The four hostages rescued on Saturday after eight months in Gaza captivity are in a “state of severe malnutrition,” according to a doctor who treated them upon their return to Israel.

“They have been physically and mentally abused for a long time. They are all in a state of severe malnutrition, although it does not appear that way to them,” Dr. Itay Pessach, director of the Edmond and Lily Safra Children’s Hospital at Sheba Medical Center in Ramat Gan, told Channel 12 on Monday.

During “Operation Arnon,” Israeli forces rescued the four hostages from two separate locations in Nuseirat Camp in the central Gaza Strip—Noa Argamani, 26, from one apartment, and Almog Meir Jan, 21; Andrey Kozlov, 27; and Shlomi Ziv, 40, from another.

All four were all abducted by Hamas terrorists from the Supernova music festival near Kibbutz Re’im during the Oct. 7 massacre.

They were being held in apartments in a densely populated residential area of Gaza; Pessach explained that the medical condition of others, who were held in Hamas’s vast subterranean tunnel network, was much worse upon their liberation.

“I think there is a significant difference, but one cannot compare the suffering of one person to another. They all suffered from all types of abuse—physical abuse and mental abuse and for a long time,” the doctor explained.

Some 250 people were kidnapped to Gaza during the Oct. 7 onslaught, with 116 remaining there, with at least 40 considered no longer alive by Israeli authorities. Two mentally ill Israelis crossed into Gaza on their own years ago, and are also being held by the terrorists, as are the bodies of two IDF soldiers killed in the 2014 Gaza war (“Operation Protective Edge), yielding a total of 120 Israelis held in the Strip.

One hundred thirty-four hostages have been returned to Israel.

Pessach said that from the first wave of released captives in November, Israeli medical teams have adhered to a protocol they developed along with the Health Ministry, including investigating the nutritional and physical condition of the returnees, with lab tests, imaging tests and tests for the function of the heart and other organs. They also check for various injuries.

Furthermore, the returnees undergo a psychological and psychiatric evaluation and receive a psychological escort. A psychosocial team greets them first thing upon their arrival, he said.

Almog Meir Jan returned to the news that his father, Yossi, had died hours before his rescue after 246 days of captivity. His mother, Orit, who had a birthday on Sunday, said that “it is very, very difficult the way it happened and it saddens me that he cannot say goodbye to his father. Today we are going to bury him and we will give him the last honor he deserves.”

Image - GPO