The rules pertaining to 13.03.052 apply to both in and out of competition periods. Rule 13.03.052 is a sub clause relating to rider or full team being withdrawn from races following a violation of the no needle policy. It refers to additional sanctions not covered in 13.03.057. Hence the words "In addition to..." This is not at all ambiguous. Full rules follow. " 13.3.052 The injection of any substance to any site of a rider’s body is prohibited unless all of the following conditions are met: 1. The injection must be medically justified based on best practice. Justification includes physical examination by a certified medical doctor and an appropriately documented diagnosis, medication and route of administration; 2. There is no alternative treatment without injection available; 3. The injection must respect the manufacturer-approved indication of the medication; 4. The injection must be administered by a certified medical professional except where normal practice is that the patient with a disease requiring injections injects him/herself (for example diabetes); 5. The injection must be reported immediately and in writing not later than 24 hours afterwards to the UCI Doctor (via email [medical@uci.ch] or fax [+41 24 468 59 48]), except for riders a. With a valid TUE; b. Vaccination c. When the injection is received during hospital treatment or clinical examination; d. When normal practice is that the patient with a disease requiring injections injects him/herself. The report must be made by the medical doctor having examined the rider and must include the confirmation that a physical examination took place, the diagnosis, medication and route of administration. Where applicable it shall also include the prescription referred to in article 13.1.065. Comment to par. 5: the report may be sent by the medical doctor or the rider. The rider is responsible for the report to be sent. The prohibition under article 13.3.052 applies to any substance that is injected, whether endogenous or exogenous, whether prohibited under the UCI Anti-Doping Rules or not. 13.3.054 The prohibition under article 13.3.052 applies to any type of injection: intravenous, intramuscular, intra-articular, peri-articular, peri-tendinous, epidural, intra-dermal, subcutaneous, etc. 13.3.055 In case of a local injection of glucocorticosteroids, which is subject also to the UCI Anti-Doping Rules and the Prohibited List, the rider must rest and is excluded from competition for 8 days. The medical doctor having prescribed the injection shall prescribe this rest in writing to the rider and add to the documentation referred to in article 13.3.052.1 a copy of such prescription signed by him/herself and the rider. 13.3.056 In case of an injection of a prohibited substance, in addition to the requirements of articles 13.3.052 and 13.3.055, a Therapeutic Use Exemption remains required and the procedure foreseen in the Chapter IV of the UCI Anti-Doping Rules has to be followed. 13.3.057 The following penalties may be imposed by the UCI Disciplinary Commission in the event of an infringement of article 13.3.052: suspension from eight days to six months and/or a fine of CHF 1,000 to CHF 100,000; in the case of a second offence within two years of the first: a suspension of at least six months or lifetime suspension and a fine of CHF 10,000 to CHF 200,000. The penalties shall apply to any licence-holder found to have committed the violation or to be an accomplice; application of article 1.1.086 is reserved; 13.3.058 In addition to the sanctions stipulated in article 13.3.057 the following shall apply: 1. In case of infringement of article 13.3.055 all results obtained by the rider in the 48 hours period shall be disqualified. 2. In case a violation of article 13.3.052 occurs at a race the licence holder(s) concerned and, where appropriate, the whole team of the licence holder(s) at fault may be excluded from the race; in this respect the possession of objects used or fit for an injection shall be presumed to constitute evidence of a violation of article 13.3.052 having been committed except if the objects are in the possession of the medical doctor who has made the report referred to in article 13.3.052.5 and are covered by such report and except for those objects that may reasonably be in a medical doctor’s possession. The exclusion may be decided by the president of the commissaires’ panel after having given the persons concerned the opportunity to be heard or by the president of the UCI Disciplinary Commission upon report by the president of the commissaires’ panel.
