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At the interstice of personal medicine, social determinants of health, and large scale ecological change, is STEWARDSHIP. makes streets, parks, and landscapes actionable in terms of changing health outcomes.   Key high risk collaborator/patient groups that occupy these spaces become stewards of the space and responsible for their outcomes  -  that's landscape medicine.

This stewardship group is called a "landscape cipher" and draws on traditions of responsibility, hospitality, and data integration. 

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