At least one-third of the 136 hostages still in the Hamas terror group’s custody in Gaza are at imminent risk of death, a disturbing report released on Tuesday found.

The report came a day after several former hostages, who were released during a temporary Israel-Hamas truce at the end of November, testified that those still in captivity in Gaza had been subjected to extreme forms of violence, including sexual assault at gunpoint and amputation.

“The testimonies from those who have been released reveal severe mental and physical abuse. This includes brutal sexual assault (men and women) mutilation, torture, starvation and dehydration, and a lack of medical care, with no access to Red Cross representatives. The worsening health of these hostages, both men and women, is alarming,” the report, released by the Hostages and Missing Persons Families Forum, stated.

The forum was established by families of the abductees who were kidnapped to Gaza during Hamas’ Oct. 7 onslaught across southern Israel, as well as by the families of people who went missing due to the attack.

A third of the hostages are suffering from chronic illnesses that need immediate treatment, including diabetes, Crohn’s disease, cancer, and heart and kidney disease. The hostages suffering from those diseases include young people — such as 22-year-old Omer Wenkert, who has ulcerative colitis, and 35-year-old Dolev Yehud, who suffers from kidney and thyroid diseases — and older people, Israeli Jews and Arabs alike.

A chilling testimony by Agam Goldstein-Almog, 17 — who was released after 51 days of captivity along with her mother, Chen, 49, and siblings, Gal, 11, and Tal, 9 — was screened at a rally in Tel Aviv.

“One day we moved from a house to a tunnel, suddenly a door opened, and we met six girls. We realized that there were girls who were alone. Many girls experienced severe sexual abuse, they are injured — very, very serious and complex injuries that are not being treated,” she said. “They dress their wounds themselves, or we helped them.”

In captivity in Gaza, “you live death,” she said.

“You don’t know when it will catch you and how it will look, if it will happen through torture or if they will just shoot you or even if it’ll be by the bombings from the air force,” she continued. “You’re always thinking about what death will look like.”

Goldstein-Almog’s mother, Chen, a social worker, said she saw some of the female hostages still being held in Gaza during her time there, and they had suffered weeks of isolation as well as sexual abuse.

“There were girls who spent 50 days and more alone. When they were sad, crying, their captors would stroke them and touch them. They described accounts of sexual abuse under gunpoint on a regular basis,” she said.

“Some of the girls were badly wounded and haven’t been getting proper medical care. Gunshot wounds, even lost limbs. They said they can cope with the disability but not with the manner they were constantly violated,” she added.

Chen Almog-Goldstein’s other daughter, Yam, 20, and husband Nadav were among the 1,200 people murdered by Hamas terrorists during their Oct. 7 massacre.

Eighteen-year-old Ofir Engel’s testimony, in which he described the pride with which he was shown off like a trophy, was also screened at the Tel Aviv rally.

“In Gaza we were immediately brought to a home, as if they were proud to show what they managed to catch,” said Engel, who was released after 54 days. “We were constantly told that we won’t return alive, that no one wants us in Israel, and that our families don’t care about us. Every day, they broke us a little more, and then a little more.”

Tuesday’s report, which was released to coincide with the three-month anniversary since Oct. 7, was accompanied by a letter from eight Nobel Prize laureates who urged the UN, Red Cross, and World Health Organization to advocate for the hostages’ release and to facilitate access to medical aid in the meantime.

Prof. Hagai Levine, head of the forum’s medical team, issued a stark warning: “All the hostages face immediate mortal danger. Some will not survive 100 days in captivity without proper care.”

A day earlier, Israeli media reported that the Israel Defense Forces (IDF) is aware of the exact whereabouts of Yahya Sinwar, Hamas’ chief in Gaza, but is refraining from carrying out a strike because the terror leader was surrounding himself with dozens of hostages as human shields.

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