doping • DBS • doping • dried blood spots • drug testing • microsampling • sport • tampering • virtual drug testing
Protecting the integrity of sport & the doping control processThe recent global COVID-19 pandemic is an unprecedented global health crisis with far-reaching impacts on sport. With world sporting events canceled or postponed to limit the spread of infectious disease among athletes and the public and athletes adapting their training programs within the safety and protection of their own homes, global anti-doping programs face the challenge of protecting the health and wellbeing of athletes and sample collection personnel while continuing to pursue the detection and deterrence value of anti-doping testing programs. These uncertain and exceptional circumstances require innovation and flexibility within the current anti-doping system to protect the rights of clean athletes and the integrity of sport.The World Anti-Doping Code governs global anti-doping programs across Olympic and Paralympic sport. This aims to achieve global standards and harmonization of the operational aspects of anti-doping programs including sample collection and analysis, the results management process, protection of privacy and personal information, the list of prohibited substances and methods, the Therapeutic Use Exemption process, the athlete whereabouts system, intelligence and investigations practices and Code signatories' rights and responsibilities with code compliance. Within the International Standard for Testing and Investigations (ISTI), specific details with respect to the process of sample collection must be strictly followed to uphold the integrity of the sample and the chain of custody [1]. Some important aspects of the sample collection process, designed to minimize the likelihood of sample manipulation, tampering and to prevent athletes from exploiting loopholes in the system include no-advance notice testing, physically present sample collectors performing in-person sample collection with directly observed urine and blood sample provision and the need for tamper-evident sample collection equipment that ensures the security, suitability and chain of custody of the samples from the time of collection, until laboratory receipt and analysis. Compliance with the current sample collection standards and procedures protect athletes, as well as ensuring that legal challenges to the sample collection process are minimized in cases of a positive test.As addressed in the current ISTI, witnessing and verifying the provision of the sample is critical to prevent tampering and any attempt to falsify a urine specimen. There have been instances of athletes attempting to use commercially available penile prostheses, urine substitutes, chemical additives that detoxify the sample or attempt to interfere with chemical testing and warming devices to maintain the sample at body temperature [2]. Several commercially available technologies have been developed that can be used to alleviate the invasive nature of a witnessed urine collection...