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more importantly the disorientation, one encounters these days in the publications of groups like Human Rights Watch and Amnesty International is an emblem of this. 4 This does not mean that coping with these changes will be easy or morally clear-cut for humanitarians. It is hardly surprising that when its medical facilities and hospitals in Syria were targeted and in many cases destroyed by Russian and Syrian government bombardment, MSF was at a loss as to how to respond, despite its brilliance in publicity. 5 An exception to this general

Journal of Humanitarian Affairs