{"id":774919,"date":"2026-11-03T07:09:29","date_gmt":"2026-11-03T15:09:29","guid":{"rendered":"https:\/\/www.esri.com\/about\/newsroom\/?post_type=blog&#038;p=774919"},"modified":"2026-11-03T07:45:39","modified_gmt":"2026-11-03T15:45:39","slug":"med-students-case-nature-as-medicine","status":"publish","type":"blog","link":"https:\/\/www.esri.com\/about\/newsroom\/blog\/med-students-case-nature-as-medicine","title":{"rendered":"Chicago and Trees: A Med Student\u2019s Case for Nature as Medicine"},"author":671,"featured_media":0,"parent":0,"menu_order":0,"template":"","format":"standard","meta":{"_acf_changed":false,"sync_status":"","episode_type":"","audio_file":"","transcript_file":"","podmotor_file_id":"","podmotor_episode_id":"","castos_file_data":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","filesize_raw":"","date_recorded":"","explicit":"","block":"","itunes_episode_number":"","itunes_title":"","itunes_season_number":"","itunes_episode_type":"","_links_to":"","_links_to_target":""},"categories":[],"tags":[493589,278902,160522,477252,339292],"industry":[],"esri-blog-category":[491702,483332],"esri_blog_department":[478222,478192],"class_list":["post-774919","blog","type-blog","status-publish","format-standard","hentry","tag-chicago","tag-data-science","tag-health","tag-mortality","tag-trees","esri-blog-category-health","esri-blog-category-parks-and-recreation","esri_blog_department-conservation-and-environment","esri_blog_department-gis-for-good"],"acf":{"video_source":"","video_start":"","video_stop":"","short_description":"GIS is turning \"trees are nice\" into \"trees save lives.\" Mapping canopy, heat, and health data shows cities where shade is needed.","pdf":{"host_remotely":false,"file":"","file_url":""},"flexible_content":[{"acf_fc_layout":"sidebar","layout":"standard","image_reference":null,"image_reference_figure":"","spotlight_image":null,"section_title":"","spotlight_name":"","position":"Right","content":"<p style=\"font-weight: 400;\">A decade of Chicago tree canopy data links tree loss, not low tree cover, to higher mortality risk.<\/p>\r\n<p style=\"font-weight: 400;\"><strong>Key Takeaways<\/strong><\/p>\r\n\r\n<ul>\r\n \t<li>Year-to-year changes in tree canopy cover mattered most for mortality.<\/li>\r\n \t<li>The effect is most severe in Chicago\u2019s hottest neighborhoods, where canopy loss and extreme heat compound mortality risk.<\/li>\r\n \t<li>The research team sees the findings as a case for treating tree canopy maintenance as public health infrastructure, not landscaping.<\/li>\r\n<\/ul>","snippet":""},{"acf_fc_layout":"content","content":"<p style=\"font-weight: 400;\">Harrison Garcia noticed the fatigue before he noticed the cause. As a medical student at Northwestern, he spent afternoons walking Chicago blocks with <a href=\"https:\/\/www.formyblock.org\/\"><em>My Block, My Hood, My City<\/em><\/a>, a nonprofit connecting students with neighborhood organizations taking personal responsibility for their communities. Some streets ran thick with shade. Others didn\u2019t, and it sapped his energy. \u201cThere would just be open fields,\u201d he said. \u201cI can\u2019t imagine how this affects people long-term.\u201d<\/p>\r\n<p style=\"font-weight: 400;\">That question became an analysis of a\u00a0<a href=\"https:\/\/agupubs.onlinelibrary.wiley.com\/doi\/epdf\/10.1029\/2025GH001651\">decade\u2019s worth of tree canopy changes<\/a>, published in\u00a0<em>GeoHealth<\/em>, tracking tree loss and human mortality across Chicago from 2011 to 2021. Garcia is the lead author. He\u2019s also a fourth-year medical student, currently applying to residencies.<\/p>\r\n\r\n<h3 style=\"font-weight: 400;\"><strong>The Clinic Isn\u2019t the Only Place to Get Better<\/strong><\/h3>\r\n<p style=\"font-weight: 400;\">Most of his classmates were headed toward chart reviews and clinical investigations, the more conventional route through a medical degree. Garcia kept circling back to his belief that the built infrastructure shapes our lives and our health, something upstream of the hospital. \u201cThe way that we choose to design our cities is much more directly affected by people,\u201d he said, \u201cand has very direct health outcomes.\u201d<\/p>"},{"acf_fc_layout":"gallery","gallery_images":[774925,774928,774923]},{"acf_fc_layout":"content","content":"<p style=\"font-weight: 400;\">The built environment, in his view, is never really an accident. \u201cIt\u2019s all being intentionally created by people,\u201d he said. \u201cA lot of the choices for why areas are the way they are\u2014it\u2019s not just coincidence. It\u2019s the result of deliberate actions and laws and policies that have been created.\u201d Streets get standardized without regard for local ecology. Zoning and permitting decisions outlast the people who made them. Few of those choices were made with tree canopy or life expectancy in mind, and fewer still asked who would end up living with the consequences.<\/p>\r\n<p style=\"font-weight: 400;\">He\u2019d never worked with map data before. Measuring tree canopy change block by block and then comparing that to mortality records meant placing the data on a map. Figuring out how to do that became its own education. Garcia sat down with satellite imagery and started writing Python scripts to pull tree canopy percentages, tract by tract, checking what the numbers said against what he already knew from walking those same blocks. \u201cThat was mostly a journey I took on my own,\u201d he said.<\/p>\r\n<p style=\"font-weight: 400;\">That willingness to learn geographic information system (GIS) technology rooted the research in open data about trees and changes in population. Spatial thinking wasn\u2019t common in his clinical coursework, but it made him think holistically about how humans influence their own environment\u2014and how rarely those decisions get revisited once neighborhoods are built.<\/p>"},{"acf_fc_layout":"gallery","gallery_images":[774929,774930]},{"acf_fc_layout":"content","content":"<h3 style=\"font-weight: 400;\"><strong>A Team Effort, Tract by Tract<\/strong><\/h3>\r\n<p style=\"font-weight: 400;\">Mapping a single year of canopy is manageable work. Tracking how that canopy shifted, tract by tract, across an entire decade, is a different scale of problem. That part of the study depended on Garcia's collaborators.<\/p>\r\n<p style=\"font-weight: 400;\">The published paper lists more than a dozen coauthors, spanning Northwestern, the University of Illinois, and Georgia Tech. Some brought statistical modeling. Others brought climate data, demographic expertise, or public health records from city and state agencies. Garcia has been consistent about where credit belongs. \u201cIt really was the team that did this,\u201d he said. \u201cIt was the culmination of everybody\u2019s hard work, bringing together different people, individuals, and datasets that made this possible.\u201d<\/p>\r\n<p style=\"font-weight: 400;\">Holistic thinking, and imagining what our cities could become, shows up elsewhere in his circle. A colleague at <a href=\"https:\/\/openlands.org\/\">Openlands<\/a>, a Chicago conservation nonprofit, once described the goal of his own work as a city where you can\u2019t tell where the built environment stops and nature starts. You\u2019re just walking through it, immersed. That stuck with Garcia.<\/p>\r\n\r\n<h3 style=\"font-weight: 400;\"><strong>What the Data Revealed<\/strong><\/h3>\r\n<p style=\"font-weight: 400;\">The research team found that a neighborhood\u2019s total tree cover, measured at any single point, showed almost no relationship to mortality. Instead, what mattered was the direction of canopy cover, whether it was expanding or shrinking, year over year.<\/p>\r\n<p style=\"font-weight: 400;\">Each percent of year-to-year tree canopy loss saw death rates increase by roughly 10 percent, with the largest differences showing up in cardiovascular, respiratory, and mental health deaths. Neighborhoods that gained canopy, particularly in the hottest parts of the city, saw the pattern run in reverse. A place could look green on a map and still be shedding canopy year after year, too subtly to see in just a snapshot.<\/p>\r\n<p style=\"font-weight: 400;\">\u201cTrees are not just a luxury,\u201d Garcia said. \u201cThey\u2019re very essential health infrastructure.\u201d<\/p>"},{"acf_fc_layout":"gallery","gallery_images":[774927,774926,774924]},{"acf_fc_layout":"content","content":"<p style=\"font-weight: 400;\">The mental health finding surprised him most\u2014the models showed that each percent year-over-year loss in canopy was tied to a 16 percent increase in mental health\u2013related mortality, the largest effect of any disease category in the study, ahead even of heart disease.<\/p>\r\n\r\n<h3 style=\"font-weight: 400;\"><strong>Community Is the Multiplier<\/strong><\/h3>\r\n<p style=\"font-weight: 400;\">Garcia has watched friends move through residency and come out with a clear-eyed view of what a hospital can and can\u2019t fix. He argues that our neighborhoods are the place to make fixes\u2014and that\u2019s a claim with a door anyone can walk through, not just a physician.<\/p>\r\n<p style=\"font-weight: 400;\">He pointed to the\u00a0<a href=\"https:\/\/greenheartlouisville.com\">Green Heart Louisville project<\/a>, a clinical trial that planted thousands of mature trees in low- and middle-income neighborhoods and tracked residents\u2019 health before and after. It\u2019s testing the same relationship with a level of causal proof that observational data alone can\u2019t reach. Garcia wants to see whether the year-over-year pattern he found in Chicago holds in other cities, or whether it\u2019s something specific to how Chicago has invested, and disinvested, in its own neighborhoods.<\/p>\r\n<p style=\"font-weight: 400;\">A single year of tree cover looks like scenery. Watched over a decade, it becomes a warning. The pattern doesn\u2019t show up until someone brings the right layers together\u2014canopy maps, air quality readings, census demographics, temperature records, a decade of death certificates\u2014and holds them against the same set of city blocks, year after year. None of those datasets said much on its own. Stacked on top of each other, they revealed trends and a warning.<\/p>\r\n<p style=\"font-weight: 400;\">Garcia calls that the real opening in the findings\u2014not proof that trees fix everything, but proof that the losses are visible and reversible once you\u2019re looking at the whole picture. \u201cThe year-to-year changes, especially in preventing loss, are associated with reduced mortality, and that means we could actually do something about it,\u201d he said. \u201cIn a positive direction, we can help our neighbors and help ourselves as well.\u201d<\/p>\r\n&nbsp;\r\n<p style=\"font-weight: 400;\">Learn more about how\u00a0<a href=\"https:\/\/www.esri.com\/en-us\/industries\/health\/focus-areas\/environmental-health\">cities use GIS to manage green infrastructure for environmental health<\/a>.<\/p>"}],"references":null},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ 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