The eight-page document, based on testimonies from released hostages, details a series of severe crimes committed by Hamas members, including sexual abuse, physical and psychological torture, systematic starvation, and deliberate medical neglect.

The report opens with a detailed description of the massacre in the Gaza envelope communities. "Hamas terrorists massacred residents in the Gaza envelope communities and nearby cities, brutally murdering hundreds of children, women, elderly, and men", the report states. "Children were torn from their beds, elderly, women, and men were kidnapped from their homes and taken captive. Some were wounded during the attack on their homes, while others were injured while being transported through Gaza's streets on vehicles and motorcycles, facing merciless beatings from the crowd".

The journey of humiliation and terror continued en route to captivity, as hostages were transported in open vehicles alongside bodies of murdered victims. Testimonies describe how captives were transported on motorcycles and open pickup trucks through Gaza's streets, while crowds beat them, threw stones, and humiliated them.

One of the most disturbing sections of the report deals with the abuse of minors. Two teenage boys held together testified that they were bound by their hands and feet and endured continuous beatings throughout their captivity. Medical examinations upon their return revealed binding marks, scars, and signs indicating injury from beatings.

The boys reported being forced to perform "acts of a sexual nature on each other", and that their captors performed sexual acts on them including full stripping, touching of private parts, and whipping of genitals. Two additional children were found with burn marks on their lower extremities, with one testifying this was deliberately done to him and others.

The report reveals that most women held in captivity experienced sexual assaults. One described being sexually assaulted at gunpoint. The captors forced most women to undress in front of others, including the captors themselves. Young women reported forced sexual contact, and some described being tied to beds while captors stared at them.

A particularly chilling testimony describes an elderly woman who was held alone in a dark room for 30 days, tied up and immobile, receiving minimal food and water, with no treatment for her injuries.

Men in captivity suffered particularly severe physical abuse, including:
– Prolonged starvation
– Severe beatings to all body parts
– Skin burning with iron implements
– Confinement in closed rooms with minimal food and water
– Solitary confinement with hands and feet bound
– Denial of access to toilets, forcing them to soil themselves

Deliberate Medical Neglect

The report reveals a pattern of systematic medical neglect. Hostages who were injured during the massacre or suffered from chronic conditions received inadequate medical care. "Injuries included fractures, superficial and deep shrapnel wounds, cuts, abrasions, and burns", the report notes. "In the rare cases where medical treatment was provided, it was partial and insufficient, leading to complications that could have been prevented with standard care".

In a particularly shocking case, injured women were tortured through painful medical procedures without anesthesia. "The women described experiencing pain at levels they had never experienced before", the report states.

Psychological Terror

Hostages were subjected to continuous psychological terror. Some were forced to watch the rape and murder of other hostages, deepening their sense of helplessness. They were kept in severe isolation conditions, exposed to propaganda and videos designed to break their spirit, and forced to watch media items intended to discourage them.

Systematic Starvation and Malnutrition

Approximately half of the returnees reported deliberate starvation that worsened throughout their captivity. Nutrition mainly consisted of small quantities of rice or pita, sometimes with hummus or cheese. The result was dramatic weight loss:
– Adults lost 8-15 kg (10-17% of their body weight)
– Children lost an average of 10% of their body weight
– In one extreme case, a girl lost 18% of her body weight

In the weeks preceding the release deal, Hamas attempted to conceal signs of abuse by overfeeding hostages to improve their appearance before release.

Case Studies: Consequences of Captivity

The report presents three case studies demonstrating the long-term implications of captivity:

A released child refuses to separate from his mother even for a moment, including during showering and sleeping. He barely eats, even foods he previously enjoyed, and shows signs of withdrawal and avoidance of social contact.

A girl who returned severely underweight suffered from treatment-resistant head lice. She displayed age-inappropriate emotional maturity and significant social withdrawal.

A released woman suffered from hearing damage and worsening kidney failure. She returned in severe psychological distress, with insomnia, anxiety, depression, and deep grief over the loss of family members and friends.

Healthcare Officials' Responses

Health Minister Uriel Busso: "The report is chilling testimony to acts that the mind cannot comprehend. These are intolerable acts that require the world to wake up and act".

Ministry of Health Director General, Moshe Bar Siman Tov: "The report emphasizes the urgent need to release all hostages. The healthcare system sees it as both a duty and privilege to provide optimal medical care and support to the returnees".

Dr. Hagar Mizrachi, Head of Medical Division at the Ministry of Health: "The severe physical and mental condition of the returnees provides the world a glimpse into the many atrocities committed by Hamas. Without the return of the hostages, families and communities cannot heal and return to normalcy".

The report, to be submitted to the UN this week, serves as a historical documentation of one of the most traumatic events in Israel's history, and stands as international testimony to the war crimes committed by Hamas against innocent civilians.