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After months in chains and darkness, freed Hamas hostages begin their long road to recovery

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After months in chains and darkness, freed Hamas hostages begin their long road to recovery

TEL AVIV, Israel (AP) — They will be treated for malnutrition, lack of sunlight and the trauma of wearing leg chains for months. They suffer from unexplained pain and unresolved emotions, and they will have to relearn how to make everyday decisions as simple as when to use the bathroom.

The last 20 living hostages released by Hamas are beginning a difficult path to recovery that will also include rebuilding a sense of control over their lives, according to Israeli health officials. Along the way, each one will be accompanied by a team of doctors, nurses, specialists and social workers to guide their reentry to society after two years of captivity in Gaza.

All of the hostages were in stable condition Monday following their release, and none required immediate intensive care.

“But what appears on the outside doesn’t reflect what’s going on internally,” explained Dr. Hagai Levine, the head of the health team for the Hostages Family Forum, who has been involved in medical care for returned hostages and their relatives.

The newly freed hostages will stay in the hospital for several days as they undergo tests, including a full psychiatric exam, according to protocols from the Israeli Ministry of Health. A nutritionist will guide them and their families on a diet to avoid refeeding syndrome, a dangerous medical condition that can develop after periods of starvation if food is reintroduced too quickly.

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Elkana Bohbot, an Israeli hostage released from the Gaza Strip waves walks off a helicopter at the Sheba Medical Center in Ramat Gan, Israel, Monday, Oct. 13, 2025. (AP Photo/Leo Correa)

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Hostages emerged thin and pale

After previous releases, some hostages and their families chose to stay together in a hotel north of Tel Aviv for a few weeks to get used to their new reality. Others returned home immediately after their discharge from the hospital.

All of the hostages who emerged Monday were exceptionally thin and pale, the likely result of enduring long periods without enough food, Levine said.

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The lack of sunlight and nutrition can lead to issues with the kidneys, liver and cognition, as well as osteoporosis. Many hostages wore leg chains for their entire captivity, which can lead to orthopedic problems, muscle waste and blood clots.

Elkana Bohbot told his family he suffers from pain all over his body, especially his back, feet and stomach due to force-feeding, according to Israeli television’s Channel 12.

“Ahead of his release, he received food in large portions so he will look a bit better for the world,” Rebecca Bohbot, Elkana’s wife, told reporters Tuesday from the hospital.

Some hostages who previously returned had minor strokes in captivity that were not treated, Levine said. Many also had infections and returned with severely compromised immune systems, which is why the number of visitors should be kept to a minimum, Levine said. He denounced politicians’ visits to the hostages as both unnecessary and potentially dangerous. Prime Minister Benjamin Netanyahu visited five hostages Tuesday evening and was diagnosed Wednesday with bronchitis.

“Previously released hostages were told they look ‘pretty good,’ but some needed surgeries that were very complicated. Some had constant pain. Many have all types of pains that they are not able to explain, but it’s really impacting their quality of life,” Levine said.

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Levine said Israel also learned from the 1973 Arab-Israeli war, when more than 60 Israeli soldiers were held for six months in Syria. Many of them later developed cancer, cardiovascular problems and accelerated aging and were at risk for early death.

The war began when Hamas-led militants burst across the Israeli border, killing around 1,200 people and kidnapping 251. The fighting has killed more than 67,600 Palestinians, according to Gaza’s Health Ministry, which is part of the Hamas-run government. The ministry maintains detailed casualty records that are seen as generally reliable by U.N. agencies and independent experts. It does not say how many of the deaths were civilians or combatants.

Ziv Berman, an Israeli hostage released from the Gaza Strip gestures from a minibus at the Sheba Medical Center in Ramat Gan, Israel, Monday, Oct. 13, 2025. (AP Photo/Leo Correa)

Ziv Berman, an Israeli hostage released from the Gaza Strip gestures from a minibus at the Sheba Medical Center in Ramat Gan, Israel, Monday, Oct. 13, 2025. (AP Photo/Leo Correa)

Restoring a sense of autonomy

The most important step for returning hostages is to help them regain a sense of control, explained Einat Yehene, a clinical neuropsychologist and the head of rehabilitation for the Hostages Families Forum. Many of the hostages were brought straight from Hamas tunnels, seeing sunlight for the first time in nearly two years, she said.

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“I’m happy to see the sun. I’m happy to see the trees. I saw the sea. You have no idea how precious that is,” Elkana Bohbot told his family, according to Israeli media.

“Stimulation-wise and autonomy-wise, it’s really overwhelming,” Yehene said. “Someone is asking you a question — do you need to go to the bathroom? Would you like to eat something? These are questions they never heard for two years.”

Hostages’ sense of autonomy can be jump-started by allowing them to make small decisions. According to protocol, everyone treating them must ask their permission for each thing, no matter how small, including turning off a light, changing bedsheets or conducting medical tests.

Some returned hostages are terrified of the physical sensation of thirst because it makes them feel as if they are still in captivity, Yehene said. Others cannot spend time on their own, requiring a family member to be present around the clock.

Among the hostages who have experienced the smoothest integration from long-term captivity were those who were fathers, Levine said, though it took some time to rebuild trust with their young children.

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“It’s a facilitator of recovery because it forces them to get back into the role of father,” Levine said. None of the women held in captivity for long periods of time were mothers.

Gali Berman, carries a placard reading in Hebrew

Gali Berman, carries a placard reading in Hebrew “The People of Israel Live,” as he sits onboard an IAF helicopter en route to the hospital after being released from Hamas captivity, on Monday, Oct. 13, 2025. (IDF via AP)

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The world starts ‘to move again’

The first few days after being released, the hostages are in a state of euphoria, though many feel guilty for the pain their families have been through, Yehene said.

For those who saw little media and have no idea what happened in Israel, people should take care to expose them to information slowly, she added.

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Yehene said she also saw an immediate psychological response from hostages who were released in previous ceasefires after Monday’s release. Many of the previously released hostages have been involved in the struggle to return the last hostages and said they were unable to focus on their own recovery until now.

“I see movement from frozen emotions and frozen trauma,” Yehene said. “You don’t feel guilty anymore. You don’t feel responsible.”

Iair Horn was released from captivity in February, but it did not feel real until Monday, when his younger brother, Eitan, was finally freed.

“About eight months ago, I came home. But the truth is that only today am I truly free,” Horn said, sobbing as he spoke from the hospital where his brother is being evaluated. Only now that Eitan is back “is my heart, our heart, whole again.”

Liran Berman is the brother of twins Gali and Ziv Berman, who were also released.

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“For 738 days, our lives were trapped between hope and fear,” Liran Berman said. “Yesterday that chapter ended. Seeing Gali and Ziv again, holding them after so long, was like feeling the world start to move again.”

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Video: How Venezuelans Worldwide Reacted to Overthrow of Maduro

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Video: How Venezuelans Worldwide Reacted to Overthrow of Maduro

new video loaded: How Venezuelans Worldwide Reacted to Overthrow of Maduro

For Venezuelans living abroad, news of the U.S. military intervention and President Nicolás Maduro’s capture triggered a wide spectrum of emotions, ranging from joy to anger and uncertainty.

By McKinnon de Kuyper

January 4, 2026

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Trump says Cuba is ‘ready to fall’ after capture of Venezuela’s Maduro

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Trump says Cuba is ‘ready to fall’ after capture of Venezuela’s Maduro

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President Donald Trump late Sunday predicted Cuba was “ready to fall” after U.S. forces captured Venezuelan leader Nicolás Maduro, warning that Havana can no longer rely on Caracas for security and oil.  

Trump said Cuba’s fate is now directly tied to Maduro’s ouster and the collapse of Venezuela’s ability to bankroll allies in the region.  

Asked if he was considering U.S. action in Cuba, Trump replied: “I think it’s just going to fall. I don’t think we need any action. Looks like it’s going down. It’s going down for the count.” 

The president’s comments during a press gaggle with reporters aboard Air Force One come after Saturday’s capture of Maduro and his wife on charges tied to a narco-terrorism conspiracy. The audacious operation has sent shockwaves through allied governments in the region, with Cuban officials calling for rallies in support of Venezuela and accusing the U.S. of violating sovereignty.

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MADURO AND ‘LADY MACBETH’ CILIA FLORES MARRIAGE SPELLS ‘WORST CASE’ CUSTODY SCENARIO 

President Donald Trump speaks with reporters while in flight on Air Force One, Sunday, Jan. 4, 2026, as returning to Joint Base Andrews, Md. (AP Photo/Alex Brandon)

U.S. officials say Cuban security forces played a central role in keeping Maduro in power. Secretary of State Marco Rubio said Cuban operatives effectively ran Venezuela’s internal intelligence and security operations – including personally guarding Maduro and monitoring loyalty inside his government. 

Protestors rally outside the White House, Saturday, Jan. 3, 2026, in Washington, after the U.S. captured Venezuelan President Nicolás Maduro and his wife in a military operation. (Julia Demaree Nikhinson/AP Photo)

“It was Cubans that guarded Maduro,” Rubio said. “He was not guarded by Venezuelan bodyguards. He had Cuban bodyguards.” 

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Cuba’s government acknowledged Sunday that 32 Cuban military and police officers were killed during the American operation in Venezuela, marking the first official death toll released by Havana. Cuban state media said the officers had been deployed at the request of Caracas and announced two days of national mourning.

US CAPTURE OF MADURO THROWS SPOTLIGHT ON VENEZUELA’S MASSIVE OIL RESERVES 

Trump confirmed Cuban casualties while traveling back to Washington. 

“A lot of Cubans were killed yesterday,” he said. “There was a lot of death on the other side. No death on our side.” 

Venezuelan leader Nicolás Maduro and Cilia Flores face ‘worst case scenario’ in U.S. custody, according to expert, with federal indictments on drug and weapons charges. ( Juan BARRETO / AFP via Getty Images)

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Trump also took aim at neighboring Colombia, accusing its leadership of fueling drug trafficking into the U.S.

UN AMBASSADOR WALTZ DEFENDS US CAPTURE OF MADURO AHEAD OF SECURITY COUNCIL MEETING 

“Colombia is very sick, run by a sick man who likes making cocaine and selling it to the United States,” Trump said, adding that the country, “is not going to be doing it for a very long time.” 

President of Venezuela Nicolás Maduro speaks during a military ceremony commemorating the 200th anniversary of the presentation of the ‘Sword of Peru’ to Venezuelan independence hero Simón Bolívar on November 25, 2025, in Caracas, Venezuela.  (Jesus Vargas/Getty Images)

He suggested the U.S. was prepared to act against narco-trafficking networks operating by land and sea, citing recent interdictions.  

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Trump also revived his long-standing focus on Greenland, arguing the Arctic territory is critical to U.S. security amid growing Russian and Chinese activity.

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“We need Greenland from the standpoint of national security,” Trump said. “Greenland is covered with Russian and Chinese ships all over the place.” 

Trump has framed Saturday’s operation as part of a broader effort to reassert U.S. dominance in the Western Hemisphere, invoking the Monroe Doctrine and warning that hostile regimes can no longer rely on one another for survival. 

Maduro is set to be arraigned in federal court in New York on Monday. 

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The Associated Press contributed to this report.

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Trump’s abduction of Maduro escalates concerns over potential war with Iran

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Trump’s abduction of Maduro escalates concerns over potential war with Iran

Washington, DC – Hours after the United States announced the abduction of Venezuelan President Nicolas Maduro, Israeli politician Yair Lapid issued a warning to Tehran: “The regime in Iran should pay close attention to what is happening in Venezuela.”

The forcible removal of Maduro from power came less than a week after US President Donald Trump met with Israeli Prime Minister Benjamin Netanyahu and threatened to launch new strikes against Iran.

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Although Washington’s tensions with Caracas and Tehran have different roots and dynamics, analysts say Trump’s move against Maduro raises the prospects of war with Iran.

“A new lawlessness makes everything less stable and war more likely,” said Jamal Abdi, president of the National Iranian American Council (NIAC).

“Whether Trump becomes enamoured with ‘surgical’ regime change, or gives Netanyahu a US imprimatur for similar actions, it’s hard not to see how this gives momentum for the many actors pushing for renewed war with Iran.”

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He added that Maduro’s abduction could prompt Iran “to do something that triggers military action”, including developing its own military deterrence or preempting US or Israeli strikes.

Negar Mortazavi, a senior fellow at the Center for International Policy, also said the US actions in Venezuela show Trump’s maximalist aims, further dimming the chances of diplomacy.

“What I see and hear from Tehran is that they are not interested in negotiating with the Trump administration the way this administration signals that they want total surrender,” Mortazavi told Al Jazeera.

“So, not much chance for diplomacy at the moment, which then opens the path to the opposite road, that is conflict. Right now, Israel, Iran and the US are on a path to potential conflict.”

Abdi echoed that assessment. “This action reinforces every doubt and suspicion about US intentions, and gives more credence to those in Iran who say engaging the US is useless and [that] developing a nuclear deterrent is vital,” he told Al Jazeera.

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Iran-Venezuela alliance

The US raid that abducted Maduro and brought him to the US came after months of intensifying rhetoric from Trump against the Venezuelan government.

US officials have accused Maduro of leading a drug organisation, and Trump and his aides have been increasingly arguing that Washington is entitled to Venezuela’s vast oil reserves.

Secretary of State Marco Rubio has also been emphasising Maduro’s ties to Iran, accusing Caracas, without evidence, of providing the Lebanese armed group Hezbollah a foothold in the Western Hemisphere.

Maduro is a close ally of Iran, and the two heavily sanctioned countries have been pushing to deepen their trade ties, which are estimated to be in the billions of dollars.

So, with Maduro gone, Iran’s small network of allies may shrink further, after the fall of leader Bashar al-Assad in Syria and the weakening of Hezbollah in Lebanon.

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The Iranian government was quick to condemn the US attack on Venezuela, calling on the United Nations to intervene and halt the “unlawful aggression”.

“The US military aggression against an independent state that is a member of the UN represents a grave breach of regional and international peace and security,” the Iranian Ministry of Foreign Affairs said in a statement.

“Its consequences affect the entire international system and will further expose the UN Charter-based order to erosion and destruction.”

On Saturday, Rubio suggested that Maduro’s abduction carried a message to all of Washington’s rivals in the Trump era.

“​​When he tells you that he’s going to do something, when he tells you he’s going to address a problem, he means it,” the top US diplomat told reporters.

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But Iranian Supreme Leader Ali Khamenei doubled down on his defiant rhetoric after the US raid in Caracas.

“We will not give in to the enemy,” Khamenei wrote in a social media post. “We will bring the enemy to its knees.”

Trump’s threats

Last week, Trump hosted Netanyahu in Florida and threatened to bomb Iran again if the country rebuilds its missile or nuclear programmes.

“Now I hear that Iran is trying to build up again, and if they are, we’re going to have to knock them down,” Trump said. “We’ll knock them down. We’ll knock the hell out of them.”

Israel launched a war against Iran in June, killing the country’s top military commanders, several nuclear scientists and hundreds of civilians.

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The US joined in the attack, bombing Iran’s three main nuclear sites.

While Trump has often reiterated that the US strikes “obliterated” Iran’s nuclear programme and celebrated the war as a success, the Iranian governing system survived the assault.

Tehran responded with barrages of hundreds of rockets against Israel, dozens of which penetrated the country’s multi-layered air defences, and Iranian forces were able to keep firing until the final moments of the war, before the ceasefire came into effect.

Some critics argue that regime change was and remains Israel’s goal in Iran, and Trump appears to be increasingly buying into that objective.

On Friday, Trump warned that the US is “locked and loaded” and ready to attack Iran if the Iranian government kills protesters amid the ongoing but sporadic antigovernment demonstrations across the country.

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He renewed the same threat late on Sunday. “If they start killing people like they have in the past, I think they’re going to get hit very hard by the United States,” the US president said.

So, could the US carry out a Venezuela-style government decapitation in Iran?

NIAC’s Abdi noted that Israel has already tried to kill the country’s top leaders, including President Masoud Pezeshkian, in June.

Trump also repeatedly threatened Khamenei with assassination, and Israeli officials confirmed that they sought to “eliminate” the supreme leader during the war.

“Iranian officials have said they accordingly have plans in place so that killing or removing senior leaders does not paralyse or topple the regime,” Abdi said.

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“It would be far messier to run a ‘snatch and grab’ operation on Iran, given their ability to retaliate against US interests and personnel.”

Venezuela without Maduro

Even in Venezuela, removing Maduro has not translated into a regime collapse, at least for now.

On Sunday, Vice President Delcy Rodriguez, now Venezuela’s acting president, stressed that Maduro remains the country’s only leader and condemned the US attack.

She also suggested that Israel was involved in the abduction of Maduro, a vocal critic of the US ally.

“Governments around the world are shocked that the Bolivarian Republic of Venezuela has become the victim and target of an attack of this nature, which undoubtedly has Zionist undertones,” Rodriguez said.

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Trump responded by threatening the acting Venezuelan president, telling The Atlantic magazine that she would pay a “very big price, probably bigger than Maduro” if she did not acquiesce to US demands.

So, the US president’s plans for “running” Venezuela and taking its oil are not complete yet, and will likely require more military action.

“I doubt Venezuela can be a ‘one and done’ or a quick ‘in and out’ situation, which is Trump’s favourite model. His brand is that he engages in quick shows of force, not forever wars,” Mortazavi said.

She cited swift operations that Trump has ordered, including the killing of ISIL (ISIS) leader Abu Bakr al-Baghdadi in 2019, the assassination of top Iranian General Qassem Soleimani in 2020, and the attack on Iran’s nuclear sites in June.

“Most Americans are tired of forever wars, especially in the Middle East, so the Trump administration knows they can’t sell more forever wars to Americans,” Mortazavi said.

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But Trump has already floated the prospect of a ground invasion of Venezuela.

“We’re not afraid of boots on the ground,” he said. “We don’t mind saying it, but we’re going to make sure that that country is run properly. We’re not doing this in vain.”

Abdi said that a long-term US involvement in Venezuela could indirectly stave off war with Iran.

“There is also the possibility that the US gets bogged down in ‘running’ Venezuela and doesn’t have the bandwidth to wage, or to support Israel launching, the next Iran war,” he told Al Jazeera.

“Iran was next on the menu after the US invaded Iraq in 2003, and we know what happened there, and Trump may not want to pronounce ‘mission accomplished’ just yet.”

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The oil question

Still, some critics – including Republican US Congresswoman Marjorie Taylor Greene – have argued that if the US succeeds in controlling Venezuela’s oil resources, it will be able to offset energy market disruptions from a possible war with Iran.

“The next obvious observation is that, by removing Maduro, this is a clear move for control over Venezuelan oil supplies that will ensure stability for the next obvious regime change war in Iran,” Greene wrote on X on Saturday.

About 20 percent of the world’s oil flows through the Strait of Hormuz, which Iran may push to shut down in the case of an all-out war.

Abdi said that Venezuelan oil “could theoretically provide some cushion” to the loss of exports from the Gulf region.

“But this would mean a lot of things going right for the US in Venezuela, and it is probably far too soon to make that judgement,” he said.

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