President Bashar al-Assad laughed and said he sleeps fine when he was asked during an interview about all the children killed every day in Syria.

Mr Assad also said the deaths of hundreds of thousands of civilians is “the fault of terrorists” and said “we are talking about war, not charity”.

During an interview with The Sunday Times, Mr Assad was asked if he sleeps at night with all the children being killed in Aleppo and other parts of Syria.

He reportedly laughed and replied: “I know the meaning of that question. I sleep regular, I sleep and work and eat normal and do sports.”

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He also shrugged when asked how he felt about all the killing. “It’s the fault of terrorists and we are talking about war, not charity” he said.

“In war you always have innocents hurt or killed. What do you do? You do your best. Terrorists are still in Aleppo and use civilians as human shields.”

He added: “We can’t just stand still and say, ‘Don’t destroy the city’. More important than the city are the people, so we have to do the best for them.”

Assad believes video of boy covered in rubble is fake

During the interview, Mr Assad also repeated his claim the Nobel Peace Prize-nominated White Helmets manipulate and forge photos of dead children.

He previously said the photo of an injured five-year-old boy taken in the aftermath of an air strike was faked. The picture of Omran Daqneesh became a haunting reminder of civilian suffering in Aleppo.

In pictures: Syria air strikes (2014) Show all 20 1 /20 In pictures: Syria air strikes (2014) In pictures: Syria air strikes (2014) Syria Syrian citizens check a damaged house that targeted by the coalition airstrikes, in the village of Kfar Derian, a base for the al-Qaida-linked Nusra Front, a rival of the Isis group, between the northern province of Aleppo and Idlib In pictures: Syria air strikes (2014) Syria A Syrian boy (L) looking at a destroyed car that activists say was targeted by the coalition airstrikes, in the village of Kfar Derian, a base for the al-Qaida-linked Nusra Front, a rival of the Islamic State group, between the northern province of Aleppo and Idlib In pictures: Syria air strikes (2014) Syria Parts of a missile that activists say was fired by coalition airstrikes, in the village of Kfar Derian, a base for the al-Qaida-linked Nusra Front, a rival of the Isis group, between the northern province of Aleppo and Idlib In pictures: Syria air strikes (2014) Syria Tthe guided-missile destroyer USS Arleigh Burke (DDG 51) launching Tomahawk cruise missiles against Isis targets In pictures: Syria air strikes (2014) Syria The USS Arleigh Burke (DDG 51) launches a Tomahawk cruise missiles in the Red Sea, to conduct strike missions against Isis group targets in Syria In pictures: Syria air strikes (2014) Syria The guided-missile cruiser USS Philippine Sea (CG 58) launching a Tomahawk cruise missile against Isis targets in Syria, as seen from the aircraft carrier USS George H.W. Bush (CVN 77) in the Arabian Gulf In pictures: Syria air strikes (2014) Syria US navy sailors standing watch on the bridge while Tomahawk cruise missiles are launched against Isis targets in Syria, aboard the guided-missile cruiser USS Philippine Sea (CG 58), in the Arabian Gulf In pictures: Syria air strikes (2014) Syria An F/A-18C Hornet, attached to Strike Fighter Squadron (VFA) 87 prepares to launch from the flight deck of the aircraft carrier USS George H.W. Bush (CVN 77) in the Arabian Gulf, to conduct strike missions against Isis group targets AFP/Robert Burck In pictures: Syria air strikes (2014) Syria The US-led airstrikes in Syria against Isis targets in and around the city of Raqqa In pictures: Syria air strikes (2014) Syria A fighter from the Isis group holds a piece of what the IS is saying is a US drone that crashed into a communications tower in the Syrian city of Raqqa In pictures: Syria air strikes (2014) Syria Fighters from the Isis organisation pray at the spot where the jihadist group said a US drone crashed into a communications tower in the Syrian city of Raqqa In pictures: Syria air strikes (2014) Syria Fighters from the Isis group load a van with parts that they said was a US drone that crashed into a communications tower in the Syrian city of Raqqa In pictures: Syria air strikes (2014) Syria Fighters from the Isis group load a van with parts that they said was a US drone that crashed into a communications tower in Raqqa In pictures: Syria air strikes (2014) Syria Fighters from the Isis group gesture as they load a van with parts that they said was a US drone that crashed into a communications tower in Raqqa. A US-led coalition on carried out its first air strikes and missile attacks against jihadist positions in Syria, with Damascus saying it had been informed by Washington before the operation began In pictures: Syria air strikes (2014) Syria A Syrian man rides his bike past a communications tower that was destroyed after a US drone crashed into it, according to fighters with the Isis group, in the Syrian city of Raqqa In pictures: Syria air strikes (2014) Syria People inspect a shop damaged after what Isis militants say was a U.S. drone crashed into a communication station nearby in Raqqa In pictures: Syria air strikes (2014) Syria A man holds the remains of what Isis militants say was a U.S. drone which crashed in Raqqa In pictures: Syria air strikes (2014) Syria Resident gather in the back of a van the remains of what Isis militants say was a drone which crashed in Raqqa In pictures: Syria air strikes (2014) Syria A man inspects the remains of what Isismilitants say was a U.S. drone which crashed into a communication tower in Raqqa In pictures: Syria air strikes (2014) Syria A man inspects the remains of what Isis militants say was a U.S. drone which crashed in Raqqa

“Demonisation has reached its peak,” Mr Assad added. He claimed Syrians only have a choice between him and Islamist extremists.

Speaking of himself in the third person, he suggested the West would be forced to accept him: “This is a dictator, this is killing his people, dropping barrel bombs... there’s nothing more they can say about me.”