DEIR AL-BALAH, Gaza Strip (AP) 鈥 Hamas-led militants released three gaunt, frail-looking Israeli hostages and Israel freed nearly 200 Palestinian prisoners Saturday in the latest exchange of a ceasefire that has paused 16 months of war in Gaza.

The hostages鈥 condition and scenes of Hamas forcing them to speak in a handover ceremony sparked outrage in Israel and could increase pressure on Prime Minister Benjamin Netanyahu to extend the ceasefire beyond its current six-week phase.

Netanyahu has signaled he would resume the war, even if that means leaving dozens of hostages in captivity. 鈥淧resident Trump completely agreed with me: We will do everything to return all the hostages, but Hamas will not be there,鈥 Netanyahu said after the exchange.

Civilians Eli Sharabi, 52; Ohad Ben Ami, 56; and Or Levy, 34, were among about 250 people taken during the Hamas-led attack on Israel on Oct. 7, 2023, that sparked the war.

Israelis' joy turned to shock and tears when they saw their emaciated state.

Later Saturday, Israel released 183 Palestinian prisoners, some also appearing gaunt and weak. The Red Crescent said seven were taken to hospitals. Many Palestinians released during the ceasefire have appeared emaciated, and in custody.

It was the fifth exchange since the ceasefire began Jan. 19. Twenty-one hostages have now been freed.

The Red Cross said it was 鈥渋ncreasingly concerned about the conditions surrounding release operations鈥 and urged all parties to ensure releases are dignified and private.

A dozen more hostages yet to be freed in first phase

An Israeli Health Ministry representative, Dr. Hagar Mizrahi, noted 鈥渟evere malnutrition鈥 and a 鈥渟ignificant decrease鈥 in body weight in the hostages released, as families again feared for the dozens of others still held in Gaza. Not all are alive.

鈥淚f anyone had any doubt about how urgent it is to bring everyone back ... today we got a wake-up call,鈥 Moshe Or, brother of hostage Avinatan Or, told a weekly rally in Tel Aviv.

Gal Hirsch, Netanyahu鈥檚 coordinator for hostages, said that 鈥渨e will not remain silent about this. A message has been passed on to the mediators, and action will be taken accordingly."

Hamas' military wing said it had made efforts to preserve the hostages' lives "despite the (Israeli) bombardment.鈥

The ceasefire鈥檚 first phase calls for the release of 33 hostages and nearly 2,000 Palestinian prisoners, the return of Palestinians to northern Gaza and an increase in humanitarian aid to the devastated territory. Israel says Hamas has confirmed eight of the 33 hostages are dead.

U.S. President Donald Trump's to transfer the Palestinian population out of Gaza could complicate talks over , when Hamas is to release dozens more hostages in return for a lasting ceasefire. His proposal was but and most of the international community.

Hamas may be reluctant to free more hostages if it believes the U.S. and Israel are serious about depopulating Gaza, which rights groups say would violate international law.

Netanyahu on Saturday directed a delegation to go to Qatar to discuss the ceasefire agreement鈥檚 technical details, and the security Cabinet will meet about negotiations on the truce鈥檚 second phase, according to an Israeli official who spoke on condition of anonymity because they weren鈥檛 authorized to discuss details of the talks.

Hostages learn of loved ones' fate

Sharabi and Ben Ami were captured from Kibbutz Beeri, one of the farming communities , while Levy was taken from .

They are only now learning the fate of some family members, according to Israeli media. Sharabi鈥檚 were killed, and his brother Yossi died in captivity. Levy鈥檚 wife was killed. Ben Ami's wife, Raz, was released during a weeklong ceasefire in November 2023 that saw more than 100 hostages freed.

鈥淚t鈥檚 over, it鈥檚 over,鈥 Levy鈥檚 brother Michael said as they embraced.

鈥淚 left XXL, I came back medium," Ben Ami said as he hugged his daughters. One of them, Ella, told Israeli channel 12 that 鈥渋t took me a moment to realize that this was my father.鈥

The Palestinian prisoners released include 18 serving life sentences for deadly attacks on Israelis, 54 serving long-term sentences and 111 Palestinians from Gaza detained after the Oct. 7 attack but not tried for any crime. All are men, ages 20 to 61.

Virtually every Palestinian has a who has been imprisoned.

Seven of the released prisoners were transferred to Egypt. Others were transferred to Palestinian custody in the occupied West Bank, where cheering supporters welcomed them. Some had been detained over offenses ranging from bomb attacks to involvement in militant organizations.

They include Iyad Abu Shakhdam, 49, locked up for nearly 21 years over his involvement in Hamas attacks in crowded civilian areas that killed dozens of Israelis. That included a 2004 suicide bus bombing in Beersheba that killed 16 people.

鈥淔rom Oct. 7, 2023, to today we don鈥檛 know anything about what is happening outside the prison,鈥 Shakhdam said.

Another is Jamal al-Tawil, a prominent Hamas politician, whose last reported arrest was in 2021 over alleged efforts to entrench Hamas' leadership in the West Bank. He was transferred to administrative detention, a renewable six-month period in which suspects are held without charge or trial.

War could resume in March without a deal

The war 鈥 the deadliest and most destructive fighting ever between Israel and Hamas 鈥 could resume in early March if no agreement is reached.

Israel says it is committed to destroying Hamas, which within hours of the ceasefire. Hamas says it won鈥檛 release remaining hostages without an end to the war and a full Israeli withdrawal.

In the Oct. 7 attack, about 1,200 people, mostly civilians, were killed. More than 47,000 Palestinians have been killed in Israel鈥檚 retaliatory war, over half women and children, according to Gaza鈥檚 Health Ministry, which does not say how many were militants.

The Israeli military says it killed more than 17,000 fighters, without providing evidence. It blames civilian deaths on Hamas for operating in residential neighborhoods.

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Goldenberg reported from Tel Aviv, Israel. Associated Press writer Isabel Debre in Ramallah, West Bank, contributed to this report.

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