Highlights Gambling is and has been a popular pastime in modern, colonial and ancient India. Problem gambling is an important public health issue. The only legal forms of gambling in India are state-run lotteries (in some states), horse racing, rummy card games and casinos (in two states). India also has a huge illegal betting market. There has been only very limited research on gambling in India We propose a three-level, public health approach for the prevention of gamblingrelated problems.
AbstractGambling has been a popular pastime in ancient and colonial India, and continues to be in modern India. Problem gambling is an important public health issue because of its prevalence, increased risk to certain vulnerable groups and its numerous adverse consequences to the gambler, his/her family and the wider society. In this paper, we present an overview of gambling in ancient and modern India, and also suggest a public health approach aimed at reducing gambling-related harm and associated problems.