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The histories of humanity and nature are deeply entangled across Inner Eurasia. Great expanses of steppe and mountain connected peoples at the far ends of the landmass and sustained unique civilizational zones of nomadic and settled societies. These are regions profoundly shaped by some of the most complex climatic regimes and by one of the most devastating disease vectors in the world. Viewed in the longue durée of the Holocene, the premodern prehistory and history of Inner Eurasia takes on new dimensions when reviewed in the context of the latest work being done in environmental, climate, and genetic science.