Brown bear attacks on humans: a worldwide perspective

Polytrauma Caused by a Bear Attacking a Human with a Benign Outcome

Injuries to humans caused by wild animals, particularly bears, are rarely mentioned in the literature. Such injuries are frequent in Siberia, which is a territory surrounded by dense forests inhabited by brown bears. In the last 4 months alone (September-December 2023), four bear attacks on humans were registered in Khakassia, Russia. This article presents a clinical case of rehabilitating a patient after a bear attack, who suffered multiple fragmentary fractures of the facial skeleton with displaced bone fragments, subcutaneous emphysema of the soft tissues of the face, damage to the parietal and right occipital regions and paranasal sinus hemorrhage on the left side. The nature of the injuries was enhanced by trauma to the upper extremity caused by the patient defending himself against the animal. In addition to the damage to his face, the bear tried to open his cranium, as evidenced by four furrows caused by its canines, including two each on the frontal and occipital bones of the skull. The patient's complex treatment included both maxillofacial and reconstructive surgeries, and outpatient treatment involved the formation of normotrophic scars using a neodymium laser and injections of a heterogeneous composition consisting of microparticles of "crosslinked" collagen of animal origin placed in a gel identical to the natural extracellular matrix.

New threats in the recovery of large carnivores inhabiting human-modified landscapes: the case of the Cantabrian brown bear (Ursus arctos)

Understanding mortality causes is important for the conservation of endangered species, especially in small and isolated populations inhabiting anthropized landscapes where both natural and human-caused mortality may hinder the conservation of these species. We investigated the mortality causes of 53 free-ranging brown bears (Ursus arctos) found dead between 1998 and 2023 in the Cantabrian Mountains (northwestern Spain), a highly human-modified region where bears are currently recovering after being critically threatened in the last century. We detected natural traumatic injuries in 52.63% and infectious diseases in 39.47% of the 38 bears for which the mortality causes were registered, with 21.05% of these cases presenting signs of both infectious diseases and traumas. More specifically, almost 30% of the bears died during or after intraspecific fights, including sexually selected infanticide (10.53%). In addition, primary infectious diseases such as infectious canine hepatitis, distemper, clostridiosis and colibacillosis caused the death of 15.79% of the bears. The number of direct human-caused deaths (i.e., shooting, poisoning, snare) decreased over the study period. This study also reveals three new mortality causes triggered by pathogens, two of which-Clostridium novyi and verotoxigenic Escherichia coli-not previously described in ursids, and the other one, canine distemper virus, never reported in brown bears as cause of death. New management strategies for the conservation of Cantabrian bears, which are urgently needed due to the rapid expansion of the population, should consider the mortality causes described in this study and must promote further research to elucidate how the high prevalence of infectious diseases may threaten the current recovery of the population.

Living with Bears in Prahova Valley, Romania: An Integrative Analysis

Our research focuses on a complex and integrative analysis of bear presence in four tourist resorts in Prahova Valley, Romania: Sinaia, Bușteni, Azuga and Predeal. Employing innovative mixed methods, including questionnaires, interviews, newspaper analysis, and consideration of the local toponymy, including bear-related names and souvenirs, we aim to highlight the extent to which a posthumanist attitude is evident in the region. The sustained appearance of bears is attributed to habitat invasion through deforestation, road construction, residential neighborhoods, and tourist infrastructure. Ambiguity arises from the presence of food sources and voluntary feeding both by locals and tourists. The mass media initially heightened fear and panic during the onset of human-bear interactions but later adopted a more tolerant tone regarding the bear's presence in tourist resorts, reflecting an openness to the posthumanist approach in Prahova Valley. That is why locals express fear and concern about bear encounters, advocating for a clear separation between animal and human spaces. Tourists exhibit attitudes ranging from unconscious appreciation to ambivalence, often contributing to the problem through practices such as feeding bears for fun. The use of bear-related names for tourist establishments is identified as anthropocentric, despite their appeal for attracting tourists. Souvenir sales, through increasing socio-economic value and contributing to tourist experiences, are also recognized as anthropocentric. However, souvenirs can provide elements of support for bear conservation efforts and the equal consideration of human and non-human entities. This study concludes that a successful adaptive coexistence requires a posthumanist vision, overcoming anthropocentrism in a landscape altered by human activities, supported by bear management programs in Bucegi Natural Park, and conservation efforts in Prahova Valley in a landscape altered by people.

A worldwide perspective on large carnivore attacks on humans

Large carnivores have long fascinated human societies and have profound influences on ecosystems. However, their conservation represents one of the greatest challenges of our time, particularly where attacks on humans occur. Where human recreational and/or livelihood activities overlap with large carnivore ranges, conflicts can become particularly serious. Two different scenarios are responsible for such overlap: In some regions of the world, increasing human populations lead to extended encroachment into large carnivore ranges, which are subject to increasing contraction, fragmentation, and degradation. In other regions, human and large carnivore populations are expanding, thus exacerbating conflicts, especially in those areas where these species were extirpated and are now returning. We thus face the problem of learning how to live with species that can pose serious threats to humans. We collected a total of 5,440 large carnivore (Felidae, Canidae, and Ursidae; 12 species) attacks worldwide between 1950 and 2019. The number of reported attacks increased over time, especially in lower-income countries. Most attacks (68%) resulted in human injuries, whereas 32% were fatal. Although attack scenarios varied greatly within and among species, as well as in different areas of the world, factors triggering large carnivore attacks on humans largely depend on the socioeconomic context, with people being at risk mainly during recreational activities in high-income countries and during livelihood activities in low-income countries. The specific combination of local socioeconomic and ecological factors is thus a risky mix triggering large carnivore attacks on humans, whose circumstances and frequencies cannot only be ascribed to the animal species. This also implies that effective measures to reduce large carnivore attacks must also consider the diverse local ecological and social contexts.

Bear Maul Injury among Patients Presenting to the Department of Surgery in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Introduction

Bears are robust and agile wild creatures that can potentially inflict injuries. Black bears (Ursus thibetanus) are an inhabitant of the mountainous part of Nepal. Encounters between humans and bears generally occur in the bear-prevalent areas of Nepal and the world inflicting complex categorical injuries. The aim of the study was to find the prevalence of bear maul injury among patients presenting to the Department of Surgery in a tertiary care centre.

Methods

A descriptive cross-sectional study was done in the Department of Surgery in a tertiary care centre from 1 August 2017 to 1 September 2022. Data was collected from the records of the Department of Surgery after receiving ethical approval from the Institutional Review Committee (Reference number: 078/79/38). The collected data included time of arrival in the hospital, type of bear, types of laceration, wound type, and demographic of patients. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.

Results

Among 2980 patients presenting to the Department of Surgery, the prevalence of bear maul injury was 15 (0.50%) (0.25-0.75, 95% Confidence Interval). Of which, all had laceration injury, with the face and scalp 9 (60%) being the highest injured site. Autumn was the season attacked most in daytime.

Conclusions

The prevalence of bear maul injury was lower than in other studies done in similar settings.

Keywords

bears; injuries; lacerations; Nepal; prevalence.

Assessing the spatial-temporal patterns of conflicts between humans and Asiatic black bears (Ursus thibetanus) around the Gaoligongshan Nature Reserve, China

Conflicts between humans and Asiatic black bears (Ursus thibetanus) are widespread in Asia and pose challenges to human-bear coexistence. Identifying effective mitigation measures requires a thorough understanding of human-bear conflicts (HBC). We assessed spatial-temporal patterns of HBC and their impact factors around the Baoshan Section of the Gaoligongshan Nature Reserve (GNNR) between 2012 and 2020. The results suggested that crop raiding by bears occurred most commonly, followed by beehive loss, livestock depredation, and human casualties. HBC hotspots occurred near the protected area where local people frequently encountered bears. The landscapes with lower elevation and human density were at higher risk of HBC. Furthermore, villages with more fragmented forests or less fragmented croplands were more vulnerable to HBC. The differences in agricultural structures contributed to the diverse composition of HBC between the two regions. In addition, crop raiding by bears decreased significantly, probably due to the changing landscape composition and configuration derived from human behaviors, yet livestock depredation and beehive loss increased. Our findings indicated the complex interrelationship between the environment, bears, and humans, which could guide the implementation of mitigation measures. We recommend multiple approaches based on a social-ecological system to mitigate HBC.

Dogs, not wolves, most likely to have caused the death of a British tourist in northern Greece

Wolf (Canis lupus) populations have recovered and expanded across many parts of the world thanks to conservation efforts, including improved legal status and restoration of their prey. Concurrently, public concerns regarding the risk of wolf attacks on humans and livestock are increasing as wolves occupy human-dominated landscapes. We examined a unique case in Europe allegedly involving wolves in the death of a female British tourist, aged 64, in northern Greece in September 2017. This incident received extensive international media attention and yet many fundamental details of the case area are lacking, including whether local livestock guarding dogs played a role. To assist in resolving the case, we conducted an extensive literature review which documented 13 criteria linked to the risk of either a wolf and/or a dog attacking a human. We also conducted a camera trap survey (October to December 2017) soon after the fatal attack to calculate the activity overlap among humans, dogs and wolves. Sufficient data were available for assessing 11 of the 13 criteria. For the remaining two, the required data were either not analysed (i.e. canid DNA collected from the attack site), not appropriately collected (i.e. DNA from the mouths of suspected dogs) or were collected, but misinterpreted (i.e. the post-consumption patterns of the victim’s corpse). Via this combination of evidence, we conclude that this case involved a fatal dog attack. This assertion is supported by evidence such as the: a) high dog-human activity overlap at the attack site which peaked during the attack time as opposed to near zero wolf-human activity overlap at the same time, b) presence of a large pack of unsupervised dogs, c) high ratio of male dogs in the dog pack, d) close vicinity of the attack site to dog owner’s property and e) previous documented aggression of these dogs towards humans. The consumption patterns, time scale and location of the victim’s remains indicate a posthumous consumption of the corpse possibly by the same dogs and/or by wild scavengers including wolves. A multidisciplinary approach, such as this one, in the assessment of putative wildlife attacks on humans can reduce misidentifications of the responsible species by forensic authorities and, therefore, prevent unfounded decrease in public tolerance for large carnivores.

Large carnivores and naturalness affect forest recreational value

Recreation is a crucial contribution of nature to people, relevant for forest ecosystems. Large carnivores (LCs) are important components of forests, however, their contribution to forest recreational value has not yet been evaluated. Given the current expansion of LC populations, the ongoing forest conservation debate, and the increasing use of nature for recreational purposes, this is a timely study. We used discrete choice experiments and willingness-to-travel to determine people’ preferences for both forest structural characteristics and presence of four LC species in Poland (N = 1097 respondents) and Norway (N = 1005). In both countries, two-thirds of the respondents (termed ‘wildness-positive’) perceived LCs as contributing positively to forest recreational value and preferred to visit old forests with trees of different species and ages and presence of dead wood (i.e. natural forests). Respondents with negative preferences towards LCs preferred more intensively managed forest (‘wildness-negative’); their preferences were stronger than in wildness-positive respondents and in Norway. Preferences towards wild nature were highly polarized and there were hardly neutral people. Our results showed a strong link between preferences for LC presence and forest structure, and reflected the dualism of human-nature relationships. This study highlights the need to consider the contribution of forests and LCs to human recreation services in ecosystem management policies.

Living with a large predator: Assessing the root causes of Human-brown bear conflict and their spatial patterns in Lahaul valley, Himachal Pradesh

Brown bear‐mediated conflicts have caused immense economic loss to the local people living across the distribution range. In India, limited knowledge is available on the Himalayan brown bear (HBB), making human–brown bear conflict (HBC) mitigation more challenging. In this study, we studied HBC in the Lahaul valley using a semi‐structured questionnaire survey by interviewing 398 respondents from 37 villages. About 64.8% of respondents reported conflict in two major groups—crop damage (30.6%) and livestock depredations (6.2%), while 28% reported both. Conflict incidences were relatively high in summer and frequently occurred in areas closer to the forest (<500 m) and between the elevations range of 2700 m to 3000 m above sea level (asl). The dependency of locals on forest resources (70%) for their livelihood makes them vulnerable to HBC. The “upper lower” class respondents were most impacted among the various socioeconomic classes. Two of the four clusters were identified as HBC hot spots in Lahaul valley using SaTscan analysis. We also obtained high HBC in cluster II with a 14.35 km radius. We found that anthropogenic food provisioning for HBB, livestock grazing in bear habitats, and poor knowledge of animal behavior among the communities were the major causes of HBC. We suggest horticulture crop waste management, controlled and supervised grazing, ecotourism, the constitution of community watch groups, and others to mitigate HBC. We also recommend notifying a few HBB abundant sites in the valley as protected areas for the long‐term viability of the HBB in the landscape.

Transdisciplinary deficit in large carnivore conservation funding in Europe

Achieving coexistence between humans and large carnivores in human-shaped landscapes is a complex challenge. Addressing this challenge requires the revaluation of the approaches academia uses to foster carnivore conservation and human-large carnivore coexistence. In this forum paper, we provide a brief overview of the three archetypical approaches of knowledge generation for large carnivore conservation in human dominated landscapes (disciplinary, interdisciplinary and emerging transdisciplinary approaches) and highlight the need for more explicit consideration of transdisciplinarity in large carnivore conservation funding. We refer to transdisciplinary deficit (TDD) for those situations when the context allows the implementation of transdisciplinarity but research and practice remains disciplinary or interdisciplinary. We identify drivers of this TDD and provide a brief overview of current and past conservation funding programmes at the European level in terms of their capacity to promote transdisciplinary approaches for large carnivore conservation. We show that current funding programmes favour sectorial and disciplinary approaches, resulting in low transdisciplinary substance in large carnivore conservation projects. TDD can be overcome by transforming the character of public funding towards multi-stakeholder collaboration, designing and nurturing effective communities of practice, and reducing co-financing rates for large, integrated projects.

Patterns of Human–Brown Bear Conflict in the Urban Area of Brașov, Romania

Human–bear conflicts are increasing in number due to deforestation, urban expansion, tourism, and habitat invasion by humans. Our study was conducted in Brașov, a picturesque city in central Romania. Brașov is surrounded by forests and has significant tourist traffic, but also much uncollected garbage and many garbage containers, which attract brown bears. We recorded human–bear conflicts in four districts (Răcădău, the Historic Centre, Noua, and Gară) between 2004 and 2018, finding 55 cases in total, of which in 19 cases involving people, 4 people were killed and 32 were injured. In 36 cases, there were no human victims. We mapped the locations of human–bear conflicts and garbage containers, then analysed their space–time location and human victims in terms of behavioural factors. The altitudes at which brown bears were identified ranged from 580 to 790 m, whereas bears were found in the city at distances of between 100 and 2600 m from the forest. The highest frequency of human–bear conflicts occurred during summer and autumn, and the most common behavioural factor was human outdoor activities. This study provides an important background for understanding human–bear conflicts and will help local authorities develop effective strategies to reduce human–bear conflicts and mitigate risk.

Reconstruction After Grizzly Bear Attack in Wyoming

Bear attacks are rare, although global incidents have been increasing. Injury patterns of bear attacks against humans consistently include injuries to the face, head, neck, chest, and upper extremities. Here, we have a brief report of a 59-year-old male hunter who was attacked by a grizzly bear in Wyoming. He sustained multiple lacerations to his face which included an avulsion of his nose and upper lip, as well as extensive associated facial fractures. Additional injuries included soft tissue and bony injuries to the upper extremities. He underwent 53 operations during his first hospitalization, primarily of facial reconstruction, which required nose and upper lip replant to his arm. His course was complicated by pressure ulcers, bacteria, acute kidney injury, and a urinary tract infection. After successful coordinated multidisciplinary care and a prolonged hospitalization, he was ultimately discharged to his home.

Brown bear and Persian leopard attacks on humans in Iran

Large carnivore attacks on humans are a serious form of human-wildlife interaction which has increased globally in recent decades. When attacks occur, both humans and large carnivores suffer, highlighting the need to characterize these conflicts toward mitigation of attacks. We investigated brown bear (Ursus arctos) and Persian leopard (Panthera pardus) attacks on humans across Iran using reports provided by the Government of Iran during 2012–2020. We characterized temporal and spatial patterns of attacks, as well as species-specific attributes. We identified 83 attacks resulting in 77 human injuries and 6 fatalities. Bears were responsible for more attacks (63%) than leopards (37%). Attacks occurred more frequently during defensive reactions by bears and leopards on adult male people while livestock herding during the day in spring and summer. Bears reportedly attacked people more often in western provinces of Iran, while leopards attacked more frequently in northern provinces. We recommend that the Iran Department of the Environment consider implementing a national reporting system to document bear and leopard attacks on people. We further suggest development of national bear and leopard management plans that emphasize mitigating human risk to improve human attitudes toward these carnivore species to facilitate their conservation.

Social and environmental factors influencing contemporary cases of wolf aggression towards people in Poland

Understanding factors and mechanisms causing large carnivore aggression towards people is crucial for their conservation in modern human-dominated landscapes. We present detailed descriptions of wolf attacks on people in early summer 2018 in two areas of Poland, analysis of behaviour, fitness and origin of individuals responsible for the attacks and management actions undertaken by local communities as well as governmental bodies and non-governmental organisations. We show that attacks were caused by yearling wolves (13-month-old male and 14-month-old female) originating from local packs, which appeared near households several months prior to incidents. Both individuals were positively food-conditioned and showed increasing habituation caused by irresponsible behaviour of people such as long-lasting intentional feeding or illegal keeping. Post mortem necropsy revealed obesity and serious abnormality of spleen (polysplenia) in the problem female wolf that negatively impacted her fitness and was the most likely reason for her presence near households and feeding on leftovers. Despite prolonged observations of these wolves very close to human settlements (less than 30 m), no mitigation actions were undertaken until the attacks, after which both individuals were killed. We provide several recommendations to avoid aggressive human-carnivore encounters.

Implementing a comprehensive approach to study the causes of human-bear (Ursus arctos pruinosus) conflicts in the Sanjiangyuan region, China

Personal injury and property loss caused by wildlife often deteriorates the relationship between humans and animals, prompting retaliatory killings that threaten species survival. Conflicts between humans and Tibetan brown bears (Ursus arctos pruinosus) (Human-Bear Conflicts, HBC) in the Sanjiangyuan region have recently dramatically increased, seriously affecting community enthusiasm for brown bears and the conservation of other species. In order to understand the driving mechanisms of HBC, we proposed six potential drivers leading to increased occurrences of HBC. We conducted field research in Zhiduo County of the Sanjiangyuan region from 2017 to 2019 to test hypotheses through semi-constructed interviews, marmot (Marmota himalayana) density surveys and brown bear diet analysis based on metagenomic sequencing. Analysis of herder perceptions revealed that the driving factors of HBC were related to changes in their settlement practice and living habits, changes in foraging behavior of brown bears and recovery of the brown bear population. Since the establishment of winter homes, brown bears have gradually learned to utilize the food in unattended homes. Although 91.4% (n = 285) of the respondents no longer store food in unattended homes, brown bears were reported to still frequently approach winter homes for food due to improper disposal of dead livestock and household garbage. The frequency and abundance of marmots were found to be high in brown bear diet, indicating that marmots were the bears' primary food. However, marmot density had no significant effect on brown bears utilizing human food (P = 0.329), and HBC appears to not be caused by natural food shortages. Distance to rocky outcrops (P = 0.022) and winter homes (P = 0.040) were the key factors linked to brown bears pursuing human food. The number of brown bears has increased over the past decade, and HBC is likely linked to its population recovery. Our findings will provide scientific basis for formulating effective mitigation measures and protection countermeasures for brown bears.

Developmental instability and phenotypic evolution in a small and isolated bear population

We explored fluctuating asymmetry (FA) and morphological integration (MI) in the skull of the small, highly inbred and divergent Apennine bear (Ursus arctos marsicanus), to explore its uniqueness and investigate any potential effects of inbreeding depression. We used 3D geometric morphometrics contrasting Apennine bears with other two large outbred bear populations from Scandinavia and Kamchatka as controls. Shape divergence and variability were explored by a principal component analysis on aligned coordinates of 39 landmarks. Procrustes ANOVA, morphological disparity and the global integration index were used to explore FA, shape variance and MI. By remarking Apennine bears as a highly divergent phenotype, we recorded the highest FA and deviation from self-similarity compared with the other two control populations. We conclude that Apennine bears are likely facing developmental instability as a consequence of inbreeding depression, whereas the divergent trait covariance pattern may represent a potential source of evolutionary novelties. We discuss the implications for the conservation and management of this imperiled taxon.

Are Large Carnivores the Real Issue? Solutions for Improving Conflict Management through Stakeholder Participation

Social conflicts around large carnivores are increasing in Europe, often associated to the species expansion into human-modified and agricultural landscapes. Large carnivores can be seen as an added value by some but as a source of difficulties by others, depending on different values, attitudes, livelihoods, and everyday activities. Therefore, the effective involvement of the different interest groups is important to identify and shape tailored solutions that can potentially be implemented, complementing top-down approaches that might, on their own, result in lack of implementation and buy-in. To improve dialogue in conflictual situations, as part of a European project promoted by the European Parliament, we assessed the practical implementation of participatory processes in three sample areas in Europe where wolves and bears have recently been increasingly impacting human activities. Our results demonstrate that collaboration among different and generally contrasting groups is possible. Even in situations where large-carnivore impacts were seen as unsatisfactorily managed for many years, people were still willing and eager to be involved in alternative discussion processes hoping this would lead to concrete solutions. An important and common highlight among the three study areas was that all the management interventions agreed upon shared the general scope of improving the conditions of the groups most impacted by large carnivores. The process showed the importance of building trust and supporting dialogue for knowledge co-production and mitigation of conflicts between stakeholders and that controversial environmental issues have the potential to trigger a meaningful dialogue about broader societal issues. The direct involvement and support of competent authorities, as well as the upscaling of this process at larger administrative and social scales, remain important challenges.

Does genetic variation on the shy–bold continuum influence carnivore attacks on people? Evidence from the brown bear

Little is known about the heritable behavioural traits of attacks by large carnivores on people. During the last 30 years attacks by brown bears Ursus arctos on people in the Cantabrian Mountains of Spain have been disproportionately concentrated in the eastern subpopulation. Excluding factors such as the existence of a single unusually bold bear, a higher human population density, particular human activities promoting encounters, or clear habitat differences in the area of this subpopulation, we propose that a plausible explanation for the unbalanced geographical attack pattern is that this subpopulation, separated a century earlier from the western subpopulation, may harbour a higher proportion of bolder bears. In the absence of genetic analyses this explanation remains speculative, but supports the hypothesis that genetic variation on the shy–bold continuum may influence attacks of large carnivores on people.

The ecology of human-carnivore coexistence

The persistence of large carnivores in human-dominated landscapes will become increasingly challenging as the human footprint expands. Here, we bring together long-term demographic and behavioral data on one of the worlds’ most conflict-prone species, the brown bear, to quantify the mechanisms facilitating human–carnivore coexistence. We found that human-dominated landscapes are highly lethal, especially to young bears, until they learn to adapt to people. As bears age, they avoid times when people are most active but do not strongly avoid where people live. To sustain human–carnivore coexistence under high rates of mortality requires the influx of animals from areas with low human presence (i.e., demographic rescue). Paradoxically, our work demonstrates that connectivity leads to both coexistence and conflict.

With a shrinking supply of wilderness and growing recognition that top predators can have a profound influence on ecosystems, the persistence of large carnivores in human-dominated landscapes has emerged as one of the greatest conservation challenges of our time. Carnivores fascinate society, yet these animals pose threats to people living near them, resulting in high rates of carnivore death near human settlements. We used 41 y of demographic data for more than 2,500 brown bears—one of the world’s most widely distributed and conflict-prone carnivores—to understand the behavioral and demographic mechanisms promoting carnivore coexistence in human-dominated landscapes. Bear mortality was high and unsustainable near people, but a human-induced shift to nocturnality facilitated lower risks of bear mortality and rates of conflict with people. Despite these behavioral shifts, projected population growth rates for bears in human-dominated areas revealed a source-sink dynamic. Despite some female bears successfully reproducing in the sink areas, bear persistence was reliant on a supply of immigrants from areas with minimal human influence (i.e., wilderness). Such mechanisms of coexistence reveal a striking paradox: Connectivity to wilderness areas supplies bears that likely will die from people, but these bears are essential to avert local extirpation. These insights suggest carnivores contribute to human–carnivore coexistence through behavioral and demographic mechanisms, and that connected wilderness is critical to sustain coexistence landscapes.

Biophobia and Urban Restorativeness

Natural areas are now known to be important resources for the health and wellbeing of urban dwellers, through, for example, the opportunities they provide for cognitive and emotional restoration. However, urban populations have also been found not to engage with these spaces and to display some form of biophobia which may hinder them from perceiving any of these benefits. This concept of biophobia is thought to entail both our innate physiological responses to the perceived danger from non-human threats such as spiders and snakes and our cultural attachment to material comfort. The word is often used with derogatory connotations, even if it is part of an evolutionary mechanism honed over thousands of years to keep humans alive. This review presents the current state of knowledge on urban biophobia as well as evidence of instances in which built and mixed urban environments were found to be more restorative than natural ones for the urban population, in order to assess any connection within the two. A series of recommendations for further research but also for the practical implementation of natural areas in cities capable of attracting a wide variety of people regardless of their fears or preferences are also formulated. Only by investigating the psychological and physiological responses of urban dwellers to their daily environments can we hope to design interventions which will remain relevant for the modern world.

The ecology of human-nature interactions

The direct interactions between people and nature are critically important in many ways, with growing attention particularly on their impacts on human health and wellbeing (both positive and negative), on people's attitudes and behaviour towards nature, and on the benefits and hazards to wildlife. A growing evidence base is accelerating the understanding of different forms that these direct human-nature interactions take, novel analyses are revealing the importance of the opportunity and orientation of individual people as key drivers of these interactions, and methodological developments are increasingly making apparent their spatial, temporal and socio-economic dynamics. Here, we provide a roadmap of these advances and identify key, often interdisciplinary, research challenges that remain to be met. We identified several key challenges, including the need to characterize individual people's nature interactions through their life course, to determine in a comparable fashion how these interactions vary across much more diverse geographical, cultural and socio-economic contexts that have been explored to date, and to quantify how the relative contributions of people's opportunity and orientation vary in shaping their nature interactions. A robust research effort, guided by a focus on such unanswered questions, has the potential to yield high-impact insights into the fundamental nature of human-nature interactions and contribute to developing strategies for their appropriate management.