Casino chips are seen on a gaming table inside a casino on the opening day of Sheraton Macao hotel at Sands Cotai Central in Macau September 20, 2012. (REUTERS/Tyrone Siu)

TORONTO - A Toronto casino will hurt more than help, according to a new Toronto Public Health report.

The report from Dr. David McKeown, the city's chief medical officer of health, goes to the Board of Health next Monday and comes as the grassroots anti-casino group, No Casino Toronto, started rolling out 1,000 small lawn signs to its supporters.

"Increases in problem gambling are the most important health impacts of a new casino in Toronto," stated the public health report released Tuesday. "With respect to all other potential impacts, the available evidence indicates that the introduction of a new casino is likely to have greater adverse health-related impacts than beneficial impacts."

The report noted more employment and income -- if created by a casino -- would have positive impacts on health but concluded shift work and irregular hours could cause "negative health consequences" for employees at a gambling complex.

Public Health concluded increased car traffic from a casino would "lead to more injuries and air pollution related illness" while the report was "inconclusive" on whether a casino would lead to a rise in crime or hurt local economic development.