Hospital Authority Convention Hong Kong, 7 8 May Dr Patrick Schamasch IOC Medical and Scientific Director

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2 Hospital Authority Convention Hong Kong, 7 8 May 2007 Dr Patrick Schamasch IOC Medical and Scientific Director 2

3 Preparation to the Olympic Games What represent the Olympic Games? 3

4 OLYMPIC MOVEMENT 4

5 HISTORY Modern Olympic Games Symbols 1894 The devise: Citius, Altius, Fortius 1914 The rings and the flag/emblem 1936 The torch 1958 The anthem: Spiros Samaras (music) Costis Palamas (text) 5

6 HISTORY Modern Olympic Games First edition in Athens in 1896 Participation of 14 nations and 241 athletes 43 Events The medals The posters 6

7 OLYMPIC MOVEMENT Structure of the Olympic movement INTERNATIONAL OLYMPIC COMMITTEE INTERNATIONAL SPORTS FEDERATIONS NATIONAL OLYMPIC COMMITTEES (202) ORGANISING COMMITTEES OF THE OLYMPIC GAMES athletes Summer Federations (28) Winter Federations (7) Recognised Federations (28) BOCOG 2008 VANOC 2010 LOCOG 2012? 7

8 INTERNATIONAL OLYMPIC COMMITTEE IOC Administration Facts and figures Workforce at December 31, 2006 IOC Headquarters staff Olympic Museum staff Olympic Solidarity - 17 staff 8

9 Olympic Games OLYMPIC MOVEMENT IOC 9 Structure for the Olympic Games athletes 203 National Olympic Committees International Federations

10 OLYMPIC MOVEMENT Organising Games Olympic Committees (OGOC) Synergy between the IOC, the National Olympic Committee and the host city (Host City Contract) Application of IOC Executive Board s instructions Planning, organisation and operational phase for the Olympic Games Bidding cities for 2014: Sazbourg, Sotchi and PyeongChang 10

11 Preparation to the Olympic Games Bidding Process 11

12 Olympic Games Study Commission Report presented to IOC Session Recommendations on how to reduce the size, cost and complexity of the Games Report focuses on five areas: - Games Format - Venues and Facilities - Games Management - Number of accredited persons - Service Levels 12

13 Bidding process Preparing a bid IOC Bidding procedure - Applicant Cities - Candidate Cities Election and post-election General Issues 13

14 IOC Philosophie Summer + Winter Games Games every four years Largest sports event in the world Multiple world championships taking place simultaneously Detailed planning required at every level Pinnacle of most athletes careers 14

15 IOC Philosophie Based on conclusions of the Olympic Games Study Commission report Sustainable development Legacy Working in partnership Universal appeal Provide athletes with conditions to allow them to achieve their best sporting performances 15

16 Phase 1 Applicant Cities Sign Candidature Acceptance Procedure (accept the conditions set out by the IOC) Payment of Candidature Acceptance Fee Submit bilingual Answers to IOC Questionnaire and guarantees Present Olympic Games concept Create a strong concept and vision Build national support through good communication and educational programmes 16

17 Phase 1 Applicant Cities Build strong partnerships with: - Authorities (local / regional / national) - National sports authorities (NOC / national federations) - Private sector 17

18 Assessment of Applicant Cities Working Group selected by the IOC President Members include IOC Members, representatives from the NOCs, IFs and IOC Athletes Commission, as well as technical advisors Working Group studies the cities Answers to the Questionnaire Independent Studies commissioned by the IOC Working Group makes a Report to IOC Executive Board using a number of criteria for assessment 18

19 Criteria for assessment Potential to host successful Olympic Games Compliance with the Olympic Charter, the IOC Code of Ethics, the Rules of Conduct List of criteria approved by IOC Executive Board Transport and then communicated to the cities e.g. - Infrastructure - Sports and Venues 19

20 Acceptance of Candidate Cities Working Group Report Decision made solely by Executive Board Report published after announcement on IOC internet and sent to the Applicant Cities and their respective NOCs Report available on IOC website 20

21 Phase 2 Candidate Cities Sign Candidature Procedure Payment of Candidature Fee Answer questions in the IOC Candidature Procedure (some 250 questions) Submit three-volume Candidature File to the IOC which includes a large number of guarantees Blueprint for the Olympic Games 21

22 IOC requirements in Candidate City Phase Detailed planning Solid commitments and guarantees Good technical plan Legacy Confidence in a competent organiser a good partner for the road ahead 22

23 Evaluation Commission Chairperson and Commission appointed by the IOC President after the selection of Candidate Cities Chaired by an IOC Member Members include IOC Members, representatives from the NOCs, IFs and IOC Athletes Commission, as well as technical advisors Highly experienced people chosen for their expertise and knowledge of the Olympic Games Analyses Candidature Files 23

24 Election of Host City Executive Board: submits final list of cities to the IOC Session Rehearsals set up for cities before election day First and last opportunity for cities to address the full IOC membership 45 minutes presentation by each city IOC Evaluation Commission Chair addresses the IOC Session following the cities presentations Great media interest over 1100 media at the 2012 election 24

25 Post-election Preparation of OCOG Detailed information provided during the bid phase Essential component of Candidate City phase Prepare the structure of Organising Committee Plan for a transition team Ensure that there is some continuity from Candidate City to OCOG OCOG to be formed 5 months after election No time should be lost 25

26 General matters IOC Ethics Commission Individual dignity Moral integrity Political neutrality in relations with States Financial transparency Confidentiality Rules of Conduct Applicable to the Cities, their NOCs and all persons and organisations acting on their behalf, including sponsors Require a procedure with dignity and moderation with respect of the other Cities 26

27 INTERNATIONAL OLYMPIC COMMITTEE Marketing Image Ressources 27

28 INTERNATIONAL OLYMPIC COMMITTEE Income sources 8% 3% Broadcast 13% Local Sponsorship 48% TOP Marketing Programme Ticketing 28% Licensing Programmes 28

29 INTERNATIONAL OLYMPIC COMMITTEE Income broadcast and TV-rights 29

30 INTERNATIONAL OLYMPIC COMMITTEE Income distribution Olympic marketing revenue ( ) Distribution 8% IOC OCOGs, IFs, NOCs 92% 30

31 OLYMPIC GAMES 31

32 OLYMPIC GAMES Games of the Olympiad Year City Part. NOC Athletes Number Number of sports of events 1960 Rome Tokyo Mexico Munich Montréal Moscou Los Angeles Séoul Barcelone Atlanta Sydney Athènes Beijing

33 Role of Government Government involvement / partnership with OCOG Role varies from country to country IOC requirements - Distinct type of budget - Guarantees / Monitoring - Provision of key services 33

34 Role of Government Example of services - Venue construction / renovation - Airspace control - Control of street hawking / vending - Look of the city - Waste management - Health - Others 34

35 Games Workforce OCOG personnel : Government personnel : variable pendng to the involvement Contractors : Volunteers : Performers :

36 Sport & Internat. Federations Focal point of the Games - Athletes experience - Service integrator Sports programme - 28 sports events athletes 36

37 Olympic Village & Services beds + 5% contingency Residential & international zones Other facilities - Gymnasium - Dinning hall - Polyclinic - Massage centre 37

38 Broadcasting Broadcasting company - Production of TV signal persons right holder representatives hours of coverage 40 different venues 38

39 Broadcasting 300 events 900 cameras IBC (international broadcasting centre) sqm - multi-services venue 200 countries 39

40 Written press operations 5000 written press representatives journalists photographs MPC sqm - multi-services venue 40

41 Sport venue Approx 35 venues incl - Road cycling - Football - Marathon / walks - Equestrian - Sailing Temporary / permanent 41

42 Transport Key service for participants experience Client groups - Olympic family - Olympic logistical and support functions - Ticketed spectators Superimperposed to normal city operations Partnership OCOG - Public authorities Fleet buses cars 42

43 Security security Safe Games is the N 1 priority Responsibility of host country Multi-forces team with single command responsibility Partnership OCOG - Public agencies Approx persons Balance between security presence and festive atmosphere 43

44 Accommodation Type of accommodation hotel rooms dormitories villages 44

45 Technology IOC Consortium Information systems - Sport results systems - Games management systems - Office systems Telecommunications Sydney telephones & TV sets - Web site visitors: visitors 45

46 Torch Relay Torch Relay More than torch bearers Significant logistic operations 46

47 Games Services Specific services required to run the Olympic Games. Athens - Accreditation:around 245,000 accredited 47

48 General description Medical Services The medical organisation of the Olympic Games is under the control of a Chief Medical Officer. This officer is proposed by the OCOG and his/her appointment is accepted by the IOC. The Chief Medical Officer is ex officio a member of the IOC Medical Commission for the whole duration of his/her mandate. 48

49 In his position of Chief Medical Officer, he became ispo facto a member of the IOC Medical Commission. The commission is composed of a core group of 15 members and a Games Group of 14 members. The IOC MC is chaired by Prof. Arne Ljungqvist (SWE). Its role is to: set the guidelines mainly for medical services (dentistry physio and strictly medical) inspect and look at all the medical and doping procedures during the Games. And more important. 49

50 IOC President Jacques Rogge stated during the Salt Lake City Games that: the main goal of the IOC Medical Commission is to secure the good health of the athletes To implement the doping control following the standards prepared by WADA 50

51 General Description The medical organisation consists of two main programmes: healthcare programme anti-doping programme These two programmes are totally under the control of the OCOG. Some other programmes, such as: disaster plan epidemiological plan water and air control are joint programmes between the OCOG and host city, province or even state agencies. 51

52 General Description The preparation of medical services starts as soon as the city has been elected. Medical Services are part of the Master Plan in which each subprogramme is developed and corresponds to a specific milestone. The host city is normally selected seven years prior to the Games, and in general the Chief Medical Officer is appointed almost one year later. In most cases, Medical Services are under either the Sports Department or Games Services in the general OCOG organisational chart. 52

53 Description of the programmes 53

54 Health Care This programme consists of Athlete care Olympic Village Polyclinic NOC quarters Competition venues Field of play Athletes medical centres Training venues Field of play Athletes medical centres 54

55 Health Care Spectator care Competition venues Stands Spectators medical centres Olympic Family care Olympic Family hotels MPC IBC Miscellaneous airports accreditation centers 55

56 Athlete Care Normally, athletes are under the medical control of the medical team of their own NOCs. However, some care may be provided by Medical Services, set up by the OCOG. These medical services are available at different levels and have to be present where athletes train, compete or rest. As soon as an athlete is in a venue which is under OCOG control, he/she is entitled to free medical care. Each venue is organised under the same scheme. 56

57 Athlete Care VENUE LEVEL Hospitals Olympic Village transport Medical centre Medical teams 57

58 Athlete care Each venue has a medical centre for athletes which is a fully equipped station with: complete resuscitation equipment complete injury care equipment physiotherapy spaces This medical centre is staffed by: doctors nurses physiotherapists first aiders and /or patrolmen paramedics - where these exist ambulance drivers helicopter pilots a dentist - according to the sport 58

59 Athlete care Each venue depends on a hospital where serious cases can be transported. In most of the cases, the athlete, once seen by the team physician and/or the OCOG physician, is transported to the Olympic Village polyclinic either by ambulance or his/her own NOC transport network according to the case. The examination is based on mutual faith between team physicians and OCOG medical services. However, in the case of a disagreement or in life-threatening cases, the final descision remains with the OCOG physician for legal reasons. 59

60 The Games represent : athletes 28 Olympic Sports 300 disciplines More than 40 venues and sites to look after in Athens. 60

61 Sports Entered Accreditated Participated Male Female Male Female Archery Athletics Badminton Baseball Basketball Beach Volleyball Boxing Canoeing - Flatwater Slalom Cycling - Mountain Road Track Equestrian Fencing Football Gymnastics - Artistic Rhythmic Trampoline Handball Hockey Judo Modern Pentathlon Rowing Shooting Softball Sailing Swimming - Diving Synchronized Swimming Waterpolo Table Tennis Taekwondo Tennis Triathlon Volleyball Weightlifting Wrestling Total Grand Totals

62 general data participation total % male % female % all sport

63 MED VEN MAN 39 2 MEDICAB DRIVER NURSE 0 52 NURSING PERSONNEL A NURSING PERSONNEL S OPTOMETRIST 12 0 PHARMACIST 10 0 PHARMACY ASSISTANT 10 0 PHYSIOTHERAPIST PODOLOGIST 20 0 POLYCLINIC DEPT DIRECTOR 16 0 POLYCLINIC DOCTOR RADIOGRAPHER 44 0 SPECTATOR CARE DOCTOR STREATCHER BEARER 1 0 VENUE MED MANAGEMENT

64 Medical services for the Games Some figures : 1943 volunteers 697 armed forces personnel 21 paid staff for the central staff 130 ambulances on site/day which means 1000 ambulances staff (drivers, doctors) on site /day 64

65 Some hospitals have been identified as Olympic Hospitals HOSPITALS EUAGGELISMOS Olympic Family KAT Athletes VOULA GENNIMATAS SISMANOGLEIO TZANEIO NIKAIA ERYTHROS MEDICAL CENTRE OF MARKOPOULO MEDICAL CENTRE OF NEA MAKRI MEDICAL CENTRE OF SPATA In addition, the hospitals of the remote venues were also involved:thessaloniki, Heraklion, Volos, Patras 65

66 Medical Encounters by Diagnostic Category 66

67 Medical encounters per diagnostic categories CARDIOVASCULAR DENTAL DIGESTIVE ENT EYE GENITO-URINARY HEAT RELATED MUSCULOSCELETAL NERVOUS-SENSORY OTHER PSYCHIATRY RESPIRATORY SKIN Percent of Encounters 67

68 Medical encounters by accreditation status ATHENS 2004 GUESTS ATHENS 2004 OFFICIALS ATHENS OLYMPIC BROADCASTING ATHLETES ATHLETES DELEGATION CAS / WADA COMPETITION OFFICIALS FUTURE OCOG OBSERVERS IF FAMILY IF STAFF INTERNATIONAL FEDERATION IOC COMMISSION MEMBERS IOC FAMILY IOC GUESTS IOC MEMBERS IOC SENIOR STAFF JOURNALIST LOCAL JOURNALIST MPC SUPPORT STAFF NOC FAMILY NOC GUESTS NOC PRESIDENT AND SECRETARY GE NON RIGHTS-HOLDING BROADCASTER PERSONAL COACH / TRAINING PART PHOTOGRAPHER RH SUPPORT STAFF RH TECHNICIANS RH TOP EXECUTIVES SECURITY PERSONNEL SPORT-SPECIFIC JOURNALIST SPORT-SPECIFIC PHOTOGRAPHER TEAM OFFICIALS TECHNICIAN TRANSFERABLE PASS WKF - P WORKFORCE YOUTH CAMP Percentage of Encounters

69 Athletes Medical Encounters by Diagnostic Category CARDIOVASCULAR 0.41 DENTAL DIGESTIVE ENT EYE GENITO-URINARY HEAT RELATED MUSCULOSCELETAL NERVOUS-SENSORY OTHER PSYCHIATRY RESPIRATORY SKIN

70 Athletes Medical Encounters by Diagnostic Category CARDIOVASCULAR 16 DENTAL 474 DIGESTIVE 39 ENT 107 EYE 176 GENITO-URINARY 43 HEAT RELATED 11 MUSCULOSKELETAL NERVOUS-SENSORY 19 OTHER 85 PSYCHIATRY 1 RESPIRATORY 37 SKIN 154 Total

71 OLYMPIC VILLAGE POLYCLINIC CARDIOVASCULAR DENTAL DIGESTIVE ENT EYE GENITO-URINARY HEAT RELATED MUSCULOSCELETAL NERVOUS-SENSORY OTHER PSYCHIATRY RESPIRATORY SKIN

72 OLYMPIC VILLAGE POLYCLINIC CARDIOVASCULAR 13 DENTAL 473 DIGESTIVE 28 ENT 101 EYE 174 GENITO-URINARY 41 HEAT RELATED 2 MUSCULOSKELETAL NERVOUS-SENSORY 16 OTHER 82 PSYCHIATRY 1 RESPIRATORY 32 SKIN 145 Total

73 The Polyclinic of the Village Headed by Dr Demetrios Pyrros 73

74 Athlete care The Olympic Village The Village can be considered as an autonomous entity that has most of the services which may be found in a city of between 3,500 and 15,000 people. Among these services is the polyclinic, which is the main centre for athletes care. Most of the medical facilities should be available on site at the polyclinic, or should be made available very quickly if needed. 74

75 75

76 The Polyclinic of the Olympic Village was in itself the state of art: 2 floors 5000m2 To be used as a medical centre after the Games 76

77 Athlete care Each polyclinic is under the responsibility of the Medical Director, who acts exactly like a director of a hospital. Athletes are referred to the polyclinic either by their own team physician or they decide to go by themselves. Treatment is free of charge, but the delivery of medication can be done only on prescription written by a team physician and/or an OCOG physician. For this purpose, team physicians should be duly registered, should have sent a copy of their diploma to the OCOG, and receive a prescription pad to be used only at the polyclinic. Should an athlete present a more serious problem, he/she will be transported to the Olympic hospital by ambulance, available on site. 77

78 Polyclinic Services in the Olympic Village Emergency Department Outpatient Department Internal Medicine, Surgery, Orthopaedics, Sports Medicine, Foot and ankle including podiatry Ophthalmology Specialist (ENT, gynecology, dermatology) Dental (treatment of injuries and acute problems only and mouthguard program) Imaging (MRI, CT, ultrasounds) & Laboratory Pharmacy Physical Therapy & Therapeutic Massage. All other specialities were available at the main hospitals 78

79 Polyclinique workforce Great group working in the Polyclinic 210 doctors 80 nurses 100 physiotherapists 120 administrative assistants 80 dentists and dental assistants 20 podiatrists 45 pharmacists 50 radiology technicians Total : 670 volunteers, 80 armed forces personnel, 1 ATHOC employee 79

80 Guidelines for MRI service as this department was one of the most demanded, some strict guidelines were put in place Priority list 1. Athletes competing within 24 hours 2. Athletes competing in hours 3. Athletes competing in > 48 hour 4. Athletes with trauma who will not compete. 5. Non athlete members of the NOC s 6. Personnel Arthrograms and other intra articular injections under image control are not performed in the Polyclinic and should be transferred Urgent cases may be handled by the chief radiologist of the shift. Indications- scientific aspects Muscle tears and tendinopathy must first be examined by ultrasound. Tailored - limited MRI exams may be performed according to the chief radiologist s opinion 80

81 Overview of dental services Expectation was 1200 patients To date - approximately 1000 patients Final number will be as expected Peaked at 70 patients per day near day 10 and has reduced since then From P. Piccinini s report 81

82 Results - % athlete treatment Expectation was 50% of treatment for athletes Current data indicates that over 50% of treatment will be for athletes 82

83 Results endodontic treatment Expectation was a high demand for endodontic treatment Data indicated high need for endodontic treatment Endodontic specialist onsite most shifts to meet the demand 83

84 Results mouthguard program Expectation was between 50 and 150 mouthguards to be requested Clinic was prepared for about 400 Actual cases will be between 60 and 100 High demand from Boxing 84

85 Results trauma Expectation was trauma from certain high contact sports Reported trauma from Basketball, Boxing and Sailing Clinic was prepared with tooth avulsion kits and protocols distributed to venues; and trauma splints 85

86 Staffing and volunteers Sydney Olympic Dental program treated approximately 1200 patients using 108 dentists and auxilliaries Athens Olympic Dental program will treat approximately 1200 patients using 52 dentists and staff Fewer dentists with more shifts is most efficient 86

87 Radiology Excellent information and data from digital radiography Pathology and fractures identified through digital radiographs Transfer of data to IOC for further analysis will be much easier 87

88 Mouthguard program Demand from athletes remains high for these protective devices Program should be continued and expanded for future Games 88

89 Specialist Services Endodontists and periodontists were very well utilised at the Dental clinic Both of these specialists, along with General Dentists, should be available in future clinics 89

90 OVERVIEW OF PHYSIOTHERAPY SERVICES AT THE O.V. POLYCLINIC Space: 500 square meters Equipment: Updated equipment Staff :58 physios + 4 physios dedicated to shock waves treatments From Y. Larequi s report 90

91 PHYSIOTHERAPY SERVICES AT THE O.V. POLYCLINIC Stastistics: Number of treatments from Jul. 30 to Aug Athletes : Officials: 89 - Workforces: 87 - Other: 88 TOTAL :

92 PHYSIOTHERAPY SERVICES AT THE O.V. POLYCLINIC PHYSIOTHERAPY AT O.V.'s POLYCLINIC: Number of treatments Nb AU AU AU AU AU AU AU AU AU AU AU AU AU AU AU AU Jul.3 Jul.3 AU AU AU AU AU AU AU AU AU G. G. G. G. G. G. G. G. G. G. G. G. G. G. G. G. 0 1 G. 1 G. 2 G. 3 G. 4 G. 5 G. 6 G. 7 G. 8 G Series

93 MASSAGE SERVICES WITHIN THE O.V Four dedicated locations: - Athena Residential Centre (12 tables) - Phevos Residential Centre (12 tables) - Dikelia Sport Complex (6 tables) - Competition venues Staff: sport masseurs 44 in the Olympic Village 66 on the different venues 93

94 MASSAGE SERVICES WITHIN THE O.V Statistics: - Athena Resid. Centre: massages - Phevos Resid. Centre: 1500 massages - Dikelia Sport Complex: 579 massages TOTAL: 3955 MASSAGES 94

95 MASSAGE SERVICES WITHIN THE O.V O.V. MASSAGE CENTER: Number of treatments Nb AUG. 1 AUG. 2 AUG. AUG. AUG. AUG AUG. AUG. AUG. AUG AUG. AUG. AUG. AUG Série Date AUG. AUG. AUG. AUG AUG. AUG. AUG. AUG AUG. AUG. AUG

96 Gender Verification Gender Verification will be performed only upon request and according to IOC regulations 96

97 Athlete Medical Care at venues At least one Athlete Medical Care Station per venue with: Athlete Care Doctor Athlete Care Nurse Physiotherapist Specific issues will be addressed to the IF s, NOC s and NF regarding special equipments and requirements of individual sports. 97

98 Athlete care Olympic Family members are entitled to receive medical treatment free of charge. The treatment may be provided at the venue or at their accommodation following almost the same procedures as the athletes. However, most of the time, they are not brought to the polyclinic but to the Olympic Hospital where special access is provided. Specific medical centres are located at the: Olympic Family Hotel MPC IBC Location of the opening of the Session Airports 98

99 Spectator Care As soon as the spectators are in an Olympic venue, inside the fences, they fall under the responsibility of the OCOG. Therefore, the OCOG has to provide first aid to anyone who may need it. A similar system to that of the athletes is available in each of the venues to provide enough care for the spectators. According to the case, they are either treated on site or taken to the nearest hospital. This first part of the chain of care falls totally under the responsibility of the OCOG. Once the patient is in a hospital, care is assured according to the health regulations in the host country. 99

100 Spectator Medical Care at venues first contact point for the spectators at At least one Spectator Medical Care Station per venue with: - Spectator Care Doctor - Spectator Care Nurse - First Aid roving team The First Aid roving team(s) will be the the venue areas that they will be allowed 100

101 NOC Team Medical Staff Legislation NOC s will appoint their Health Professionals NOC can write prescriptions to be filled at the Polyclinic pharmacy NOC Physicians may practice in medical stations at competition and training venues 101

102 NOC Team Medical Staff Legislation NOC Physicians may request diagnostic test through the Polyclinic but will only have consultative privileges. NOC Physicians will not have admitting privileges at hospitals but may consult with admitting physicians 102

103 NOC Team Medical Staff Legislation Provision of medicines a) by team doctors b) by ATHOC Provision of medical equipment Rate Card Service 103

104 Ambulance service Ambulance Services Provided by the National Centre of Emergency Care (EKAB) Ground ambulances on site at all competition and training venues during venue operating hours Ground ambulances on site at the Olympic Village 24/7 104

105 ATHOC Medical Command Centre Will operate during Games time at ATHOC HQ Will have representatives from external ATHOC entities Will collect data from all venues Will report to IOC MC 105

106 Doping control services At the difference of other OCOG, ATHOC has decided to totally separate the 2 departments Medical and Doping control. The Doping Control Services were under the control of Christina TSITSIMPIKOU Phd. 106

107 Doping control staff 1 DOP PROGRAM MANAGER 1 P 2 DOP MANAGEMENT 6 P Includes among others the Venues and Laboratory Coordinator and the Staff and Volunteers Coordinator 3 DOP VENUE MANAGER 34 P 4 DOP VEN ESCORT COORDINATOR 40 V 5 DOP VENUE ESCORT (M) 145 V 6 DOP VENUE ESCORT (F) 135 V 7 BLOOD COLLECTION COORDINATOR 1 P 8 VENUE PHLEVOTOMIST 4 V 9 DOP VENUE HEAD MEDICALOFFICER 34 P 10 DOP VENUE MEDICAL OFFICER 18 V 11 DOP VENUE TECHNICAL OFFICER (M) 29 V 12 DOP VENUE TECHNICAL OFFICER (F) 29 V 13 DOP VENUE ADMIN STAFF 40 V 14 DOP COURIER 20 C Contractors from the Hellenic Post (ELTA) 15 DOP SOFTWARE TECHNICIAN 1 C 16 LAB CREW 70 C 17 LAB EXPERTS 26 P 18 LAB SCIENTISTS 30 P 19 LAB EQUIPMENT TECHNICIAN 10 C 20 LAB ASSISTANTS 49 V TOTAL PAID 124 TOTAL CONTRACTOTS 101 TOTAL VOLUNTEERS 489 TOTAL 722 The permanent staff of the OAKA Lab contracted to ATHOC for the Olympic Games Staff from WADA accredited Labs hired by ATHOC or employed through the secondment program Scientific staff hired by ATHOC for the OAKA Lab to cover the needs of the Olympic Games Contractors from the manufacturers/ providers of the laboratory equipment purchased by ATHOC 107

108 Definition of the programme by IOC Out side Olympic Venues All around the world Inside Olympic Venues WADA on behalf of the IOC ATHOC IOC result management 108

109 About 280 l of urine date Pre competition Post competition total Urine Blood Urine blood

110 A taskforce composed of ATHOC/WADA/IOC has been put in Place one year before the Games in order to : harmonise testing procedures prevent duplication in testing be able to test athletes were ATHOC was not able to do so. harmonise and collect whereabouts of athletes prepare the pre-competition testing plan including : 1. Number of tests (blood and urine) 2. Substances to be tested 3. Number of NOCs 4. Ranking coming from Ifs 5. Targeted athletes based on intelligence 110

111 Based on the work of the Taskforce it has been agreed that : WADA will act as a service provider for IOC and will test athletes outside Olympic Venues and all around the World with a letter of authority of the IOC. ATHOC will test the athletes inside the Olympic Venues 111

112 The Anti-Doping laboratory fully accredited by WADA was totally rebuilt for the Games. It is a 3 floors building Its director is a former Olympian, dicsus thrower Costas Georgakopoulos 112

113 3 guides printed by ATHOC Bereg kit alone Bereg kit in its box 113

114 Since the Winter Games in Salt Lake City, the IOC has Adopted a strong policy vs the use of some substances as : beta 2 agonists which needed an application form based on respiratory tests and reviewed by a panel of independent experts. In addition, since the World Anti-Doping Code has been adopted and implemented, the policy on the TUE and ATUE fully applied in Athens. Before 30 July 2004, a TUEC of an ADO was able to deliver a standard TUE. After 30 July 2004, by delegation, the IOC TUEC was able to deliver such TUEs 114

115 115

116 Adverse analytical findings 1 KEN M Boxing PC Cathine D&E 2 MYA F WL PC steroid D&E 3 UZB F T&F sp IC clenbuterol D&E 4 IND F WL IC furosemide 4th D&E 5 GRE M WL IC T/E>6 BM D&E 6 RUS F T&F sp IC stanozolol GM D&E 7 BRS M T&F hj IC clenbuterol D&E 8 UKR F Row. IC ethamivan BM D 9 RUS M T&F 400 IC stanozolol 4 th D&E 10 PUR F Wrest. IC stanozolol 5 th D&E 11 HUN M WL IC oxandrolone SM D&E 12 COL F Cycl. IC heptaminol BM D 116

117 Results of the doping control Anti-doping rules violations 1 GRE M T&F unavailability retired 2 GRE F T&F unavailability retired 3 HUN M T&F disc. refusal GM D&E 4 HUN M WL refusal D&E 5 HUNG M T&F ham refusal D&E 117

118 Results of the doping control Tests done during the Games either by an IF, either by a NOC Tested by IF 1 MAR F WL suspended 2 MDA M WL suspended 3 HUN M WL suspended 4 IND F WL suspended 5 TUR F WL suspended 6 KGZ F WL suspended 7 RUS F WL suspended Tested by NOC 1 GRE M Baseball suspended 2 GRE M Baseball suspended 118

119 Relations with public authorities A task force from the Ministry of Health and Welfare was established to draft an Operational Plan following the return of the Observers Team from the Sydney 2000 Olympic Games A Memorandum of Understanding between the Ministry of Health and Welfare and Athens 2004 was signed following the completion of the Operational Plan Olympic Games 2004 Hygeia By common agreement of the MOH&W and ATHOC, a monitoring committee has been established in order to follow-up the implementation of this Operational Plan 119

120 Strategic objectives of the operational plan: To set up the health sector in order to provide Health Services for the Olympic and Paralympic Games in a system of uniform services To ensure that the health system is in a state of readiness during the Olympic and Paralympic Games in case of a mass emergency or disaster 120

121 Structure of the Operational Plan Objective 1:Hospital Care Objective 2:Primary Health Care Objective 3:Emergency pre-hospital care Objective 4:Public Health & Hygiene Objective 5:Organisation and management of Health Services 121

122 Interventions and relevant actions in the following areas Improving the functional role of the health system Improving the organisation of the health system Upgrading the building infrastructure and medical equipment Reinforcement and training of human resources 122

123 Structure of the Operational Plan Olympic Games Hygeia Objectives MoH&W Hospital Care Primary Health Care Emergency Pre-Hospital Care Public Health & Hygiene Organization & Management of the Health Services 123

124 Objective 1: Hospital Care Olympic Hospitals Athens Thessaloniki Iraklion Patra Volos 11 General hospitals 8 Specialized hospitals 3 General hospitals 1 General hospital 1 General hospital 1 General Hospital 124

125 Objective 1: Hospital Care The interventions in the Olympic Hospitals were aimed at: - Operating theatres - Day care unit special wards - Out patient departments 125

126 Mission & Selection Criteria Mission free of charge hospital care that includes members of the Olympic and Paralympic Family (athletes, officials, media), the volunteers and members of staff Selection Criteria Proximity to the Venues Specialisation of the Hospital 126

127 Structure of the Operational Plan Olympic Games Hygeia Objectives MoH&W Hospital Care Primary Health Care Emergency Pre-Hospital Care Public Health & Hygiene Organization & Management of the Health Services 127

128 Objective 2: Primary Health Care & Olympic Village Polyclinic Network of primary health care units (permanent Health Care Centres and Mobile Medical Posts) for the Olympic and Paralympic Games The planning, construction and equipment of the Polyclinic is financed and implemented under the responsibility of the Ministry of Health and Welfare 128

129 Structure of the Operational Plan Olympic Games Hygeia Objectives MoH&W Hospital Care Primary Health Care Emergency Pre-Hospital Care Public Health & Hygiene Organization & Management of the Health Services 129

130 Objective 3: Emergency Pre- Hospital care Enhancing the infrastructure of the operational centre of EKAB (National Centre of Emergency Care) Procurement of the appropriate units for coverage of emergency pre-hospital care Upgrading the wireless communication system Development of a unified informatics and telemedicine system Reinforcement and training of human resources 130

131 Objective 3: National Centre of Emergency Care (EKAB) 270 Ambulances 35 Mobile Intensive Care Units 20 Motorcycles 2 Mobile command centres 2 Special Vehicles for Disaster Medicine 131

132 Disaster Plan Disaster Medicine Disaster medicine is included in the existing overall disaster plan. The disaster medicine plan describes the sequence for effective activation of: the emergency pre-hospital care system the hospitals the public health mechanism the organisation and management of the National Health System 132

133 Structure of the Operational Plan Olympic Games Hygeia Objectives MoH&W Hospital Care Primary Health Care Emergency Pre-Hospital Care Public Health & Hygiene Organization & Management of the Health Services 133

134 Objective 4: Public Health and hygiene Epidemiological surveillance and coordination of the relevant authorities to ensure that public hygiene rules and regulations for food, water and environment are observed Upgrading of the network of public health and hygiene units for the overall epidemiological surveillance 134

135 Public Health and Hygiene interventions Organisational and functional intervention for the upgrading of public health services by establishing new standard operating procedures and medical protocols Creation of proper infrastructure for dealing with emergencies and disasters Reinforcement and training of staff 135

136 Structure of the Operational Plan Olympic Games Hygeia Objectives MoH&W Hospital Care Primary Health Care Emergency Pre-Hospital Care Public Health & Hygiene Organization & Management of the Health Services 136

137 Objective 5: Organisation & Management of Health Services Monitoring mechanism for the overall progress of each objective Legalization of medical practice by foreign physicians and import of medical substances Updating policies regarding vaccination requirements & epidemic control according to WHO Medical Interpretation in the Polyclinic 137

138 ATHOC Health Services Programme The main objective is to provide a comprehensive, accessible and efficient health care programme to all persons requiring assistance while attending the ATHENS 2004 Olympic Games and associated events. 138

139 Interactions with the Ministry of Health Maintain all aspects of public health and hygiene Water Food Environment Air Syndromic Surveillance Heat related prevention measures Cruise ship inspection programme 139

140 CONCLUSIONS These Games were perfectly organised Games. Medical Services were at the top of the art. Doping controls have shown the strict stance of the IOC tolerance zero Thank you ATHENS 140

141 Final Thank you for your attention 141