The current rules of the WRTC2022 indicate
12.7 The WRTC Contest is the equivalent of the Ham Radio Olympic Games.
The participants are required to provide audio recordings of the whole 24 hours of the contest, allow video and photographic documentation on site.
It is not improbable that some medical tests will be added - for example the so-called Covid-19, similar to other sporting events in recent times.
Blood samples can today be quickly evaluated for the presence of illegal substances. Law enforcement officers do it routinely.
Official statistics show that more than 20% of population in the USA and Western Europe use stimulants, such as cocaine, amphetamine and others.
https://drugabusestatistics.org/I personally care less about this and other competitions. However, in the light of recent restrictions and discussions about Amateur Radio contests, maybe the aspect of dope should be discussed as well. In particular during the Ham Radio Olympic Games.
I had a post on this forum about sleep deprivation a while ago. Read the symptoms after 24 hours without sleep as outlined by the CDC - a government agency.