 For us the main priorities have been looking at people who have been displaced into camps and other sites, checking out what the situation is in terms of their health care, public health risks and other factors that can be addressed. Also the other key priority is looking into those patients who have been injured from the earthquake and evacuated into hospitals and making sure that they have a safe and healthy discharge from there. People may have been treated and may not have acute injury needs anymore but it's really important to make sure they get in the appropriate physiotherapy, follow-up rehabilitation and then also taken back home and ensure they have a shelter to go to. Many people with injuries not only lost potentially function of their limbs but also their houses and livelihoods as well and so there's some of the most vulnerable that we need to take care of. Thirdly we're looking also into the psychosocial impacts of the earthquake. Obviously there's a significant amount of losses of life as property and it's a very traumatic event as well. Particularly with the second earthquake that was felt just a few days ago which has led to you know reinvigorating all of those traumatic feelings and re-displacing people. So we're ensuring that our approaches are in line with international guidelines for psychosocial assistance and also training our other staff members to go ahead in that approach. So after a disaster particularly a big natural disaster like this there obviously is an increase in psychosocial distress. Although there isn't necessarily a large increase in mental illness it's very important to make sure that people are being taken care of, their needs are being taken care of, their basic needs in terms of food, shelter and finding out more about the situation, connecting them with loved ones and community services. This is the basis of psychosocial approaches as well as identifying those that do have additional needs and may need some counselling or further intervention which is a smaller amount of the population. However following the second earthquake which happened only two weeks after the first major one this has really brought up a lot of those feelings of anxiety, uncertainty and really has led to a lot of people leaving those home and having these basic conditions necessary for psychosocial sort of cohesiveness amongst the community that's really been disrupted by the second earthquake reliving the same experiences and starting back from square one for many people. So it's my first time in Nepal but I'm first thing to say it's amazingly beautiful country with beautiful people as well, really strong community spirit and very disheartening to see the damage and destruction being done by this earthquake. Hundreds of thousands of people have lost their home and being up in some of the affected outer districts yesterday up in Chattara, Sindhapalchuk, seeing the real scale of devastation is really sad to see. There's been a lot of cultural icons and infrastructure. There's a loss of people's houses, their livelihoods as well as disruption of people's general ability to cope in these what can be quite trying circumstances particularly with the monsoon and winter coming. So it's really important that you know we're here and we're doing as much as we can bringing people from across the world and mobilising local communities to try and improve the situation as much as we can but it's going to be a long road ahead I think for people to get back to where they were before.