Throughout 2013 Antonio Guterres, the United Nations High Commissioner for Refugees, seemed to be running out of ways to sound the alarm and describe the magnitude of the Syrian refugee crisis. “Syria as a civilization is unraveling,” he declared in early June. Later that month he stated that it was the worst catastrophe since the end of the Cold War. The numbers bear out his claims. By the end of 2013 there were over 2 million registered refugees, several million others internally displaced, and estimates of 10 million in desperate need of food and shelter, out of a total population of around 23 million. An estimated 100,000 have been killed by the fighting and many more wounded and disappeared. As many or more Syrians are dying of chronic diseases due to their inability to access medicine and treatment amid the devastation of the country’s economic and health infrastructure. This prompted the UN to declare Syria a Level 3 emergency, the highest level emergency in the UN system and a top priority for funding and personnel.