U.S. Anti-Doping Agency (USADA)

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2021 USADA Annual Report

“As long as you
show up and do
your best, you’re
a step ahead.”

 — Mandy Marquardt,
professional cyclist and
TrueSport Ambassador

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Tokyo Games Campaign Encourages Athletes to Consider the Next Generation

Prior to the Olympic and Paralympics Games in Tokyo, USADA aired a campaign reminding Olympians and Paralympians that their actions shape the next generation’s understanding of integrity and fair play. The video campaign featured young athletes answering questions about the complex philosophical and technical terms often used in conversations about clean sport. The athletes’ answers, whether accurate or humorous, illustrated that the actions of role models in sport are more important than any words. Thus, the campaign encouraged elite athletes to #ShowThemCleanSport: The next generation is watching.

Rodchenkov Anti-Doping Act in Action

Signed into law on December 4, 2020, the Rodchenkov Anti-Doping Act (RADA) of 2019 is landmark legislation that criminalizes international doping conspiracies. The law establishes criminal penalties – fines and up to 10 years of imprisonment – for doping in all major international competitions in which U.S. athletes participate alongside at least three foreign athletes and organizers receive sponsorship from companies doing business in the U.S. or are compensated for the right to broadcast their competition in the country. Over the course of 2021, USADA, law enforcement, and organizations from across the world collaborated on the first case arising under the law, and in doing so, successfully protected the integrity of the Tokyo Olympic Games.

gavel on american flag background
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“It’s really easy to think that you should just push through and make yourself better by building on what you already have, but your body needs an opportunity to rest and recuperate.”

 — Kara Winger,
Olympian and
TrueSport Ambassador


education sessions
Tokyo highlights.
128 education sessions completed including 101 webinars, 11 booths, 10 face-to-face, and 6 materials only sessions.
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27,312 athletes, coaches, and health care professionals reached through e-learning including 7613 athletes, 19325 coaches, and 374 health care professionals.
E-learning for athletes, coaches, and health care professionals.
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“The best piece of advice I’ve received from my coach was to trust the process and to aim for progress rather than perfection.”

 — Abby Raymond,
Team USA Weightlifter and
TrueSport Ambassador


TrueSport Talks - Mental Wellness and the Young Athlete: The Path Forward.

A recognized thought leader for athlete health in youth sport, TrueSport and USADA gathered some of the most relevant voices in the mental health space to host “TrueSport Talks – Mental Wellness & the Young Athlete: The Path Forward,” on December 8, 2021, at the U.S. Olympic & Paralympic Museum.

The event featured elite athletes Gracie Gold (Olympian, Figure Skating), Noah Lyles (Olympian, Track & Field), Josephus Lyles (Track & Field), and Deja Young-Craddock (Paralympian, Track & Field) alongside nationally recognized youth sport influencers and clinical experts from across the country. Together, they explored mental wellness through the lens of youth sport.

"The combination of successful athletes (subjects-experiences) with practitioners (influencers) was incredibly powerful." Andy Rice, city of Alamosa director of parks, recreation, and library.
"As a former Olympic coach, I am just gobsmacked at the work TrueSport is doing and gratified that you are all leading the way for athlete well-being." - Bill Baum, U.S. Olympic ski coach.
Ambassadors engaged with
2496 individuals through
18 events.
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“I love being around my teammates because they
pick me up when I need
it and inspire me to be
the best.”

 — Steve Emt,
Paralympian and
TrueSport Ambassador

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Top 10 Global DRO ingredient searches in the U.S. in 2021: cannabis, caffeine, creatine, marijuana, albuterol, THC, testosterone, adderall, CBD, prednisone.
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Drug Reference Line (not including UFC inquiries) included 109 drug reference inquiries received by phone and 413 inquiries received by email.
TUE highlights.
USADA received 541 TUE pre-check forms, 569 TUE requests, and reviewed 45,913 medications and supplements delcared on doping control paperwork in 2021.
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20th Annual USADA Symposium on Anti-Doping Science:
Synergizing Anti-Doping Science and Investigations
to Protect Athletes and Clean Sport

Continuing a 20-year legacy of advancing scientific innovation, USADA hosted the 20th Annual USADA Symposium on Anti-Doping Science from October 1–4 in Scottsdale, Arizona. Following a fully virtual format in 2020, the 2021 Symposium offered a hybrid approach with 151 registered attendees from more than 35 countries attending both in person and virtually to advance doping detection and deterrence efforts across the world.

Dr. Matt Fedoruk at the USADA 20th Annual Science Symposium.
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“I think that the biggest lesson I’ve learned in this
is to be flexible.”

 — Aaron Schiedies,
Paralympian and
TrueSport Ambassador


Tokyo 2020 Olympic Medals average number of tests. All Sports, 5 tests per silver medalist. Individual sports, 7.6 tests per silver medalist. All sports, 4.2 tests per gold medalist. Individual sports, 7.2 tests per gold medalist. All sports, 5 tests per bronze medalist. Individual sports, 6.7 tests per bronze medalist.
Client Services
1585 tests completed in 2021, a 169% increase in testing from 2020, with 1343 total test sessions and 1015 athletes tested.


The dried blood spot collection device from TASSO.

USADA continued to expand its Dried Blood Spot testing using the Tasso device

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“There’s no point
in giving half
of your best.”

 — Richard Torrez Jr.,
Olympian and
TrueSport Ambassador


2021 Highlights.
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• 4,300+ tests administered to more than
650 athletes globally, with 55 nationalities represented
• 4.2 tests per domestic athlete and 4.1 tests per international athlete
• Testing at 43 global events, including 4 on
Fight Island in Abu Dhabi, United Arab Emirates

• 115 educational phone calls in 8 languages for new athletes
• Every athlete in the Registered Testing Pool completed the UFC Athlete’s Advantage video tutorial

• 114 drug reference inquiries received by phone
• 529 drug reference inquiries received by email
• 13,726 UFC Global DRO searches
— Top 5 UFC Global DRO searches: Cannabis, Caffeine, Cocaine, Creatine, and Marijuana

“Take care of yourself…your body and your mind.”

 — Tyler Carter,
Paralympian and
TrueSport Ambassador

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32 sanctions announced in 2021.
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395 total tips leading to six non-analytical cases, 80 target tests and these target tests led to 2 more cases, and 5 sanctions resulted from intelligence and investigations in 2021.
2021 Annual Report #CompeteWell

Click above to access the full 2021 Annual Report, including the independent financial audit.

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