NANJING, China (AP) — World Athletics president Sebastian Coe said Tuesday that the track and field’s governing body has approved the introduction of cheek swabs and dry blood-spot tests for female athletes in order to maintain "the integrity of competition."
The planned changes include reinstating a version of chromosome testing that was discontinued in the 1990s, requiring athletes who compete in the female category to submit to a cheek swab or dry blood-spot test for the presence of a gene that indicates whether the athlete has a “Y” chromosome present in males.
Coe told a news conference that athletes will have to take the test just once during their career.
“It’s important to do it because it maintains everything that we’ve been talking about, and particularly recently, about not just talking about the integrity of female women’s sport, but actually guaranteeing it," Coe said after a two-day meeting of the World Athletics Council in Nanjing. “We feel this is a really important way of providing confidence and maintaining that absolute focus on the integrity of competition.”
It's unclear whether the tests will be in place before the world championships in September. Coe said that the new regulations will be drafted and that a testing provider will be confirmed over the next few weeks.
Coe, the two-time Olympic champion who was unsuccessful last week in his bid to become IOC president, has been vocal about “protecting the female category” in track and field. He has said the International Olympic Committee needs to take a leadership role in the transgender debate instead of letting each individual sport decide their own regulations.
World Athletics, which in 2023 banned transgender athletes who had transitioned male to female and gone through male puberty, announced in February proposed recommendations that would apply strict transgender rules to athletes who were born female but had what the organization describes as naturally occurring testosterone levels in the typical male range.
Those recommendations came only days after U.S. President Donald Trump signed an executive order barring transgender athletes from competing in girls sports in the U.S. and pressured the Olympics to do the same. Los Angeles will host the 2028 Summer Games.
Asked whether World Athletics felt the policy would withstand legal challenges, Coe said he was confident after an exhaustive review.
“I would never have set off down this path in 2016-2017 to protect the female category in sport" without being "prepared to take the challenge head on," Coe said.
He added: "We’ve been to the Court of Arbitration on our DSD (differences in sex development) regulations. They have been upheld, and they have again been upheld after appeal. So we will doggedly protect the female category, and we’ll do whatever is necessary to do it.”
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Unsuccessful candidate Sebastian Coe speaks to the media after he failed in his bid to become the new IOC President at the International Olympic Committee 144th session in Costa Navarino, western Greece, Thursday, March 20, 2025. (AP Photo/Nikolas Kominis)
NEW YORK (AP) — Thousands of nurses in three hospital systems in New York City went on strike Monday after negotiations through the weekend failed to yield breakthroughs in their contract disputes.
The strike was taking place at The Mount Sinai Hospital and two of its satellite campuses, with picket lines forming. The other affected hospitals are NewYork-Presbyterian and Montefiore Medical Center in the Bronx.
About 15,000 nurses are involved in the strike, according to New York State Nurses Association.
“After months of bargaining, management refused to make meaningful progress on core issues that nurses have been fighting for: safe staffing for patients, healthcare benefits for nurses, and workplace violence protections,” the union said in a statement issued Monday. “Management at the richest hospitals in New York City are threatening to discontinue or radically cut nurses’ health benefits.”
The strike, which comes during a severe flu season, could potentially force the hospitals to transfer patients, cancel procedures or divert ambulances. It could also put a strain on city hospitals not involved in the contract dispute, as patients avoid the medical centers hit by the strike.
The hospitals involved have been hiring temporary nurses to try and fill the labor gap during the walkout, and said in a statement during negotiations that they would “do whatever is necessary to minimize disruptions.” Montefiore posted a message assuring patients that appointments would be kept.
“NYSNA’s leaders continue to double down on their $3.6 billion in reckless demands, including nearly 40% wage increases, and their troubling proposals like demanding that a nurse not be terminated if found to be compromised by drugs or alcohol while on the job," Montefiore spokesperson Joe Solmonese said Monday after the strike had started. "We remain resolute in our commitment to providing safe and seamless care, regardless of how long the strike may last.”
New York-Presbyterian accused the union of staging a strike to “create disruption,” but said in a statement that it has taken steps to ensure patients receive the care they need.
"We’re ready to keep negotiating a fair and reasonable contract that reflects our respect for our nurses and the critical role they play, and also recognizes the challenging realities of today’s healthcare environment,” the statement said.
The work stoppage is occurring at multiple hospitals simultaneously, but each medical center is negotiating with the union independently. Several other hospitals across the city and in its suburbs reached deals in recent days to avert a possible strike.
The nurses’ demands vary by hospital, but the major issues include staffing levels and workplace safety. The union says hospitals have given nurses unmanageable workloads.
Nurses also want better security measures in the workplace, citing incidents like a an incident last week, when a man with a sharp object barricaded himself in a Brooklyn hospital room and was then killed by police.
The union also wants limitations on hospitals’ use of artificial intelligence.
The nonprofit hospitals involved in the negotiations say they’ve been working to improve staffing levels, but say the union’s demands overall are too costly.
Nurses voted to authorize the strike last month.
Both New York Gov. Kathy Hochul and Mayor Zohran Mamdani had expressed concern about the possibility of the strike. As the strike deadline neared, Mamdani urged both sides to keep negotiating and reach a deal that “both honors our nurses and keeps our hospitals open.”
“Our nurses kept this city alive through its hardest moments. Their value is not negotiable,” Mamdani said.
State Attorney General Letitia James voiced similar support, saying "nurses put their lives on the line every day to keep New Yorkers healthy. They should never be forced to choose between their own safety, their patients’ well-being, and a fair contract.”
The last major nursing strike in the city was only three years ago, in 2023. That work stoppage, at Mount Sinai and Montefiore, was short, lasting three days. It resulted in a deal raising pay 19% over three years at those hospitals.
It also led to promised staffing improvements, though the union and hospitals now disagree about how much progress has been made, or whether the hospitals are retreating from staffing guarantees.
Nurses strike outside New York-Presbyterian Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside New York-Presbyterian Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside New York-Presbyterian Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside New York-Presbyterian Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside New York-Presbyterian Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside Mount Sinai West Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside Mount Sinai West Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside Mount Sinai West Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside Mount Sinai West Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
FILE - A medical worker transports a patient at Mount Sinai Hospital, April 1, 2020, in New York. (AP Photo/Mary Altaffer, File)