Professor Paul McMaster:

I will first comment on the psychological distress. We in MSF have strong opinions about this. We have mental health officers, psychologists and even psychiatrists. We are doing significant work in the camps in Lebanon in this particular health area. I am sure we will need to scale up that work as time goes by. What we have learned in other conflicts over the years is that, as Deputy O'Sullivan says, the immediate physical impact is clear but the long-term distress to these youngsters is immeasurable. We need to support the Syrians to help them to help their children. It is very difficult for us to help because of culture and communication issues. The real heroes in this situation are the Syrian medics and nurses who have stayed behind and who continue battling day in, day out. Our task is to support them.

I reiterate that MSF takes psychological distress seriously. We still run a clinic in Haiti and in one or two other post-disaster conflict areas because in the long term that distress will have the bigger impact than the immediate injury.