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TORONTO — The Syrian refugees who pour into Canada during the next few months will have overcome incredible odds.

They avoided death in a civil war that has killed 200,000, trekked enormous distances to get out of Syria and now are among the lucky few to be resettled in a wealthy, peaceful Western nation.

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But the ordeal that led them here has taken a hefty toll on their health, a fact Canadian medical providers will soon have to confront.

Many Syrians have amputations and other war injuries, are nursing chronic diseases that have gone under-treated, for years or cope with psychological conditions from insomnia to post-traumatic stress and severe depression.

Aid organizations report children struck mute by their encounters with violence.

“Most of them left either after their house was destroyed, or they had at least one or two close relatives or friends who died,” said Paul Yon, who heads the Médecins Sans Frontières mission in Lebanon. “We have people who have quite a lot of signs of stress, depression and so on.”