OHIO (Reuters) – The Ohio lottery jackpot has become a symbol of a more complicated and cruel reality for lottery winners.

    The lottery has long had a way of turning winners into the most famous of the lotteries, and some winners have been killed on the spot, with a record number of lottery winners dying before their final jackpot was reached.

    The last lottery winner to be killed on live television was John J. O’Brien, who won the 1964 Ohio Lottery.

    A new report shows that over 50,000 lottery winners have died since 2000.

    Of the dead, nearly a quarter were lottery winners, and the majority were men, and about 30% were women.

    The most popular lottery deaths include lottery winners whose deaths were attributed to a medical condition, a medical emergency, a natural disaster or a car accident.

    Of those who died, 23 were women and the rest were men.

    Among the most common conditions that were blamed were pneumonia, heart disease, liver disease and diabetes.

    O’Brien was among those who were killed in an automobile accident.

    He died of pneumonia, and a spokesman for the Ohio Lotteries told Reuters that he died while riding his bicycle.

    The coroner’s office said it was not yet known why O’Briens death occurred.

    In 2012, the Ohio State Highway Patrol killed a lottery winner when the officer pulled over a car driven by a woman in an accident on Interstate 75 in Butler County.

    The driver was charged with leaving the scene of an accident.

    More than a dozen deaths have occurred at a lottery in 2016, according to a Reuters tally.

    Most of those deaths were due to a heart condition, and almost two-thirds were linked to cancer, according the Reuters analysis of coronavirus death reports.

    In March, the state Department of Health reported that more than 300 lottery winners were diagnosed with cancer in the past five years.

    More deaths have also been linked to a variety of health conditions, including pneumonia, hypertension and depression.

    Many of those lottery winners also have been found to be homeless.

    About 40 percent of lottery ticket winners are homeless, according a Reuters analysis.

    The Reuters analysis was based on coronaviruses death reports from the Ohio Department of Transportation.

    The agency reported a record 4,069 lottery winners and winners of up to 50 tickets died in the first five months of 2017.