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LAUSANNE, Switzerland — The Russian flag and national anthem were banned from the Olympics and other major sports events for four years by the World Anti-Doping Agency on Monday.

Russia’s hosting of world championships in Olympic sports also face being stripped after the WADA executive committee approved a full slate of recommended sanctions for tampering with a Moscow laboratory database.

Russian athletes will be allowed to compete in major events only if they are not implicated in positive doping tests or their data was not manipulated, according to the WADA ruling.

Still, it is unclear how the ruling will affect Russian teams taking part in world championships such as soccer’s World Cup.

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Russia’s anti-doping agency can appeal the decision.

The ban covers a period of time including the 2020 Summer Olympics in Tokyo.