Levine, J. F. (2011) Integration of Environmental Stewardship and Local Economic Development to Enhance Community Health. North Carolina Medical Journal 72(2): 141-144Environmental groups working to preserve natural ecosystems and groups working to enhance local economic development often find themselves on philosophically opposite sides of the negotiation table. Case histories of cooperative engagement are provided that serve as examples of how environmental stewardship is compatible with local economic development and community health.