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A wounded man walks out of a dust cloud following reported airstrikes in the town of Hamouria in the eastern Ghouta region, a rebel stronghold east of the Syrian capital Damascus, on December 9, 2015. The Syrian Observatory for Human Rights reported at least 11 civilians, including four children, were killed in strikes on the town of Hamouria, but said it was unclear if they were carried out by Russian or regime aircraft. (SAMEER AL-DOUMY/AFP PHOTO) NO SALES, THIS MATERIAL IS FOR SINGLE USE PUBLICATIONS IN PRINT OR FOR A TEMPORARY ONLINE PUBLICATION, AND MAY BE USED EXCLUSIVELY TO PUBLICIZE THE 2016 WORLD PRESS CONTEST AND EXHIBITION. IT MAY NOT BE PUBLISHED AS PART OF AN ARTICLE OR ANY OTHER ITEM THAT CONTAINS NO DIRECT LINK TO WORLD PRESS PHOTO AND ITS ACTIVITIES. THE PICTURE MAY NOT BE CROPPED OR MANIPULATED IN ANY WAY. KEYSTONE PROVIDES ACCESS TO THIS PUBLICLY DISTRIBUTED HANDOUT PHOTO. THE COPYRIGHT IS OWNED BY A THIRD PARTY.