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. WHAT ARE THE SIDE-EFFECTS OF EPO MISUSE?UP

While proper use of EPO has an enormous therapeutic benefit in the treatment of anaemia related to kidney disease, its misuse can lead to serious health risks for athletes who use this substance simply to gain a competitive edge. It is well known that EPO, by thickening the blood, leads to an increased risk of several deadly diseases, such as heart disease, stroke, and cerebral or pulmonary embolism. The misuse of recombinant human EPO may also lead to autoimmune diseases with serious health consequences.

3. WHEN WAS EPO BANNED AS A PERFORMANCE ENHANCING SUBSTANCE?UP

EPO has been banned since the early 1990s.

4. WHEN WAS A TEST TO DETECT EPO IMPLEMENTED?UP

A test for EPO was introduced at the 2000 Summer Olympic Games in Sydney (Australia). The test, validated by the International Olympic Committee (IOC), was based on the blood and urine matrix. A blood screening was performed first, and a urine test was then used to confirm possible use of EPO.

In June 2003, WADA’s Executive Committee accepted the results of an independent report stating that urine tests alone can be used to detect the presence of recombinant EPO. This report, requested by WADA’s stakeholders and commissioned by the Agency to evaluate the validity of urinary and blood tests for detecting the presence of recombinant EPO, concluded that urinary testing is the only scientifically validated method for direct detection of recombinant EPO. This report also recommended that urine testing be used in conjunction with blood screening for a variety of reasons, including the cost savings of performing blood screening prior to testing urine. Some international sports federations still use both urine and blood matrix for the detection of EPO. Recently, the urine test was adapted to blood to perform detection of some new erythropoiesis stimulating agents.