ARBITRAL AWARD COURT OF ARBITRATION FOR SPORT
Ms Maidie Oliveau, Attorney-at-law, Los Angeles, California, USA
Mr Christopher Campbell, Attorney-at-law, Fairfax, California, USA
Mr Yves Fortier, Barrister Q.C., C.C., Montreal, Canada Guillermo Cañas, Buenos Aires, Argentina
Represented by Mr Cédric Aguet, Attorney-at-law, Geneva, Switzerland
ATP Tour, Ponte Vedra Beach, Florida, USA
Represented by Mr John F. MacLennan, Attorney-at-law, Jacksonville, Florida, USA
* * * * * * * * * * 1. The Parties
1.1 The Appellant, Mr Guillermo Cañas (the Player), is a tennis professional from
Argentina. He has been a member of ATP Tour since 1995 and a member of the
1.2 The Respondent, ATP Tour is a not-for-profit membership organization composed of
male professional tennis players and tournament organizations. The ATP sanctions
tennis tournaments and provides league governance and support to its member
2. The ATP Rules
2.1 The rules applicable to the Player as a member of the ATP are contained in the ATP
2005 Official Rulebook (the ATP Rules), Section 7.06 et seq. The relevant sections of
B. Covered Players and Events Any player who enters or participates in a Competition, Event or activity organized, sanctioned or recognized by the ATP, or who is an ATP member or has an ATP ranking (a "Player") shal be bound by and comply with al of the provisions of this Program including making himself available for Testing both In-Competition and Out-of-Competition. Further, for each calendar year al such Players shal , as a condition of entering or participating in any event organized or sanctioned by the ATP, deliver to the ATP a signed consent in the C. Doping Offenses Doping is defined as the occurrence of one or more of the fol owing (each, a "Doping Offense"): The presence of a Prohibited Substance or its Metabolites or Markers in a Player's Specimen, unless the Player establishes that the presence is pursuant to a therapeutic use exemption granted in It is each Player's personal duty to ensure that no Prohibited Substance enters his body. A Player is responsible for any Prohibited Substance or its Metabolites or Markers found to be present in his Specimen. Accordingly, it is not necessary that intent, fault, negligence or knowing Use on the Player's part be demonstrated in order to establish a Doping Offense under Article C.1; nor is the Player's lack of intent, fault, negligence or knowledge a defense to a charge that a Doping Offense has been committed Excepting those substances for which a quantitative reporting threshold is specifical y identified in the Prohibited List, the detected presence of any quantity of a Prohibited Substance or its Metabolites or Markers in a Player's Specimen shal constitute a Doping Offense under Article C.1, unless the Player establishes that such presence is pursuant to a therapeutic use exemption granted in accordance with K. Due Process 3. Burdens and Standards of Proof The ATP … shal have the burden of establishing that a Doping Offense has been committed. The standard of proof shal be whether the ATP has established the commission of the al eged Doping Offense to the comfortable satisfaction of the Anti-Doping Tribunal, bearing in mind the seriousness of the al egation that is made. This standard of proof in al cases is greater than a mere balance of probability but less than proof beyond a reasonable doubt. Where this Program places the burden of proof upon the Participant al eged to have committed a Doping Offense to rebut a presumption or establish specified facts or circumstances, the standard of proof shal be by a balance of probability. L. Automatic Disqualification of Individual Results A Doping Offense committed by a Player in connection with or arising out of an In-Competition test automatical y leads to Disqualification of the individual result obtained by the Player involved in that Competition with al resulting consequences, including forfeiture of any medals, titles, computer ranking points and prize money (without deduction for tax) obtained in that Competition. M. Sanctions on individuals Disqualification of Results in Event During which a Doping If the Player establishes that he bears No Fault or Negligence for the Doping Offense, the Player's individual results obtained in the Competition(s) other than the Competition in relation to which the Doping Offense occurred shal not be Disqualified unless the ATP establishes that the Player's results in the other Competition(s) were likely to have been affected by the Player's Doping Offense. Imposition of Ineligibility for Prohibited Substances and Except where the substance at issue is one of the specified substances identified in Article M.3, the period of ineligibility imposed for a violation of Article C.1 (presence of Prohibited Substance or its Metabolites or Markers), Article C.2 (Use or Attempted use of Prohibited substance or Prohibited Method) or Article C.6 (Possession of Prohibited Substances and/or Prohibited Method(s) However, the Participant shal have the opportunity in each case, before a period of ineligibility is imposed, to establish the basis for eliminating or reducing this sanction as provided in Article M.5. Elimination or Reduction of Period of Ineligibility Based on If the Player establishes in an individual case involving a Doping Offense under Article C.1 (presence of Prohibited Substance or its Metabolites or Markers) or Article C.2 (Use of a Prohibited Substance or Prohibited Method) that he bears No Fault or Negligence for the offense, the otherwise applicable period of ineligibility shal be eliminated. When the case involves a Doping Offense under Article C.1 (presence of a Prohibited Substance or its Metabolites or Markers), the Player must also establish how the Prohibited Substance entered his or her system in order to have the period of Ineligibility eliminated. In the event that this Article is applied and the period of Ineligibility otherwise applicable is eliminated, the Doping Offense shal not be considered a Doping Offense for the limited purpose of determining the period of Ineligibility for multiple Doping Offenses under Articles M.2, M.3 and This Article M.5.b applies only to Doping Offenses involving Article C.1 (presence of Prohibited Substance or its Metabolites or Markers), Article C.2 (Use of a Prohibited Substance or Prohibited Method), Article C.3 (failing to submit to Sample col ection), Article C.8 (administration of a Prohibited Substance or Prohibited Method) or Article C.9 (refusing or failing to abide by any other provision of this Program). If a Player establishes in an individual case involving such offenses that he bears No Significant Fault or Negligence, then the period of Ineligibility may be reduced, but the reduced period of Ineligibility may not be less than one-half of the minimum period of Ineligibility otherwise applicable. If the otherwise applicable period of Ineligibility is a lifetime, the reduced period under this section may be no less than eight years. When the Doping Offense involves Article C.1 (presence of Prohibited Substance or its Markers or Metabolites), the Player must also establish how the Prohibited Substance entered his or her system in order to have the period of Ineligibility reduced. Disqualification of Results in Competition Subsequent to In addition to the automatic Disqualification pursuant to Article L. of the results in the Competition that produced the positive Sample, al other competitive results obtained from the date a positive Sample was col ected (whether In-Competition or Out-of-Competition) or other Doping Offense occurred through to the date of commencement of any Ineligibility period shal , unless fairness requires otherwise, be Disqualified with al of the resulting consequences, including forfeiture of any medals, titles, computer ranking points and Prize money (without deduction for tax). Any Consequences set out in the decision of an Anti-Doping Tribunal shal come into force and effect on the date that the decision is For purposes of forfeiture of computer ranking points, the decision shal come into effect at midnight on the Sunday nearest to the date that the decision is issued. The Anti-Doping Tribunal shal have discretion, where fairness requires, to establish an instal ment plan for repayment of any prize money forfeited pursuant to Articles L and/or M of this Program. For the avoidance of doubt, the schedule of payments pursuant to such plan may extend beyond any period of Ineligibility imposed upon the The period of Ineligibility shal start on the date that the decision is issued, provided that: any period during which the Player demonstrates he has voluntarily foregone Participation in Competitions shal be credited against the total Period of Ineligibility to be served, and where required by fairness, such as in the case of delays in the hearing process or other aspects of Doping Control not attributable to the Player, the Anti-Doping Tribunal may start the period of Ineligibility at an earlier date commencing as early as the O. Appeals Decisions made under this Program may be appealed as set out in this Article O. Such decisions shal remain in effect while under appeal unless the appel ate body orders otherwise. Appeals from Decisions Regarding Doping Offenses and A decision that a Doping Offense has been committed, a decision imposing Consequences for a Doping Offense, a decision that no Doping Offense has been committed, and/or a decision that the ATP lacks jurisdiction to rule on an al eged Doping Offense or its Consequences, may be appealed by any of the fol owing parties exclusively to the Court of Arbitration for Sport (“CAS”), in accordance with CAS’s rules relating to Appeal Arbitration Hearings: a) the Participant who is subject of the decision being The deadline for filing an appeal to CAS shal be twenty-one (21) days from the date of receipt of the decision by the appealing party. P. The CAS Appeal Al Appeals before CAS of Anti-Doping Tribunal decisions shal take the form of a rehearing de novo of the issues raised by the case and the CAS Panel shal be able to substitute its decisions for the decision of the Anti-Doping Tribunal where it considers the decision of such Anti-Doping Tribunal to be erroneous or procedural y The decision of CAS shal be final and binding on al parties and no right of appeal wil lie from the CAS decision. The CAS decision shal have immediate effect and al parties shal take action T. General The Program shal be interpreted in a manner that is consistent with applicable provisions of the Code. The comments annotating various provisions of the Code may, where applicable, assist in the understanding and interpretation of this Program. …this Program shal be governed in al respects (including, but not limited to, matters concerning the arbitrability of disputes) by the Laws of Delaware without reference to Delaware conflict of laws APPENDIX ONE No Fault or Negligence. The Player establishing that he did not know or suspect, and could not reasonably have known or suspected even with the exercise of utmost caution, that he had Used or been administered the Prohibited Substance or Prohibited Method. No Significant Fault or Negligence. The Player establishing that his or her fault or negligence, when viewed in the totality of the circumstances and taking into account the criteria for No Fault or Negligence, was not significant in relationship to the Doping Offense. APPENDIX THREE THE 2OO5 PROHIBITED LIST Valid 1 January 2005 The use of any drug should be limited to medical y justified SUBSTANCES AND METHODS PROHIBITED AT ALL TIMES (IN- AND OUT- OF COMPETION) PROHIBITED SUBSTANCES DIURETICS AND OTHER MASKING AGENTS Diuretics and other masking agents are prohibited. Masking agents include but are not limited to: Diuretics+, epitestosterone, probenecid, alpha-reductase inhibitors (e.g. finasteride, dutasteride), plasma expanders (e .g. albumin, dextran, hydroxyethyl starch). chlortalidone, etacrynic acid, furosemide, indapamide, bendroflumethiazide, chlorothiazide, hydrochlorothiazide), triamterene, and other substances with a similar chemical structure or similar biological effect(s). + A therapeutic Use Exemption is not valid if an Athlete's urine contains a diuretic in association with threshold or sub-threshold levels of a Prohibited Substance(s).3. Summary of the Arbitral Proceedings
3.1 The Player provided a urine specimen during the ATP sanctioned tournament, the
“Abierto Mexicano de Tenis” in Acapulco, Mexico (the Tournament) on 21 February
2005. International Doping Tests & Management (IDTM) is the Anti-Doping
Program Administrator (APA) pursuant to a contract between IDTM and the ATP.
3.2 APA shipped the specimen sample to the Laboratoire de Controle du Dopage INRS-
Institut Armand-Frappier, Montreal, Canada, a World Anti-Doping Agency (WADA)
3.3 The Lab reported that the sample analysis indicated the presence of
hydrochlorothiazide (HCT) with a concentration level estimated at 4,900ng/ml. HCT
is identified in the ATP Rules under S5. Diuretics and Other Masking Agents
(Appendix Three, 2005 Prohibited List) as a Prohibited Substance.
3.4 The B analysis conducted by the Lab on 10 May 2005 confirmed the presence of the
Prohibited Substance. In this proceeding, the Player does not contest the presence of
3.5 The Player exercised his right to a hearing by the Anti-Doping Tribunal (the Tribunal)
pursuant to the ATP Rules. The Tribunal determined by a decision on 7 August 2005
that the Player had committed a “Doping Offense” as defined in the ATP Rules by
having HCT present in his body on 21 February 2005 during the Tournament. The
Tribunal imposed a two-year period of ineligibility on the Player effective from 11
June 2005 and ordered the repayment of monies earned with respect to competitions
whose results were disqualified since the Tournament.
3.6 A statement of appeal was filed before the CAS on 29 August 2005.
3.7 Each party designated an arbitrator. The third arbitrator – the President – was in turn
appointed by the President of the Division. Thus the Panel sat in the following
Attorney-at-law, Los Angeles, California, USA
Attorney-at-law, Fairfax, California, USA (Appellant’s
Barrister Q.C., C.C., Montreal, Quebec, Canada (Respondent’s
3.8 On 10 October 2005, the Appellant filed his appeal brief and Request for Provisional
3.9 On 4 November 2005, the Panel issued its Order on the Request for Provisional
Measures partially upholding Appellant’s request, and suspended the requirement for
Player to repay monies earned with respect to the competitions whose results were
3.10 On 2 December 2005, the Respondent filed its answer and statement of defense.
3.11 On 4 January 2006, the parties signed the Order of Procedure issued by the President
3.12 In accordance with art. R28 of the Code of Sports-related Arbitration (in the version in
force as of January 2004) (the Code), the seat of the Panel is established at the
Secretariat of the CAS, Chateau de Béthusy, Avenue de Beaumont 2, 1012 Lausanne,
3.13 The hearing was held in New York, NY on 19 and 20 January 2006.
3.14 The following persons gave oral evidence:
Mario Antonio Salgado, Player’s attorney from Acapulco
Paulo Sergio Carvallo, coach of another player in the
For the Respondent: Julian Cavazos, Doping control officer at the Tournament
Dr. Salvador Chincilla, Tournament doctor
3.15 The parties agreed to have the Panel consider the written testimony of the following
persons without cross examination: For the Appellant:
3.16 On 1 February 2006, Appellant filed a request for a reopening of the case based on
new facts and on new evidence pursuant to the exceptional circumstances provision of
art. R56 of the Code which provides that:
“Unless the parties agree otherwise or the President of the Panel orders
otherwise on the basis of exceptional circumstances, the parties shall not
be authorized to supplement their argument, nor to produce new exhibits,
nor to specify further evidence on which they intend to rely after the
submission of the grounds for the appeal and of the answer.”
3.17 On 27 February 2006, Respondent filed its reply to Appellant’s request.
3.18 At the request of the Panel, on 13 April 2006, both parties filed closing submissions
which were to have been limited to the issue of relevance of the new evidence. The
Panel considered only those parts of the submissions which related to the new
4 Appellant’s contentions
4.1 The Appellant claims that he ingested Rofucal, a medication containing HCT, which
he received from Tournament personnel after requesting that a prescription from the
Tournament doctor to treat congestion be filled and Appellant instead received a
prescription intended for the coach of another participant in the Tournament, Mr
Carvallo. He claims that the HCT was present in his urine as a result of taking the
medication intended for Mr Carvallo. As a result, the Appellant bears no fault or
4.2 The Appellant contends that the Tournament doctor is someone in whom he can have
confidence, the Tournament personnel are expected to assign a person to fulfill this
request with due care and as such his duty of care as set forth in the ATP Rules is
reduced when he has received a prescription from the Tournament doctor which was
picked up at the pharmacy by Tournament personnel and delivered back to him.
4.3 In the alternative, Appellant contends that even if the standard of care is not reduced
when the Player has received a prescription from the Tournament doctor, it is not
foreseeable that an error by Tournament personnel dedicated to serving the players on
site in filling the prescription would occur and thus, Appellant had no need to read the
label of the medications he was taking. He cannot be expected to foresee that a third
party would make a mistake in purchasing his medication which would then require
him to read the label on the medication prior to consuming it.
4.4 Further, Appellant argues that the sanction of two years’ ineligibility is
disproportionate under the circumstances as the violation of the ATP Rules in this
instance is unintentional. Under Delaware law, applicable as required by the ATP
Rules, the proportionality test includes the mental state of the offender, the actual or
potential injury caused by the misconduct, and aggravating and mitigating
circumstances. The Appellant claims that the standards reflected in the ATP Rules to
reduce the period of ineligibility otherwise required in the event of a doping violation
are too strict and thus illusory and fall short of the proportionality doctrine. In
particular, they do not provide the Panel with sufficient discretion to consider all
relevant factors and, as a result of such consideration, arrive at a result that meets the
justice of the overall case. Since in this case, the violation was caused by the
accidental presence of the Prohibited Substance in Player who never intended to cheat,
a different sanction should be imposed than where there is intent to cheat.
4.5 The Player submitted at the first hearing held before the Tribunal that pursuant to the
ATP Rules, the sanction should either be eliminated or reduced based on the No Fault or Negligence provision that permits the otherwise applicable period of ineligibility to
be eliminated; or based on the No Significant Fault or Negligence provision which
permits the reduction of the period of ineligibility to be reduced. The Tribunal found
that the Player did not meet his burden of proof to show how the medication was in the
Player’s system and found him to be at fault even on his own version of the events that
4.6 At the first hearing, Player did not present witnesses supporting his contention that he
had received a prescription from the Tournament doctor, nor had he yet located Mr
Carvallo who received medication other than the Rofucal he had requested from the
receptionist at the Tournament on the same day and at the same time as Appellant
received his medications. At the hearing before this Panel, Appellant presented
written statements and oral testimony to the effect that people had seen him go to the
Tournament doctor’s office, walk out with a prescription, hand the prescription to his
coach who handed it to the receptionist in the area outside the doctor’s office and then
later in the same day, pick up the prescription from the receptionist. The Tournament
doctor denied treating Player and was adamant that had he done so, he would have
remembered, as it would have been “an honor to treat Player”. The Tournament
doctors maintain logs required by the ATP, listing the people they have treated and the
treatment. Their logs did not reflect the treatment of the Appellant, but it appears that
the treatment of at least one other player was not logged in the Tournament doctors’
5 Respondent’s contentions
5.1 The Respondent contends that, if the Appellant’s version of the circumstances leading
up to the Appellant’s positive specimen is accepted, Appellant has met his burden
under ATP Rules M.5.b to demonstrate how the prohibited substance entered his
system. However, Respondent points out that the Appellant did not read the label on
the medication he received. He did not ask the physician from whom he received the
prescription what medication was being prescribed. He did not compare the label
(which clearly identified the ingredient in Rofucal as the prohibited substance HCT) to
the wallet card which the Player testified he always carried with him. Therefore, the
5.2 The Respondent then addresses whether the Appellant has demonstrated if he bears No Significant Fault or Negligence under the ATP Rules. In so doing, the Respondent
looks to a comment to WADA Code (WADC) Section 10.5 from which the ATP
Rules are derived, which discusses circumstances which might support a finding of No Significant Fault or Negligence: “For example, reduction may well be appropriate in
illustration (a) [a positive test resulting from a mislabeled or contaminated vitamin or
nutritional supplement] if the athlete clearly establishes that the cause of the positive
test was contamination in the common multiple vitamin purchased from a source with
no connection to prohibited substances and the athlete exercised care in not taking
other nutritional supplements.” Based on the Appellant’s admission that he did not
read the label, under the reasoning of the WADC comment, the Player is guilty of
Significant Fault or Negligence. According to the ATP Rules, C.1.a: “It is each
Player's personal duty to ensure that no Prohibited Substance enters his body.” Thus,
Player was significantly negligent in not conducting further research before taking the
medications, especially since the medication was not received from the Tournament
5.3 In response to Appellant’s argument that the consequences of taking the medication
were not foreseeable, Respondent argues that the issue is not whether another’s
negligence was foreseeable, but rather is it foreseeable that a player who fails to read
the label on a medication containing a Prohibited Substance and ingests that substance
will test positive for that substance, which it was.
5.4 With respect to proportionality, the Respondent relies on a legal opinion obtained by
WADA in 2003 which concludes that the fixed two-year period of ineligibility
regardless of the seriousness of the doping offense does comport with fundamental
principles of law because of the need for harmonization of penalties among the various
sports. In addition, Respondent argues that flexibility as to penalty should be narrowly
circumscribed, based on the fault or negligence on the part of the Player.
6 Jurisdiction
6.1 The competence of the CAS to act as an appeal body is based on art. R47 of the Code
“A party may appeal from the decision of a disciplinary tribunal or similar body of a federation, association or sports body, insofar as the statutes or regulations of the said body so provide or as the parties have concluded a specific arbitration agreement and insofar as the appellant has exhausted the legal remedies available to him prior to the appeal, in accordance with the statutes or regulations of the said sports body.”
6.2 The competence of the CAS is also based on the above-quoted ATP Rules O.1 and
6.3 Moreover, the competence of the CAS is explicitly recognized by the parties in their
briefs and in the Order of Procedure which they signed.
6.4 In accordance with the ATP Rules O.4., the time limit for appeal of twenty-one days
from the receipt of the decision appealed against, the appeal was timely filed by the
Appellant based on his receipt of the Tribunal’s decision as of 8 August 2005.
6.5 According to the Code, the appeal is admissible.
7 Applicable Law “The Panel shall decide the dispute according to the applicable regulations and the rules of law chosen by the parties or, in absence of such choice, according to the law of the country in which the federation, association or sports body which has issued the challenged decision is
7.2 Such provision was expressly mentioned in the Order of Procedure signed by both
7.3 The “applicable regulations” in this case are the ATP Rules, in particular the doping
7.4 The ATP Rules specifically provide that Delaware law shall apply and the Panel shall
apply Delaware law on a complementary basis.
7.5 The applicable procedure in this case is the appeal procedure provided for by art. R47
et seq of the Code. Pursuant to art. R57 of the Code:
“The Panel shall have full power to review the facts and the law.”
This is fully supported by the ATP Rules which provide in P.1:“All Appeals before CAS of Anti-Doping Tribunal decisions shall take the form of a rehearing de novo of the issues raised by the case and the CAS Panel shall be able to substitute its decisions for the decision of the Anti-Doping Tribunal where it considers the decision of such Anti-Doping Tribunal to be erroneous or procedurally unsound.” 8 Analysis
8.1 Under the ATP Rules, since a Prohibited Substance was present in the Player’s
specimen, there is a Doping Offense. The only issue to be determined is what are the
Consequences based on this Doping Offense.
8.2 The burden of proof shifts to the Appellant under ATP Rules, K.3.b. to establish by a
balance of probability: first how the prohibited substance entered his system; and
second, that he bears No Fault or Negligence, or in the alternative No Significant Fault or Negligence, for the Doping Offense in order for the two years period of ineligibility
8.3 With respect to the first requirement of how the Prohibited Substance entered his
system, Appellant established that he ingested Rofucal delivered to him by
Tournament staff. The evidence before the Panel on this crucial point was
contradictory. Having considered this evidence, the Panel, applying the standard of
balance of probability, concludes that the Appellant has met his burden of proof and
that the Tournament doctor prescribed a different medication for Appellant, but this
prescribed medication was not delivered to Appellant as he mistakenly was given the
Rofucal intended for Mr Carvallo. The Panel accepts Appellant’s version of the
events concerning the prescription and the delivery to him of the Rofucal rather than
the prescribed medications. The Panel notes that the Tournament doctor’s testimony
with respect to two issues was in direct contradiction with facts established by the
uncontested testimony of other witnesses: 1) that medications for cold symptoms were
in stock in the doctor’s office at the Tournament venue, which they were not on the
date in question, according to Mr Juan Monaco (another ATP player)’s uncontested
witness statement; and 2) that the records were carefully maintained, which they
clearly were not, as a record of Mr Monaco’s visit to the Tournament doctor had to be
created after this matter arose due to incomplete records. In addition, several witnesses
either testified at the hearing or by written statement, to having seen Appellant enter
the Tournament doctor’s office and exit with a prescription. There was further
confirmation of the visit by Player to the Tournament doctor when a Tournament car
and driver were sent to fill the prescription shortly after the Player’s visit to the
8.4 Another aspect of the evidence before the Panel which gave rise to conflicting
testimony concerns the doping control form completed by Player which did not list the
medications prescribed by the Tournament doctor. The APA’s doping control officer,
Mr Julian Cavazos, who obtained the urine specimen from Player at the Tournament,
was known to Player since 1998. He contradicted the Player’s testimony that when he
was listing medications and supplements on the doping control form at the doping
control station, he advised Mr Cavazos that he was taking medications prescribed by
the Tournament doctor but did not know their names. According to Player, Mr
Cavazos said it was not necessary to list those medications if they were prescribed by
the Tournament doctor. According to Mr Cavazos, he never said that, as it was
standard protocol to list every medication on the form and he always encouraged the
players to write down any medications they were taking on the doping control form.
He had no recollection of Player having mentioned the medications he was taking.
The only people present in the doping control station were Mr Cavazos, Player and Mr
Cavazos’ assistant, Mr Shane Wooten. Appellant provided the witness statement of
Mr Mariano Zabaleta, an Argentinean ATP player, who stated with respect to the
doping control procedure at ATP tournaments, that the medications listed on the
doping control form do not necessarily coincide with the medicines consumed but
rather, in general the listing is discussed with the doping control officer and it is
determined which ones should be listed because they could cause a problem. The
Panel is unable to reconcile the two different versions of the testimony with respect to
the doping control procedure and the form completion process. Mr Cavazos appeared
to the Panel to be a credible witness on this subject as was the Appellant. The Panel is
troubled by the Player’s lack of disclosure of the prescribed medication on the form
but remains convinced by the rest of his testimony that Player believed he was taking
medication prescribed by the Tournament doctor.
8.5 Once the Panel accepts that Appellant has met his burden of proving how the
Prohibited Substance entered his system, the question of his level of fault or
8.6 Appellant is responsible for the presence of the Prohibited Substance in his specimen.
He is an experienced professional athlete, active in the ATP Player Council and fully
aware of the risks of doping, as evidenced by his testimony and the fact that he carries
the ATP wallet card with the list of Prohibited Substances with him.
8.7 He took the medication he received with no review whatsoever of the contents of the
box, even though he knew that the medication had been through several hands before
being delivered to him. He and Mr Gumy, Player’s coach and a retired ATP player,
testified that they never consulted their ATP wallet cards when receiving a
prescription from a Tournament doctor as they believed that the doctors were
exercising care in prescribing medications that did not contain Prohibited Substances,
i.e. that “the doctor knew best.” The testimony of the Tournament doctor was
consistent with this expectation, as the Tournament doctors took extreme care to stay
up to date on the Prohibited Substances list and to avoid prescribing medications
which might put any player at risk of testing positive.
8.8 The ATP requires its tournaments to provide a Tournament doctor who specializes in
sports medicine pursuant to ATP Rules 4.03.A.1. Based on the testimony of Appellant
and his coach as well as the Tournament doctor, the Tournament doctor is
knowledgeable in the Prohibited Substances and the players are led to expect and have
every reason to believe a prescription from a Tournament doctor will not result in the
delivery of a medication containing a Prohibited Substance. The Player was
exercising utmost caution by consulting the Tournament doctor with respect to his
8.9 The question then is whether the Player had a duty to investigate the actual medication
that he had received to ascertain whether it was indeed the medication prescribed by
the Tournament doctor. Appellant relied blindly on the system set up to take care of
him at the Tournament site, assuming that it was foolproof. This is clearly negligent.
The Player has a duty of utmost caution after visiting the Tournament doctor, when
actually ingesting medications. It would have been normal for him to rely on the
trustworthiness and knowledge of the Tournament doctor if the doctor had handed the
medications to him but any professional athlete these days has to be wary when, as in
this case, he receives medications which, he knows, have gone through several hands.
Thus, ATP Rules M.5.a (which allows Player to establish No Fault or Negligence) is
not applicable to the Appellant’s case.
8.10 The Appellant’s case is next reviewed under the provisions of ATP Rules M.5.b
(which allows Player to establish No Significant Fault or Negligence).
8.11 This case is distinct from the WADC comment on No Fault or Negligence cited by the
ATP with respect to contaminated supplements in the following critical aspects:
8.11.1 This medication was purchased from a source with no connection to Prohibited
8.11.2 This was not a nutritional supplement purchased by the athlete on his own, but
rather medication obtained with a Tournament doctor’s prescription.
8.12 The comment to the WADC specifically remarks that these types of circumstances
“could result in a reduced sanction based on No Significant Fault or Negligence.”
8.13 In addition, there was no proof provided by ATP as to any intent to dope by the
Appellant or any pattern of doping control results which might lead to a conclusion
that he intended to dope. Though intent is not a required element of the WADC for
the ATP to prove, it is certainly helpful for the Panel, as the fact finder, to examine
whether there was a pattern of behavior other than that claimed by the Appellant,
which was a simple reliance on the prescription he requested being filled, not
expecting the type of mistake which happened. As stated in Squizzato v/ FINA (CAS
2005/A/830), “As the Appellant appears to have no intention whatsoever to gain an
advantage towards her competitors, her negligence in forgetting to check the content
of a medical cream can be considered as mild in comparison with an athlete that is
using doping products in order to gain such advantage.”
8.14 The Panel is mindful that the WADC on which the ATP Rules are based, by
establishing the possibility for a competitor to establish exceptional circumstances, has
opened the door for competitors to demonstrate truly exceptional circumstances which
justify the reduction of the period of ineligibility. Comment to 10.5.2 of the WADC
(which is the same provision as ATP Rules M.5.a. & b.) specifically states: “The trend
in doping cases has been to recognize that there must be some opportunity in the
course of the hearing process to consider the unique facts and circumstances of each
particular case in imposing sanctions…. This approach is consistent with basic
principles of human rights and provides a balance between those Anti-Doping
Organizations that argue for a much narrower exception, or none at all, and those that
would reduce a two year suspension based on a range of other factors even when the
Athlete was admittedly at fault.” In the present case, Appellant was definitely
negligent. Without Player’s negligence, there would not be a Doping Offense. It is
the degree of negligence which is at issue pursuant to the criteria established in the
ATP Rules. The definition of No Significant Fault or Negligence requires the Panel to
look at “the totality of the circumstances”. The following factors weigh in the
8.14.1 Appellant was at a Tournament sanctioned by the Respondent, where as a star
player, he had every expectation that his visit to the Tournament doctor, a
specialist on Prohibited Substances, supplied and sanctioned by the
Tournament, which resulted in a prescription filled by Tournament staff, again
supplied and sanctioned by the Tournament, would be the safest possible way
for him to obtain medical treatment for his condition.
8.14.2 There was no use of this or any other Prohibited Substance in any competition
other than the one in respect of which the specimen was obtained.
8.14.3 The reason for Player’s ingestion of the substance was clearly medical.
8.14.4 A mistake in the delivery of the medication was made not by Appellant or
anyone working for him, but rather by the Tournament employees. The
evidence that Mr Carvallo actually requested that Rofucal be delivered to him
on the same day at the same receptionist desk where Player’s prescription was
delivered to Player shows that Player’s ingestion of the Rofucal was a mistake
not caused by his actions or those of any people within his control or sphere of
8.15 Taking into account these factors, the Panel believes that the present case is
substantially different from the typical doping case and qualifies as “exceptional”.
Appellant has established that he bears No Significant Fault or Negligence, allowing
for the period of Ineligibility to be reduced by no less than one-half of the minimum
period of Ineligibility otherwise applicable (ATP Rules M.5.b.), which in this instance
8.16 This finding is not meant to absolve all competitors from a duty of care when they are
in their sports venue environment and being cared for by their sport’s medical
personnel. The current applicable rules do allow for examination of the “totality of the
circumstances” and in circumstances such as those which the Panel has found in the
present case, the Player, though negligent, was entitled to rely on the expertise of
independent expert medical personnel provided by his sport’s sanctioned Tournament.
His duty to exercise “utmost caution” was met when he did so. Each case will be
different but in this case, examining and evaluating the facts in their totality, including
the fact that Mr Carvallo actually requested that Rofucal be delivered to him on the
same day and at the same receptionist desk, and this prescription was picked up by the
Appellant, rather than his own prescription, a reasonable (i.e. insignificantly negligent) Sanction
9.1 Based on the provisions of ATP Rules M.5.b., the Panel must determine the actual
period of ineligibility to be imposed on Appellant. As stated in H. Knauss v/FIS (CAS
2005/A/847), “In the Panel's opinion the requirements to be met by the qualifying
element "no significant fault or negligence" must not be set excessively high (see also
CAS 2004/A/624 IAAF v/ ÖLV & Lichtenegger [7.7.2004] marg. no. 81 et seq.; by contrast much stricter CAS 2003/A/484 Vencill v/ USADA [18.11.2003] marg. no. 61 et seq). This follows from
the language of the provision, the systematics of the rule and the doctrine of
proportionality (see also CAS 2004/A/624 IAAF v/ ÖLV & Lichtenegger [7.7.2004] marg. no. 82 seq.). Once the scope of application of Art. 10.5.2 FIS-Rules [the same provision as
ATP Rules M.5.b.] has been opened, the period of ineligibility can range between one
and two years. In deciding how this wide range is to be applied in a particular case,
one must closely examine and evaluate the athlete’s level of fault or negligence. The
element of fault or negligence is therefore ultimately ‘doubly relevant’. Firstly it is
relevant in deciding whether Article 10.5.2 FIS-Rules [the same provision as ATP
Rules M.5.b.] applies at all and, secondly, whether, in the specific case, the term of the
appropriate sanction should be set somewhere between one and two years. However,
the higher the threshold is set for applying the rule, the less opportunity remains for
differentiating meaningfully and fairly within the (rather wide) range of the sanction.
But the low end of the threshold for the element “no significant fault” must also not be
set too low; for otherwise the period of ineligibility of two years laid down in Article
10.2 FIS-Rules would form the exception rather than the general rule (see also CAS
2003/A/484 Vencill v/USADA [18.11.2003] mar. no. 47). It is this tension between
the two limits which is precisely what the WADC wishes to reduce. In this regard the
(official) comments on the WADC expressly read as follows: ‘Article 10.5 is meant to have an impact only, in cases where the circumstances are truly exceptional and not in the vast majority of cases.’”
9.2 Analyzing Appellant’s level of fault or negligence thus is the determinative factor in
the reduction of the period of ineligibility. The following factors weigh against the
Player in determining his level of fault or negligence:
9.2.1 He did not list the medications on the doping control form he completed during
9.2.2 He took the medication he received with no review whatsoever of the contents
of the box, even though he knew that the medication had been through several
9.2.3 At the hearing held before the Tribunal, Player was unable to recall whether he
took pills or liquid but he now recognizes Rofucal as the medication he took.
9.2.4 He is an experienced professional tennis player, active on the Player Council
and aware of the risks inherent in the ingestion of unknown substances.
9.3 The Appellant assumed mistakenly that he was taking medications prescribed by a
Tournament doctor. He did not feel the need to examine the medications he was taking
or to read the label on the box. He was comfortable that he was taking medications
which did not contain a Prohibited Substance based on his reasonable expectation that
the prescription from the Tournament doctor had been filled correctly. However, what
is determinative of the level of fault or negligence is not only what the Player actually
knew or expected but also what he could have suspected. Under the circumstances, he
could have at least made the effort to double check the prescription he was given
against the medication he received or at least paid attention to the medications he was
9.4 Given no guidance in determining the reduction by the ATP Rules, the Panel looks to
past CAS cases where No Significant Fault or Negligence was found and the period of
ineligibility reduced based on medical prescriptions being the cause of the Doping
Offense (see WADA v/ Lund (CAS OG 06/001, Squizzato v/ FINA (CAS
2005/A/830) and Vlasov v/ATP (CAS 2005/A/873)). In each of these cases, the CAS
panels reduced the periods of ineligibility by the maximum allowable under the same
provisions as applicable to Player. The only difference between these cases and the
circumstances surrounding Player’s Doping Offense are the factors listed above as
weighing against the Player. In accordance with ATP Rules P.1., the CAS hearing
takes “the form of a rehearing de novo of the issues raised by the case and the CAS
Panel shall be able to substitute its decisions for the decision of the Anti-Doping
Tribunal.” In this regard, the Panel is cognizant that the Tribunal which originally
found no exceptional circumstances was not presented with the evidence that Mr
Carvallo had requested a prescription for Rofucal on the same day through the same
Tournament staff and received a different prescription nor did the Tribunal hear from
all the witnesses who saw the Player enter the doctor’s office and exit the office with a
prescription, or who sent the Tournament car to pick up the prescription. Weighing all
of the factors in favor of and against the Appellant identified above, the previous CAS
decisions with respect to medical prescriptions and the totality of the circumstances,
the Panel is unable to give the Player the maximum reduction in the period of
ineligibility. Thus, the Panel determines that Player’s period of ineligibility will be
reduced by nine months, from two years to fifteen months.
9.5 ATP Rules M.8.c.i. provide that “the period of Ineligibility shall start on the date that
the decision is issued, provided that any period during which the Player demonstrates
he has voluntarily foregone Participation in Competitions shall be credited against the
total Period of Ineligibility to be served.”
9.6 In this case, the Player established that he had voluntarily foregone participation in
tennis from 11 June 2005. Therefore, the fifteen months period of Ineligibility is to
commence on 11 June 2005 and to end on 10 September 2006.
9.7 In accordance with ATP Rules L.1., Appellant’s results obtained at the Tournament
shall be disqualified, including forfeiture of any medals, titles, computer ranking
points and prize money (without deduction for tax). The Tribunal required that the
Appellant return the Prize money within 7 days of the date of its decision, and, without
contrary information, this Panel assumes that such money has been returned to the
9.8 ATP Rules M.7. provide that “In addition to the automatic Disqualification pursuant to
Article L. of the results in the Competition that produced the positive Sample, all other
competitive results obtained from the date a positive Sample was collected (whether
In-Competition or Out-of-Competition) or other Doping Offense occurred through to
the date of commencement of any Ineligibility period shall, unless fairness requires
otherwise, be Disqualified with all of the resulting consequences, including forfeiture
of any medals, titles, computer ranking points and Prize money (without deduction for
tax).” The Tribunal found that since Appellant provided a sample at Roland Garros
which was negative, fairness dictated that the results at Roland Garros should not be
disqualified but the other results achieved by Appellant between the date of the
Tournament and the date Appellant voluntarily ceased to compete should be
disqualified and the Appellant was required to return to the ATP $276,070 for both
Singles and Doubles competitions and the ATP already collected prize money
otherwise due to the Appellant in the amount of $40,125.
9.9 Since the Panel has found that Appellant bears NoSignificant Fault or Negligence, the
Panel deems that fairness dictates that other than with respect to the Tournament, none
of Appellant’s results shall be disqualified.
“The costs of the parties, witnesses, experts and interpreters shall be advanced by the parties. In the award the Panel shall decide which party shall bear them or in what proportion the parties shall share them, taking into account the outcome of the proceedings, as well as the conduct and financial resources of the parties.”
10.2 The Panel has considered that neither party was wholly successful in these
proceedings, and under the circumstances, it is reasonable to order that each party
ON THESE GROUNDS
The Court of Arbitration for Sport ruling de novo decides:
The appeal filed by Mr Guillermo Cañas on 29 August 2005 is partially upheld.
Mr Guillermo Cañas has committed a Doping Offense during the “Abierto Mexicano
de Tenis” held in Acapulco, Mexico on 21 February 2005 and his results from the
competition shall be disqualified. Any prize money collected at such Tournament not
previously returned to ATP Tour shall be returned to ATP Tour within 7 days of the
Mr Cañas shall be ineligible to compete on the ATP Tour for the fifteen months period
To the extent that ATP Tour has collected prize money for competitions in which
Appellant competed after the Tournament, those amounts shall be returned to
Appellant by ATP Tour within 7 days of the date of this award.
The award is pronounced without costs, except for the Court Office fee of CHF 500.-
already paid by the Appellant and to be retained by the CAS.
THE COURT OF ARBITRATION FOR SPORT
Manual therapies for migraine: a systematic reviewAleksander Chaibi • Peter J. Tuchin •Michael Bjørn RussellReceived: 4 November 2010 / Accepted: 14 January 2011 / Published online: 5 February 2011Ó The Author(s) 2011. This article is published with open access at Springerlink.comMigraine occurs in about 15% of the generaldue to side effects, or contraindications due to co-morbiditypopu
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