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Similarly, we cannot interpret whether 330 sudden cardiac deaths
of elderly white men at or around the casinos within a five year
period constitutes a special public health problem since heart
disease has been the leading cause of death in the United States
for more than fifty years [2]. KPMG Consulting was engaged by the Victorian Casino and Gaming Authority to undertake
a social and economic impact study of gaming in specified regions of Victoria. The
municipalities investigated were the Cities of Greater Dandenong, Greater Geelong,
Maribyrnong, Moreland, the Rural City of Mildura and the Shire of Wellington in the
eastern part of the State.
Of the six local government regions covered by this study, two — Maribyrnong and
Dandenong — have significantly higher numbers of gaming machines per adult than the
Victorian average, with another two — Wellington and Geelong — being above the State
average. This pattern is also largely reflected in gaming expenditure per adult —expenditure
per person is particularly high in Maribyrnong and Dandenong.
Our study has found:
widespread disapproval of gambling in the six study regions (see section 5.2.1);
- consistent with the findings of previous state-wide and local studies;
disapproval of gambling is fairly uniform across the six regions (see section 5.2.1):
- people in areas of high gaming machine density and high expenditure on gaming 

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