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“People are feeling helpless, they are feeling [that] it is not that we don’t care — it’s that we just can’t do anything.”

“We have hit a ceiling in shocking people,” El-Katatney said. “From [a] pool of blood, or a dying child, and now people have come across severed limbs, decapitation. I don’t think there is anything that I can show that will shock anyone, no matter what it is.

In the final two months of 2016, as the four-year siege of the rebel-held city of Aleppo ended in brutal fashion, the four more-shared stories were all shared more than 300,000 times. The best performing story (about how people could help civilians trapped in Aleppo) was shared more than half a million times, almost entirely on Facebook.However, in January and February this year, as the Syrian regime and Russian forces bombarded the enclave of Eastern Ghouta, the most viral piece across all publishers (a BBC News article about children struggling to survive) was shared just 42,000 times.

human brains are incapable of coping with prolonged catastrophes, a phenomenon called “psychic numbing.”

the more death and destruction you see, on social media for example, the more your feelings of empathy actually decreases. “One plus one is less than two,” in this situation, he said.“We do numb to repeated photographs, just like we numb to increasing numbers of individuals,”

almost half a million people have been killed, 5 million more have fled the country, and 6 million have been displaced internally

Decisions made by US President Donald Trump’s administration have contributed to keeping the conflict from the international community’s attention. Despite bombing Syria, Trump’s only focus in the country has been ISIS, leaving a vacuum that has been occupied fully by Vladimir Putin’s Russian forces, who have worked together with the regime of Bashar al-Assad to bombard the remaining rebels, like those in besieged Eastern Ghouta.

"I think the world is frustrated by the actions of the major powers," said Salwa Aksoy, vice president of the National Coalition of Syrian Revolution and Opposition Forces. "The struggle has lasted so long, and the scale of the war crimes has reached a level where there is just too much pain for the international community to look at it,”

“All of our calls to protect children inside Syria have gone unheeded,” she said.“People are genuinely upset, if not angry or outraged, about what is happening now in Syria. For that I have no doubt about,’ she said. “There is, however, a certain element of fatigue among people about the suffering and the continuous horror stories. I think a lot of people feel helpless over what is happening and not being able to stop the bloodshed in Syria.”

“What kind of ways can we cover Syria that we haven’t done a thousand times before, whether it is with footage or with the scripting? And sometimes we fail. Sometimes there just really is nothing.”For Adam, messaging from a rooftop elsewhere in Ghouta, he could see the people not retweeting his stories, but he could also hear the shelling continue. “Today, like always bombing, airstrikes, and people killed. Like every day,” he said.“But no one cares.”