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July 13, 2004 The Abuse of Anabolic Steroids and Their Precursors by Adolescent and Amateur Athletes
Mr. Chairman, Senators. Chairman Grassley, Co-Chairman Biden and distinguished
members of the Senate Caucus on International Narcotics Control, on behalf
of Administrator Karen Tandy, I appreciate your invitation to testify
today on the importance of fighting the growing abuse of steroids in this
country. The issue of steroid trafficking and abuse continues to
receive national and international attention in the context of
professional sports, as well as the upcoming Olympic Games. The importance
of stopping steroid abuse extends far beyond the baseball diamond,
football field or running track. Our focus in this area is the health and
future of our children. Abuse of anabolic steroids among America's youth
has reached dangerous levels, and it has placed our children at increased
risk of heart disease, liver cancer, hypertension, elevated cholesterol,
depression, stunted growth, and eating disorders, not to mention increased
episodes of hostility and aggression. Anabolic androgenic steroids are synthetic chemicals based on the structure and pharmacology of
testosterone originally developed in the 1930's to help rebuild body
tissue and prevent breakdown of tissue in individuals suffering from
debilitating diseases. They promote the growth of skeletal muscle and the
development of male sexual characteristics, in addition to other effects.
Their popularity with athletes exists due to the muscle development and
physical performance enhancements they provide. Unfortunately, this
popularity has filtered down to our nation's teenagers and young athletes,
who are lured by easy shortcuts to greater athletic prowess and more
muscular physiques. Steroid abuse was once viewed as a problem associated only with bodybuilders and professional athletes. Though these segments of the
population continue to experience steroid abuse, use among young Americans
has now reached an alarming level. The 2003 Monitoring the Future Study
conducted by the University of Michigan indicates that approximately 3.5
percent of American high school students have used illegal anabolic
steroids at least once by grade 12. In that same study, an incredible 45
percent of all 12th graders did not believe taking steroids posed a great
risk. This report came on the heels of earlier studies, including the
National Institute of Drug Abuse (NIDA) report of 1999, which stated that
more than a half million 8th and 10th grade students where using anabolic
steroids. A Youth Risk Behavior Surveillance Survey conducted by The
Centers for Disease Control and Prevention (CDC) indicated that in 2001,
five percent of all high school students reported use of steroids
pills/injections without a physician prescription during their lifetimes. Compounding the dangerous misconception among many young people that
steroid use is harmless is the high-profile use of steroids among
professional athletes, who our nation's youth often idolize and seek to
emulate. Sports figures have been revered in the United States for
generations, and many are viewed as national heroes. Consequently, sports
figures serve as prominent role models for many of our nation's younger
citizens. The abuse of steroids by those in the athletic spotlight has not
gone unnoticed by our country's youth and young athletes. In an effort to
address the problem of steroid abuse, President Bush, in his State of the
Union Address, stressed to players, coaches, team owners and union
representatives "to take the lead, to send the right signal, to get tough,
and to get rid of steroids now." The negative effects of long term
anabolic steroid use are well documented. They include damage to the
liver, kidney, heart, and sexual organs. Their use can also prevent
children from reaching their full height. Moreover, abuse often elevates
cholesterol and causes cardiovascular weakening, combined with
hypertension. And because steroids are commonly injected, needle sharing
can transmit blood born diseases such as HIV and AIDS. Steroids use can
also cause uncontrolled outbursts of anger, frustration or combativeness
resulting in wanton acts of violence. These outbursts are commonly
referred to as "roid rage." Steroid abusers may also become addicted to
the drugs, as evidenced by their continued use of the substances, in spite
of the physical and psychological effects they may be experiencing. Despite these clear health risks, the rapid evolution of new steroids
has made it difficult for law enforcement to keep up, because each
specific chemical formulation is required to be considered as a separate
drug. In its initial attempt to regulate steroid abuse, Congress passed
the Anabolic Steroid Control Act of 1990 (ASCA), which scheduled anabolic
steroids as a class of drugs and specifically listed 27 as controlled
substances. In addition, Congress anticipated that future steroids would
ultimately infiltrate the anabolic steroid black-market and crafted a
four-part definition that the DEA could use to administratively classify
new steroids as Schedule III anabolic steroids. All four of the following
questions needed to be answered: · Is the steroid chemically related to testosterone? · Is the steroid pharmacologically related to testosterone? · Is the steroid an estrogen, progestin, or corticosteroid? · Does the steroid promote muscle growth? The four-part test was first considered by the DEA in 1999, when it
determined that the substance androstenedione met the first three criteria
required under the 1990 legislation, but has been unable to make a finding
regarding the fourth criteria, due to a lack of accepted methodology
available to validate the final requirement for muscle growth. This meant
that Congress had provided the DEA with the blueprint for scheduling
steroids, but the scientific community had yet to develop a study that
accurately quantified the promotion of muscle growth. This major stumbling
block provided a legal loophole for traffickers of anabolic steroids to
continue marketing their dangerous drugs as dietary supplements. Consequently, the DEA has had to initiate and fund studies to develop
animal models that could quantify the effects of steroids on muscle. For
example, the DEA is currently co-sponsoring a three year study in New York
City using the guinea pig to evaluate the effects of steroids on skeletal
muscle growth. Other participating agencies include the Office of National
Drug Control Policy (ONDCP) and several branches of the National
Institutes of Health, including the National Institute on Drug Abuse
(NIDA). The first phase has been completed, and the second phase is
scheduled for completion in September 2004. This model will then be used
to evaluate the effects of skeletal muscular growth from two substances:
testosterone precursors and nandrolone precursors. Both of these steroids
are now openly sold in dietary supplement products. The DEA is also
funding a study in Seattle, Washington, using an immature rat as a model.
In conjunction with the New York study, the development of skeletal
muscular growth using steroids currently sold in dietary supplements is
being examined. We anticipate this study will be completed by October
2004. These two studies have proven both costly and time consuming. By
contrast, the amount of research and time required to introduce a new
steroid into the dietary supplement market is minimal. The end result has
been an increase in the number of steroids available in dietary supplement
products. Again, the ongoing requirement that the DEA must first
scientifically validate muscle growth is a significant impediment to
effective regulatory oversight of these steroids. This means they continue
to enter the dietary supplement market and continue to be legally
purchased by America's youth, athletes, bodybuilders and other ill
informed individuals who abuse anabolic steroids. The DEA supports S.2195, sponsored by Senators Biden and Hatch, to
combat steroid trafficking and the resulting abuse by our country's youth.
The bill provides DEA with two additional tools to shut down the steroid
trade. First, it gives us clear authority to conduct law enforcement
operations against trafficking of steroid precursors, as well as other
steroids such as the designer steroid THG. Until now, these steroids have
been able to masquerade as harmless dietary supplements. This bill will
finally call these steroids what they are –dangerous drugs. Second, this
legislation removes the enormous stumbling block to taking these steroids
off the shelf, by removing the requirement for repetitive, lengthy and
expensive testing to prove muscle growth. It also will provide a
foundation to jumpstart our future efforts by adding more than two dozen
known dangerous steroids to the list of controlled substances. That list
will expand our ability to evaluate new steroids that may be developed.
Anabolic steroids are uncontrolled in many
countries, which results in a virtual unlimited supply of steroids
world-wide. Anabolic steroids are frequently smuggled into the United
States from Mexico by U.S. citizens who travel there to purchase them
without a prescription. In addition, criminal organizations of Russian,
Romanian, and Greek nationals are significant traffickers of steroids, and
are responsible for substantial shipments of steroids entering the United
States. Domestically, illicit steroids are often sold at gymnasiums and
bodybuilding/weightlifting competitions, where sellers obtained them
through theft and fraudulent prescriptions. The Internet has also become
an avenue to obtain steroids, which are often times advertised through
bodybuilding and fitness websites and message boards. Overall, the DEA has increased its enforcement efforts against anabolic
steroids. In 2001, we initiated 52 steroid cases. Last year, 87
investigations were launched. In one example, during October 2002, the DEA
arrested eight individuals involved in the largest ketamine manufacturing
and trafficking organization in North America. Included in the arrests
were the owner of Ttokkyo Laboratorios and their sole Mexican distributor
arrested in Panama. At the time, Ttokkyo was the largest manufacturer of
anabolic steroids in Mexico and supplier to major U.S. distributors. This
international ketamine and anabolic steroid trafficking organization in
Mexico smuggled thousands of vials of ketamine and steroids to California,
New York, New Jersey, and Florida. Among the Schedule III steroids being
smuggled were methandienone, nandrolone, testerone, and oxandrolone. Since initiating our Demand Reduction Program in 1986, the DEA has
worked with coaches across the country to increase their understanding of
the problems associated illegal drugs and steroid abuse in sports. Through
the DEA's Demand Reduction Program, our Demand Reduction Coordinators
(DRCs) in our field divisions also work with youth, athletes and parents
to educate and heighten their awareness about the abuse of steroids and
other performance enhancing drugs in sports. These efforts have included
presentations to university athletic teams, Sports and Drug Awareness
Programs. In many of these programs, the DEA utilizes coaches and
professional athletes to assist in informing and educating the public.
The DEA has also developed literature on the
dangers of steroid abuse and has made this information available through
our website. We are also working to include information on steroid abuse
in our upcoming museum exhibit that will be featured in New York City. The
DEA continues to seek methods to educate the public about these dangerous
drugs, as we believe that education is the most important aspect in
curtailing abuse. Conclusion
The abuse of steroids has become a national
concern. The idolization of sports heroes and the enticement of improved
athletic performance have led many of our nation's youth to turn to
steroids. In order to effectively battle these dangerous drugs, the DEA
has continued to conduct investigations targeting significant traffickers
of steroids, has continued to work to inform and educate the public on the
dangers of steroids and has continued to initiate and fund studies in
accordance with the Anabolic Steroid Control Act of 1990.
Mr. Chairman, thank you for your recognition of this
important issue and the opportunity to testify here today. I will be happy
to answer any questions you may have. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||