The shocking effects of captivity are all too clear in this picture of Rachel Chandler, who has been held by Somali pirates for the last three months.
The image was taken by a French news agency that was allowed to accompany a doctor who examined Mrs Chandler and her husband Paul, who are being held separately.
The strain on 56-year-old Mrs Chandler’s face is clearly visible as she sits with her dress hanging loosely from her thin shoulders.
Yesterday she renewed her plea for urgent help, saying: ‘We have not much time left and are being badly treated. Please help us – these people are not treating us well.’
She went on: ‘I’m old, I’m 56, and my husband is 60 years old. We need to be together because we have not much time left. These people are treating us so cruelly.’
This is only the second time Mrs Chandler, an economist, has been seen since she and her husband were kidnapped in October at gunpoint as they sailed in their yacht towards Tanzania.
The last time was in November, when a video taken by the kidnappers – who are demanding a £1.9million ransom – was shown on Channel 4.
They have made other pleas for help in desperate phone calls, most recently on January 21, but the physical deterioration in yesterday’s new images are clear.
The Somalian doctor who examined Mrs Chandler said she was suffering a heavy ‘mental’ toll as well, which was manifested in ‘insomnia’.
Surgeon Mohamed Helmi Hangul, who spent three weeks securing permission to visit the couple, said: 'She's very confused, she's always asking about her husband - "Where's my husband, where's my husband?" - and she seems completely disorientated.'
'If I was with my husband I would feel a lot better,' Mrs Chandler told the medic.
'It's because I am not with my husband that I am feeling so lonely and desperate and finding it difficult to sleep.
'I need to be with Paul. We are husband and wife. We have always been together and we look after one another.'Mr Chandler also appeared gaunt in the video taken last Thursday but released last night.
His ribs could be seen as he lifted his shirt to be checked by the doctor, who reported he had a cough and a fever.
In the video, filmed by the AFP photographer, Mr Chandler, a retired quantity surveyor, called on the British Government to intervene.
'I just want to say please to my government, get me and my wife out of here. We are innocent we have done nothing wrong.
We have no money and can’t pay a ransom. We just need the Government to help, anyone who can get us out of here.
‘Day after day and this is 98 days of solitary confinement, no exercise. I don’t know what to do.’
Mr Chandler finally pleaded: ‘Will somebody please help? The government or somebody else.’
Dr Hangul added he had not been allowed to bring any drugs with him but left a prescription-with the pirates.
‘I gave them some advice and told them, “Your hostages can die. All you want is money so treat them well, let them reunite”,’ he said.
Mrs Chandler’s brother, Stephen Collett, was too distressed to comment last night.
A family friend said: ‘This is a highly distressing time for the family. They know the stakes are high and they are in an impossible position.
'The pirates want an unaffordable ransom and the Government won’t pay it.’
There has been sporadic communication with the Chandlers since they were captured, although this was the first time a journalist had been able to meet them.
Eleven days ago Mr Chandler spoke to ITV news, explaining their captives had ‘set a deadline of three or four days’, after which they expected to them to ‘kill us and abandon us in the desert’.
In a separate call, Mrs Chandler said she had been hit with an object she believed was a gun.
A gang member told the Daily Mail last month that the couple, from Tunbridge Wells, Kent, would be shot by the end of February if they were not paid a $3million ransom.
The Chandlers are being held in rugged areas between the coastal village of Elhur and the small inland town of Amara but are moved every 48 hours.
Foreign Secretary David Miliband has already insisted the Government will not become involved in any ransom payments.
A Foreign Office spokesman last night said: ‘We are doing everything we can to help secure their release.
'We remain in regular contact with the family and are providing support. We call for the safe and swift release of Paul and Rachel.'
How events unfolded after the Chandlers were captured aboard their yacht
One of the Somali pirate crews that operate off the country's coast and regularly attack shipping. This particular group seized 29 ships in 2008 and earned £6million in ransom money
Mr Chandler is examined by the doctor who visited with the video journalist: He and his wife are being held in separate locations in rugged countryside between the coastal village of Elhur and the small town of Amara
Mr Chandler, 60, pleaded for help and said conditions they were being held in were 'difficult'
Mrs Chandler being examined by the Somali doctor Abdi Mohamed Helmi.Disorientated: Rachel Chandler looked frail and weak in the video footage. She and her husband have been held for three months
With guns pointed at their backs, Paul and Rachel Chandler are forced to beg for mercy in a video released by their Somali kidnappers three months ago
The Chandlers looking healthy in Kerala, India - the couple were on a round-the-world trip when captured by pirates
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