We therefore recommend that communities planning to legalize casino gambling mandate that gambling establishments provide emergency health care services for their patrons. We speculate that the stress of gambling activities may induce sudden cardiac death. For Atlantic City, a gambling community known to have a relatively high rate of crime and drug-trafficking, only 1% of all deaths were homicides. Of the victims, 86% were from New Jersey, New York, and Pennsylvania. The majority of deaths occurred during the afternoon hours on weekends in October, January, and May. Many of the victims' underlying medical problems are of a type known to be associated with compulsive gambling. In the years that preceded its re-legalization illegal bookmakers, casinos, slot machines, and numbers. Most of the victims were elderly white retired men who had previously diagnosed medical conditions. Racetrack gambling wasnt made legal again until 1939. Data on 398 casino-related deaths occurring in 1982-1986 were collected and analyzed: 83% of the total number of fatalities were sudden cardiac deaths. Annually, more than 30 million people visit the "Gambling Capitol of the East Coast." As a result of this growing influx of people, the Atlantic County Medical Examiner's Office began compiling statistics in 1982 of casino-related deaths. The first legalized casino-hotel opened in Atlantic City, New Jersey in 1978.
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