h e U S A DA B l o o d P r o g r a m Buildig upo successful blood testig iitiatives already i place, USADA further developed ad ehaced its blood testig program to expad the overall scope of testig ad detectio. I accordace with the stadards set forth by the World Ati-Dopig Agecy (WADA), the STAR divisio focused its efforts i 2009 primarily o implemetig this blood testig program, icludig logitudial blood aalysis ad hgh testig. These iitiatives icluded developmet of blood testig protocols, the traiig of USADA DCOs i the blood collectio process, ad the establishmet of a etwork of professioal phlebotomists aroud the coutry to serve as USADA Blood Collectio Officers (BCOs). I 2009 USADA coducted over 527 blood draws, icludig draws o behalf of other Natioal Ati- Dopig Agecies (NADOs) ad Iteratioal Federatios (IFs). Sharig Expertise As a leader i the global ati-dopig movemet, USADA s STAR divisio provided support to other NADOs i the traiig of their DCOs, as well as preseted at a umber of iteratioal cofereces. Durig 2009, the STAR Divisio preseted at a Associatio of Natioal Ati-Dopig Agecies (ANADO) coferece regardig effective blood testig program implemetatio, as well as to a group of Asia NADOs o how to maitai ad maage a effective Dopig Cotrol program through DCO traiig ad certificatio. I additio, STAR also provided techical assistace to the Caribbea Regioal Ati-Dopig Orgaizatio (RADO) o traiig ad certifyig DCOs operatig withi the etire regio of the Caribbea Islads. I support of the 2010 Vacouver Witer Olympic ad Paralympic Games, the STAR divisio i 2009 made preparatios, ad participated i traiig, for the provisio of over 20 U.S. DCOs for the Vacouver Olympic Committee i order to assist with dopig cotrol activities throughout the Games. Photo: Kelli Feltma, USADA Olympic Educatio Maager (far left), ad Ady Morriso, USADA STAR Divisio Director (third from left) with attedees of the Asia NADO Symposium i Tokyo, Japa. 2 0 u. s. a t i - d o p i g a g e c y

23 d r u g r e f e r e c e Durig 2009, USADA s Drug Referece Departmet made major ehacemets i the commuicatio of drug iformatio to athletes, ad to the medical exemptio processes (the Therapeutic Use Exemptio ad the Declaratio of Use processes). The lauch of the Global Drug Referece Olie (Global DRO) i October 2009 was a major step forward for providig U.S. athletes with critical iformatio about the cotets of their medicatios. I 2009, DRO received 37,636 searches ad Global DRO received 20,259 queries for a total of 57,895. Foud at Global DRO is distict from USADA s previous Drug Referece Olie (DRO) service i that: 1. The maagemet of the uderlyig igrediet data has bee streamlied to make updatig brad iformatio faster ad more accurate. 2. Global DRO icludes brad data from the USA, Caada, ad the Uited Kigdom, a sigificat beefit to U.S. athletes who would be competig i the 2010 Witer Olympic ad Paralympic Games i Vacouver. The Drug Referece Lie staff cotiued to field phoe calls from athletes, coaches, parets, ad medical persoel o specific drug ad substace questios. I 2009, there were 1,851 direct calls to the Drug Referece Lie (ot icludig outgoig calls to athletes from the Drug Referece Lie staff or icomig calls trasferred to the Drug Referece Lie from withi USADA). Athletes used the Drug Referece Lie primarily for questios o specific medicatios ad the medical exemptios processes, but the safety ad beefits of dietary supplemets was also a very commo topic. The Drug Referece departmet respoded to this demad by iitiatig i 2009 the developmet of a olie dietary supplemet resource ceter to empower athletes to be iformed cosumers o the topic, scheduled to lauch i Improvemets were also made i the Therapeutic Use Exemptio (TUE) ad the Declaratio of Use processes. Both processes were simplified ad outlied o the USADA website. The ew iteractive features of the process descriptios allow athletes to more easily uderstad the TUE ad Declaratio of Use processes, ad dowload the appropriate forms (if eeded). The TUE process was further improved by clarifyig the medical documetatio requiremets for beta-2 agoists, the category for which the most TUE applicatios were submitted i The Drug Referece departmet received ad hadled 1,483 TUE applicatios ad 1,055 Declaratio of Use submissios o USADA s website i Table 1. TUE Applicatios Processed Grouped Accordig to Outcome ad Gratig Authority Outcome IF USADA Grad Total TUEs Grated No Actio* TUEs Deied Pedig 1 1 Retured Total *A TUE applicatio would have required No Actio if the applicatio was for a permitted medicatio, if the medicatio oly required a Declaratio of Use, or if the athlete was ot required to obtai a TUE because of his or her competitio level. Table 2. TUE Applicatios Received Grouped by Substace Substace IF USADA Grad Total Beta-2 Agoists Hormoe Narcotics Stimulats Glucocorticosteroids Diuretic Beta-Blocker Permitted Substaces Physical Maipulatio 1 1 Ukow (Icomplete forms) Total 352 1,131 1,483 A u a l R e p o r t

24 i t e r a t i o a l p a r t e r s h i p t e c h o l o g y a d t e c h i c a l a s s i s t a c e Key to USADA s Game Pla 2012 is the objective of strategically advacig already strog iteratioal parterships to protect the iterests of clea U.S. athletes ad coordiate ad improve global ati-dopig efforts. I 2009, this was carried out i a umber of ways. I October, USADA, Uited Kigdom Ati-Dopig (UKAD), ad the Caadia Cetre for Ethics i Sport (CCES) rolled out a ladmark partership to joitly lauch the Global Drug Referece Olie (Global DRO). Developed iitially by USADA as a resource for the U.S. oly, Global DRO became a multiatioal olie directory i 2009, providig critical iformatio to athletes ad support persoel about the prohibited status of specific substaces uder the rules of sport, based o the curret World Ati-Dopig Agecy (WADA) Prohibited List. The directory is updated regularly to iclude ew products eterig the marketplace or to adjust for chages i status, ad all data is fully verified by pharmacists experieced i the field of ati-dopig. Also i 2009, USADA worked with other atioal ati-dopig orgaizatios to sig o as users of the Simo database. The custom database, developed by USADA, has proved to be a ivaluable dayto-day operatioal tool. Switzerlad, Irelad ad New Zealad have all joied USADA as Simo users i order to maage Dopig Cotrol, Results Maagemet, Whereabouts Filigs ad Failures, as well as Olie Dopig Cotrol Officer assigmets. By meetig regularly, these coutries have bee able to make sigificat advaces i the way these areas are maaged resultig i more efficiet ad effective testig processes. USADA was also able to led techical expertise i a umber of multiatioal settigs: by presetig at the ANADO Workshop i April 2009 ad at the Asia NADO Symposium i March 2009; through visits to USADA s offices by the Jamaica Ati-Dopig Commissio (JADCO) i May 2009 ad the Chia Ati-Dopig Agecy (CHINADA) i October 2009, ad through a visit by USADA represetatives to the Caribbea Regioal Ati-Dopig Orgaizatio. USADA ad represetatives from CHINADA work together durig a U.S. visit i October u. s. a t i - d o p i g a g e c y

25 S c i e c e The core missio of USADA s Sciece departmet is to esure that the basis of ati-dopig programs globally is based o fudametally good sciece. I keepig with the goals of Game Pla 2012, the Sciece team is committed to expadig the agecy s ifluece i the scietific commuity. A close workig relatioship is maitaied with couterparts at WADA through review ad commet o the Prohibited List, ad Techical Documets ad Guidelies. USADA also actively shares iformatio with WADA o sciece-based projects that support ati-dopig rules. I additio, the USADA Sciece team maitais collaboratios ad/or memberships o ati-dopig committees with Iteratioal Federatios such as IAAF, FINA, ATP, ad UCI, ad cotiues to maitai close collaboratios with a umber of atioal ati-dopig orgaizatios, as well as cotribute to peer-reviewed scietific literature. I 2009, Dr. Larry Bowers served as a guest editor for a special issue of the joural Steroids which was devoted to steroid ati-dopig research. USADA s scietific expertise outside of the ati-dopig field is reflected by ivolvemet with the Cliical Laboratory Stadards Istitute, the U.S. Substace Abuse ad Metal Health Services Admiistratio scietific advisory board, the America College of Sports Medicie, ad others. USADA Publicatios i Scietific Literature L.D. Bowers, The Iteratioal Ati-Dopig System ad Why It Works. Cli Chem 2009; 55: L.D. Bowers, Sciece ad the Rules Goverig Ati-Dopig Violatios i Dopig i Sport: Biochemical Priciples, Effects, ad Aalysis. D. Thieme, P. Hemmersbach, eds. Spriger, New York (2009), pp L.D. Bowers, The Aalytical Chemistry of Drug Moitorig i Athletes. A Rev Aal Chem 2009; 2: L.D. Bowers, R.V. Clark, C.H.W. Shackleto. A half cetury of aabolic steroids i sport. Steroids 2009; 74: L.D. Bowers, Advocacy versus impartial scietific review: A problem for scietists ad the courts. Cli Chim Acta 2009; 406: L.D. Bowers. Techologies of ehacig oxyge delivery ad for detectig the use of these techologies. I TH Murray, KJ Maschke, AA Wasua (eds), The Use of Performace-Ehacig Techologies i Sports: Ethical, Coceptual, ad Scietific Issues. (Johs Hopkis Uiversity Press, Baltimore, 2009), pp A u a l R e p o r t

26 s c i e c e Sciece ad the Evolutio of Testig Programs Sciece efforts at USADA are closely tied with Game Pla 2012 objectives that seek to ucover ad aalyze cuttig-edge itelligece about performace-ehacig drugs, treds ad practices. The USADA Sciece departmet is a leader i the commuicatio of research ad itelligece to assist the scietific commuity ad to iform the public, ad coordiates iformatio obtaied from o-testig sources ito the testig program. I 2009, USADA ehaced its logitudial testig program, which moitors idividual steroid ad blood profile data from samples collected over time to determie variatios i a athlete s ow historical testig values. By applyig what was leared through the pilot testig program coducted i 2008, ad icorporatig the protocols ito the itegrated testig program, ot oly is the stregth of the overall movemet ehaced through advaced scietific approaches, but it also provides a sigificatly elevated deterrece factor. Athletes uderstad that ot oly will testig occur for the presece of specific substaces, ad variatios i biomarkers agaist the orm, but also variatios i a athlete s ow idividual parameters demostrated over time. R E S E A R C H A key elemet of advacig the fight agaist dopig is to cotiually improve the scietific base that supports adverse aalytical fidigs. USADA advaces this base i three distict ways: the Aual Symposium o Ati-Dopig Sciece, USADA-fuded studies that support testig, ad participatio i the Partership for Clea Competitio. The USADA Sciece departmet uses these techiques to predict ad prepare for the ext potetial dopig agets Aual Symposium o Ati- Dopig Sciece Detectio of Ehacemet of O 2 Trasport: Seve Years of Progress Detectio of Ehacemet of 0 2 Trasport: Seve Years of Progress was the topic for the 8th Aual USADA Symposium o Ati-Dopig Sciece, hosted by USADA October 2-5, 2009 i Vacouver, B.C., the site of the 2010 Witer Olympic Games. Travelig from early 30 coutries, more tha 90 scietists, laboratory directors, ad sports admiistrators participated i this evet. This iteractive aual symposium eables scietists ad experts from both i ad out of the ati-dopig commuity to share their expertise, while geeratig vital dialogue ad illumiatio aroud the preset ad future issues facig the ati-dopig movemet. The goal of the symposium i 2009 was to familiarize ati-dopig orgaizatios with the latest advaces i testig with particular emphasis o how to implemet those advaces i the field. While tremedous progress has bee made i the detectio of substaces ad methods used to improve oxyge trasport over the past several years, ati-dopig authorities must be vigilat i stayig ahead of potetial ew methods ad agets. By brigig together the greatest mids i the scietific commuity to explore ad discuss these issues, more ad greater advaces ca be stimulated i deterrig dopig. 2 4 u. s. a t i - d o p i g a g e c y

27 USADA-Fuded Projects The followig projects were established uder USADA s 2009 research policy, which focuses o projects addressig topics of direct beefit to the USADA testig ad adjudicatio program. Uiversity of Califoria Los Ageles, Olympic Aalytical Laboratory, Validatio of MAIIA EPO testig techology. Cerilliat Corporatio, Sythesis of d5-dehydroepiadrosteroe (DHEA) Istitute of Dopig Aalysis ad Sports Biochemistry, Dresde, GERMANY, Ethyl glucuroide (EtG) as idicator for potetial ethaol-iduced elevatio of testosteroe-to-epitestosteroe ratios. Uiversity of Florida, Detectio of gee dopig after itramuscular ijectio of recombiat adeo-associated viral vectors. Growth Hormoe Workig Group: Growth hormoe biomarker assay developmet ad validatio Sythesis of 15N-Isuli-like Growth Factor -1 Publicatios from USADA Research Grats Completed i 2009 Piyot A, Nikolovski Z, Bosch J, Segura J, Gutiérrez-Gallego R. O the use of cells or membraes for receptor bidig: Growth hormoe secretagogues. Aal Biochem 2010; 399: Tobias HJ, Brea JT. Microfabricatio of high temperature micro-reactors for cotiuous flow isotope ratio mass spectrometry. Published olie: 28 Jauary cotet/at11hj mv7/. USADA Aual Symposium o Ati-Dopig Sciece, 2009 Vacouver, British Columbia, Caada A u a l R e p o r t

28 R E S E A R C H Partership for Clea Competitio The Partership for Clea Competitio (PCC) ( is a iovative research collaborative fouded by USADA, the Uited States Olympic Committee (USOC), Major League Baseball (MLB), ad the Natioal Football League (NFL). I 2009, the first full year sice its iceptio, the PCC awarded $1.3 millio i grat fudig. The first PCC grat recipiet, aouced i May of 2009, was Dr. J. Thomas Brea of Corell Uiversity for his research project etitled The Characterizatio of the Huma Uriary Steroidome. Later i 2009, four more grats were awarded coverig a rage of dopig issues i sport: Dr. Michael Collis, Natioal Measuremet Istitute of Australia, Stable isotope ratio aalysis of illicit testosteroe preparatios. Dr. Doug Rollis ad Dr. Joatha Daaceau, Sports Medicie Research ad Testig Laboratory (SMRTL), Logitudial evaluatio of uriary edogeous steroid cocetratios. Dr. Fred Schaufele, Uiversity of Califoria Sa Fracisco, Detectio of ovel adrogeic aabolic activities i urie ad serum, a ovel approach to detectig steroids based o the adroge receptor. Dr. Diaa Wilkis from the Uiversity of Utah, A ivestigatio of the comparability of oral ad urie steroid profiles. s u p p l e m e t s a f e t y o w I December 2009, i partership with the Natioal Football League (NFL), Major League Baseball (MLB), the Natioal Basketball Associatio (NBA), the Natioal Hockey League (NHL), the U.S. Olympic Committee (USOC) ad other atioal sports ad health orgaizatios, USADA lauched a effort to ed the dagerous ad uscrupulous practices of rogue maufacturers withi the utritioal supplemet idustry. This effort, called Supplemet Safety Now, works to elimiate the practice of sellig dagerous products cotaiig steroids ad other drugs as safe ad legal dietary supplemets. Supplemet Safety Now is takig steps to urge Cogress to establish a regulatory framework that esures that all supplemets sold over-the-couter, i retail stores ad olie, are safe ad free of illicit steroids ad other drugs. The U.S. Seate Judiciary Subcommittee o Crime ad Drugs explored this issue i a hearig o September 29, 2009, at which USADA provided testimoy. Iitiatives of the partership iclude media outreach ad grassroots mobilizatio, with a dedicated website for supporters to visit ( to take actio o the issue. To date, joiig the MLB, NFL, the USOC, NBA ad NHL i their support for Supplemet Safety Now are: America College of Sports Medicie, America Swimmig Coaches Associatio, The Natioal Ceter for Drug Free Sport, the Natioal Collegiate Athletic Associatio, the PGA Tour, US Lacrosse, US Teis Associatio, USA Cyclig, USA Gymastics, USA Swimmig, USA Track ad Field, ad USA Triathlo. 2 6 u. s. a t i - d o p i g a g e c y

29 o u t r e a c h e d u c a t i o USADA s Visio is to be the guardia of the values ad life lessos leared through true sport. At the heart of realizig this visio is our missio to preserve the itegrity of competitio ad ispire a commitmet to the core priciples of true sport, while protectig the rights of U.S. athletes. Focusig o the ethics ivolved with combatig the use of performace-ehacig substaces ad the associated health cosideratios, USADA s outreach educatio programs aim to iform both elite athletes ad those participatig i sport at all ages of the cosequeces ad dagers of usig prohibited substaces, ad to empower Americas with kowledge of the beefits of livig healthy lifestyles through fitess, the basics of balaced utritio, ad the value of true sport. Curriculums ad Publicatios I 2009, the USADA Outreach Educatio team made sigificat updates to key publicatios providig relevat iformatio o proper ad optimum utritio ad dietary health practices, ethics ad sportsmaship, facts about dopig, ad the wide world of dietary supplemets. These resources are dissemiated to coaches, parets, teachers, metors ad athletes of all ages. The Jourey a ethics module to be provided to ad/or facilitated with youg people to apply ethical cocepts ad decisio-makig, icludig activities. Optimal Dietary Itake Guide a guide to optimizig dietary itake for athletic competitors, icludig soud utritioal istructio for sport, as well as for life. The Joy of Sport a quick resource for youth ad their metors, coverig topics such as dopig, ethical decisio-makig, the health cosequeces of performace-ehacig substaces, soud utritio, supplemets, ad more. USADA s core curriculums, 100% Me ad That s Dope, which iclude both facilitator s guides ad studet workbooks, provide ivaluable tools for educators, coaches, parets, ad metors to facilitate with studet ad athlete groups of all types, were ehaced i Both curriculums meet Natioal Educatio Stadards, ad iclude complemetary websites with iteractive programmig that are colorful, egagig, ad targeted to the appropriate age rages. Topics iclude ethical decisio-makig, utritio, body type ad image, smart cosumerism o dietary supplemets, dagers of performace-ehacig drugs, ad safely ad aturally maximizig eergy ad activity. These curriculums are promoted ad distributed directly from USADA s website, as well as through strategic trade shows ad cofereces, direct mail campaigs, ad liks ad collaboratios with respected parters. Supportig the curriculums are promotioal materials such as 100% Me ad That s Dope braded sportpacks ad pedometers to facilitate eriched activity with studets, resoate with the age groups beig targeted, ad build affiity for the curriculum messages ad themes. A u a l R e p o r t

30 o u t r e a c h e d u c a t i o Outreach Sessios USADA outreach presetatios provide a face-to-face ecouter with USADA, allowig audieces of all ages, i particular youth ad their metors, to iteractively lear about health ad fitess, ethics ad sportsmaship, utritio, the ati-dopig movemet, ad how they ca support clea sport. These live iterfaces allow USADA to reach broad audieces, havig a truly persoal impact, ad impart ot oly the values ad ethics of good sport ad sportsmaship, but the practical lessos about the cosequeces of performace-ehacig drugs, healthy utritio, ad dietary supplemets. Throughout 2009, USADA s outreach sessios touched approximately 5,600 juior-level athletes ad coaches i Olympic, Paralympic, ad Pa-America evets, youth sport orgaizatios, middle- ad high-school studets, uiversity studets, admiistrators, utritioists, ad atioal orgaizatios servig coaches ad athletic directors. These were delivered across the coutry i 16 cities i ie states, ad icluded presetatios to small groups as well as large audieces, ad i trade show ad/or coferece booth settigs allowig for high quality oe-o-oe iteractio with ifluecers i the sport ad educatioal areas. I additio, educatioal materials ad resources reached a additioal 1,100 people through delivery to 20 targeted programs. USADA True Sport Awards Program Lauched i fall 2009, ad ruig throughout the 2009/2010 school year, USADA partered with Discovery Educatio i developig the USADA True Sports Awards, creatig a program to foster clea, safe, ad healthy livig amog youth. Promotig itegrity, respect, teamwork, ad healthy choices, this ew program was a delivery mechaism through which to distribute USADA s 100% Me ad That s Dope curriculums to educators ad commuity leaders i positios of impartig the critical life lessos that cotribute to the developmet of ethical ad healthy idividuals. The program rewards educators ad commuity leaders with local program fudig ad other valuable support ad prizes hoorig, ad supportig their efforts as they egage studets o the importat issues of clea sport. Those who teach, coach ad/or ifluece youth groups were ecouraged to submit actio plas that demostrated how they would teach the importat issues of clea competitio, itegratig USADA curriculums ad priciples, as well as eriched istructioal activities to advace their studets learig. Utilizig a iteractive web iterface at the program offers free dowloads of USADA s curriculums, ad supportig resources for healthy lifestyle istructio. 2 8 u. s. a t i - d o p i g a g e c y

31 Athlete Ambassadors Sice its iceptio, USADA has uderstood the importace of athletes ad coaches reachig out to their peers as advocates of clea sport. Over the years, USADA has adopted several programs that leverage this cocept. As outlied i the Game Pla 2012, USADA s dedicatio to impartig ad ispirig a commitmet to the core priciples of true sport drove the ehacemet i 2009 of USADA s Athlete Ambassador program. A etwork of high profile athletes who assist ad publicly support USADA i promotig true sport ideals, USADA Athlete Ambassadors help raise awareess of ati-dopig issues i the sportig commuity, icrease the accessibility ad reach of USADA as a resource for ati-dopig educatio, ad make a positive impact through healthy role modelig. The USADA Athlete Ambassador program facilitates opportuities for athletes to share their persoal joureys, ad impress upo our atio the importace of livig ad competig accordig to the true sport ideals, ad recogizes the successes of America s most triumphat athletes. Workig with atioal goverig bodies, sportig federatios, commuity orgaizatios, schools, atioal cofereces, ad others, USADA offers educatio through these Ambassadors that iflueces the attitudes ad values of youg competitors with regards to life lessos leared through sport. Those participatig i the USADA Athlete Ambassador Program i 2009 icluded: Kristi Armstrog, Cyclig (Boise, Idaho); Nathalie Bartleso, Sychroized Swimmig (Colorado Sprigs, Colo.); Caitli Cahow, Ice Hockey (Mieapolis, Mi.); Joh Godia, Track ad Field (Phoeix, Ariz.); Ralph Gree, Paralympic Alpie Skiig (Vail, Colo.); Eri Hamli, Luge (Lake Placid, N.Y.); April Holmes, Paralympic Track ad Field (Chula Vista, Calif.); Augusto Perez, Paralympic Wheelchair Curlig (East Syracuse, N.Y.); Dee Dee Trotter, Track ad Field (Koxville, Te.); Kicker Vecill, Swimmig (Los Ageles, Calif.); Laury Willams, Track ad Field (Miami, Fla.). Participats i the program atteded a kick-off i Colorado Sprigs, Colorado November 19-21, Athlete Ambassadors pictured above (from left to right): Jeremiah Bishop, Nathalie Bartleso, Kristi Armstrog, April Holmes, Dee Dee Trotter ad Joh Godia. A u a l R e p o r t

32 o u t r e a c h e d u c a t i o I COMPETE CLEAN because Clea Sport Campaig USADA clea sport campaigs are a celebratio ad recogitio of the overwhelmig umber of athletes who are clea competitors, as well as a vehicle for promotig ad ecouragig healthy competitio ad sport that is played true. Developed i 2009, i collaboratio with seve of America s ispiratioal witer Olympic ad Paralympic athletes, USADA s fourth clea sport campaig, I COMPETE CLEAN because, promotes the reasos these athlete role models advocate competig the right way without cheatig ad free of performace-ehacig substaces. Additioally, as with all of USADA s clea sport campaigs, it gives athletes a platform to talk about their commitmet to clea sport ad raise awareess amog elite athletes ad the geeral public about the value ad positive aspects of competig clea. The athletes appearig i the I COMPETE CLEAN because campaig iclude: Tim Burke (Biathlo) Julie Chu (Ice Hockey) Rachael Flatt (Figure Skatig) Eri Hamli (Luge) Trevor Marsicao (Speedskatig) Augusto Goose Perez (Paralympic Wheelchair Curlig) Lidsey Vo (Alpie Skiig) Through video, posters, postcards, Iteret ads, promotioal materials, ad the olie Pledge for Clea Sport, the multi-media campaig shares what drives ad compels true heroes to trai day after day, year after year, puttig i all the hard ad ofte paiful work ecessary for sport success. USADA is ecouragig everyoe to make this same pledge by visitig USADA s missio serves ad supports America s clea athletes by preservig the itegrity of competitio, ispirig a commitmet to the core priciples of true sport, ad protectig the rights of U.S. athletes to compete healthy ad clea. Through iitiatives like I COMPETE CLEAN because USADA cotiues to work toward the prevetio of dopig i sport, ad ispire the replacemet of such behavior with positive, respectful competitio. 3 0 u. s. a t i - d o p i g a g e c y

33 c o m m u i c a t i o s a d m e d i a USADA s expertise, viewpoit ad resources cotiued to be recogized ad sought-after i 2009 as a authority o the topics of ati-dopig issues, performace-ehacig substaces ad methods, ad related sciece ad research developmets. Throughout 2009, USADA was featured or metioed o more tha 10,500 occasios i domestic ad iteratioal media, icludig broadcast stories o ABC s Good Morig America, ad other major etwork ews programs. USADA participated i thousads of iterviews, cotributed articles, served as advisors ad preseters for a umber of idividuals, etities ad evets, ad assisted studets ad others o research projects related to the topic of dopig. Thirty eight ews releases were distributed by the agecy i 2009 o a variety of subjects, icludig public aoucemets of sactios, athlete ad outreach educatio programs, research iitiatives, ad periodic reportig of testig program statistics. As part of the overall commuicatios effort, USADA also participated i a umber of programs to facilitate ad ehace iteractios with all costituets ad stakeholders. Bradig Followig the strategic plaig process, ad the implemetatio i 2009 of Game Pla 2012, a complete brad idetity effort was implemeted for the orgaizatio. This icluded a evolutio of the corporate logo, upo which ew busiess collateral was developed. All ew collateral pieces, as well as a complete graphic stadards package, were created i a effort to establish a specific look ad esure cosistecy across all commuicatios touchpoits. New Website With the specific goals i mid of providig the most valuable iformatio, orgaizig it i a easily-avigated ad ituitive fashio, maitaiig cosistecy with the brad idetity, ad leveragig curret techology, USADA udertook a comprehesive re-desig of the mai website Lauched i late summer 2009, the ew site predomiatly cotais existig iformatio, but reorgaized i a more user-friedly structure. The ew website eables presetatio ad streamliig of olie athlete iteractios, such as Whereabouts Filigs ad updates, drug referece resourcig, ad olie declaratios. Search Egie Optimizatio ad Search Egie Marketig implemeted i 2009 direct those searchig for atidopig iformatio to USADA s site as a prime resource. Further refiemets i future phases will iclude ehaced ad updated cotet, more iteractivity ad e-commuicatios programs, ad greater i-house cotet maagemet capabilities. A u a l R e p o r t

34 r e s u l t s m a a g e m e t Sactios Adverse Fidigs & Other Dopig violatios iitiated i 2009 Potetial Dopig Violatios 92 Number Referred to IFs 15 Pedig at ed of Total U.S. Cases 56 Total Sactios 14 Resulted i No Violatios 42 Classificatio of Adverse Fidigs Aabolic Agets T/E ratio >4/1 6 Adverse CIR 7 19-oradrosteroe 4 Adrosteedioe 2 Testosteroe 2 Methyltestosteroe 2 Beta-2 Agoists Formoterol 4 Salbutamol 2 Salmeterol 17 Caabioids Tetrahydrocaabiol (THC) 9 Corticosteroids Predisooe ad Predisoloe 3 Betamethasoe 1 Triamcioloe acetoide 1 Budesoide 4 Diuretics & Other Maskig Agets Hydrochlorothiazide 3 Careoe 1 Hormoes ad Related Substaces EPO 2 Hormoe Atagoists ad Modulators Formestae 2 No-Aalytical Refusal 1 No-Aalytical 6 Stimulats Ritaliic acid (methylpheidate metabolite 5 Oxilofrie 1 Amphetamie 3 Modafiil 1 4-methyl-2-hexaamie 1 Narcotics Oxycodoe 2 Total u. s. a t i - d o p i g a g e c y

35 2009 Sactios Name Sport Suspesio Substace David Mock Cyclig 3 Moths - Loss of Results THC Joshua O Neil Judo 2 Years - Loss of Results Ritaliic Acid (Ritali) Keeth Williams Cyclig 2 Years - Loss of Results Adverse CIR Joh Swague Cyclig 3 Moths - Loss of Results THC Mitch Comardo Cyclig 2 Years - Loss of Results Hormoe Atagoists, Hormoes ad Related Substace, hcg, ad a Aabolic Aget Joy Maig Team Hadball 2 Years - Loss of Results THC Stephaie Leoard Cyclig 3 Moths - Loss of Results THC Tyler Hamilto Cyclig, Triathlo 8 Years - Loss of Results Aabolic Aget Bradley Washbur Paralympic Alpie Skiig 3 Moths - Loss of Results THC Stephay Lee Wrestlig 3 Moths - Loss of Results THC Brya Shuey Skiig & Sowboardig 3 Moths - Loss of Results THC Jessica Hardy Swimmig 1 Year - Loss of Results Clebuterol James Coelly Paralympic Sled Hockey 3 Moths - Loss of Results THC Michael Lage Cyclig 2 Years - Loss of Results Strychie Thomas Freema Track & Field 3 Moths - Loss of Results THC Samuel Burs Rowig 2 Years - Loss of Results Refusal to Test Jorda Vade Track & Field 2 Years - Loss of Results Staozolol Metabolites LeA Sagmeister Paralympic Track & Field 2 Years - Loss of Results Refusal to Submit to Sample Collectio Emily Bruema Swimmig 6 Moths - Loss Of Results Hydrochlorothiazide ad Triamteree Mitchell Pope Track & Field 2 Years - Loss of Results Boldeoe Metabolite A u a l R e p o r t

36 3 4 u. s. a t i - d o p i g a g e c y

Range St. Dev. n Mean. Total Mean % Competency. Range St. Dev. n Mean. Total Mean % Competency

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