Steve Rock writes "To the surprise of no one, game manufacturers and resellers were again taken to task over the production and sales of games containing violent or sexual themes. According to the National Institute on Media and the Family's Ninth Annual Mediawise Video Game Report Card even games with beneficial or neutral content can be harmful to children because of the connection between gameplay and our obesity epidemic. Interestingly, out of fifty surveys mailed out by the Institute to retailers and producers only two were completed and returned. The industry was given a passing grade for the ESRB rating system but the actual enforcement of the system by the retailers was not -- it is worth noting, however, that the Interactive Entertainment Merchants Association has stated that self-regulation procedures were scheduled to be implemented by December 2004 and therefore tests of retailer compliance to ESRB ratings was premature."

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