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Last fall, a lengthy report on the state of gambling was published in The Lancet Public Health, a British monthly journal that focuses on public health. The report (The Lancet Public Health Commission on gambling Wardle, Heather et al. The Lancet Public Health, Volume 9, Issue 11, e950 – e994) provides a comprehensive view of the development of gambling in the last two centuries.

The Lancet Public Health Commission’s report on gambling highlights the escalating global public health crisis posed by the gambling industry, particularly due to its rapid digital expansion. The commission estimates that approximately 450 million individuals worldwide experience harmful effects from gambling, with at least 80 million suffering from gambling disorder—a condition characterized by compulsive gambling behavior despite negative consequences. 

The report states that the proliferation of mobile and online gambling platforms has made access easier than ever, contributing to the rise in gambling-related harms. Sophisticated marketing strategies, including targeted digital advertising and sports sponsorships, have increased exposure, especially among adolescents and children. This exposure is concerning, as early interaction with gambling increases the risk of developing gambling disorders later in life. 

The commission identifies several severe consequences associated with gambling, including financial losses, mental health issues, family breakdowns, heightened risk of suicide, and increased crime rates. These harms are not evenly distributed; vulnerable groups such as adolescents and individuals from lower socioeconomic backgrounds are disproportionately affected. 

To address these challenges, the commission advocates for stronger global regulatory controls, similar to those applied to alcohol and tobacco industries. Recommended measures include restricting access to gambling, limiting advertising and implementing public health campaigns to raise awareness about the risks associated with gambling. The commission emphasizes the need for policymakers to treat gambling as a critical public health issue to mitigate its widespread and profound impact. 

In summary, the report calls for comprehensive action to curb the growing public health threat posed by the gambling industry’s expansion, particularly in the digital realm.

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