Trading in fluids / Dealing in lives
Today: Arwa Mahdawi, columnist at The Guardian, and author of Strong Female Lead; and Jennie Rose Halperin, digital strategist and librarian at NYU's Engelberg Center on Innovation Law and Policy.
Issue No. 362
Pregnant Women Are Selling Urine to Survive in Gaza
Arwa Mahdawi
HYDRANYM No.8: Vote!
The Editors
The Price of Survival
Jennie Rose Halperin
Pregnant Women are Selling Urine to Survive in Gaza
by Arwa Mahdawi
It’s been over 21 months since Israel started its genocidal campaign in Gaza. Most of the region has been turned into rubble, and into a mass grave. And still our elected officials are cheering it on. Lawmakers are not the only ones complicit in this genocide. Well-paid consultants at places like Boston Consulting Group and the Tony Blair Institute have been actively planning to turn the site of the 21st century’s greatest collective shame into a luxury resort. And much of the Western media continues to provide cover for Israel’s crimes: sanitizing unspeakable violence, and treating Israeli lives as far more valuable than Palestinian ones.
But what I want to do here and now is something every single person in the media should be doing: amplifying the stories of Palestinians who are living through genocide. Today I’m handing my Flaming Hydra space over to Husam Masrouf, a writer and poet from Gaza.
Husam contacted me via a mutual acquaintance to try and tell an under-reported story about MUAC (Mid-Upper Arm Circumference): a measure used by aid agencies to identify pregnant women at risk of adverse birth outcomes, and its role in the starvation of Gaza.
Here is Husam’s reporting. The names in this story have been changed.
A surreal lifeline
A person might come to believe that their body is their own—that their insides, their blood, their bones are not for sale. But in Gaza, where life is reinvented under drones and dignity is redefined every day, even the body is no longer one’s own.
In Gaza, a pregnant woman sells her urine, not for scientific fraud or manipulation, but in order to eat. To feed the life inside her.
The need for money in Gaza is urgent. Many have lost their sources of income because of the war. Life has come to a standstill, as if a wall has been erected in everyone’s path. To make matters worse, prices have skyrocketed; the price of some goods has increased a hundredfold. Everyone here is crying out in frustration, unable to meet their daily needs.
As a result, some resort to bizarre ways to make ends meet, like Amal, 34, who has sold samples of her urine to several non-pregnant women in Gaza.
Before the war, Amal’s husband owned a women’s clothing store, and they had a good life. But the Israeli strikes destroyed the building that housed their shop, reducing everything to rubble.
“I went for a malnutrition screening and was given food supplements because I met the criteria; I was five months pregnant and had suffered from malnutrition for a long time,” she told me. “I met a woman at an international clinic who offered to buy a urine sample from me for $28. At first I hesitated, but then I thought about my three children and our dire need, especially since my husband is unemployed. In the end, I agreed.”
No one can endure a collapse of services such as this. No one can pass through this tunnel without compromising their values. All of these people are victims of the faint, ineffectual global calls for aid to Gaza—whispers drowned out by bombs.
Amal continues: “The woman told me she needed the urine sample to qualify for the nutritional supplements. She wasn’t pregnant, but her children were severely malnourished and lacked even basic nutrition. I remember her wrist was extremely thin, only skin and bone. A few days later, the same woman called me again and introduced me to two more women who wanted to buy a urine sample. I ended up selling my urine a second time, and more.”
“Baking bread for others isn’t enough to feed my children, especially since my husband is unemployed and mentally struggling after losing everything he had,” she concluded. “My greatest fear is that my children will die of hunger. The war and famine have broken something in us—something that can never be repaired.”
When you are pregnant and frail, but don’t meet the MUAC cut-off
In western Gaza lives Farha, a 23-year-old woman recently separated from her husband. Her only brother was killed in the war.
“I used to work as a seamstress. My brother was a trader. We lived simply, but with dignity,” she says.
Now she does what she can to support herself and her sick, aging parents. “After my brother was martyred, I became the sole breadwinner. My father and mother can’t work. They can barely move.”
She is pregnant with her first child, and paralyzed with fear. Her arm circumference missed the MUAC cutoff by millimeters, so she didn’t qualify: both measures are required by the aid agencies for nutritional assistance.
Farha feels completely abandoned. “This pregnancy is not a joy. It’s a burden at a brutal time. Every moment I fear death, our house being bombed, my body collapsing, my parents dying without medicine or food.”
She told me she’s even heard of aid workers stealing. “I know a woman who saw an aid worker loading cartons of nutritional supplements at night to sell at the market, where each unit sells for $5. Meanwhile, we die waiting in line.”
Farha pleads: “I ask only for justice. Why am I being measured with a tape?”
R.P., a fieldworker for Médecins Sans Frontières (Doctors Without Borders), has been on the front lines for months, assessing the nutritional needs of pregnant women. She declined to give her full name due to institutional media restrictions.
“We see women every day whose bodies are collapsing. They come to give birth without having eaten. They sit in the corridors, shivering, waiting for labor.”
She criticizes the MUAC system, originally designed to assess malnutrition, for becoming a tool of exclusion. “There are women who are visibly malnourished and exhausted, but because their arm circumference is over 230 mm, they’re denied supplements.”
She also describes a deadly bureaucracy. “Even when we escalate cases, the response is slow. Some women miscarry, or die, before they get their first dose.”
Calling the situation in Gaza “worse than Somalia in 2011,” she concludes, “What the women of Gaza need is not a policy, but a miracle. Not laws, not protocols. Just food, water, and someone to listen.”
Israel has been besieging Gaza for over nine months, and is now engineering mass starvation by preventing the entry of food, medicine, nutritional supplements, and baby formula.
Between Amal and Farha are thousands of women we haven’t heard from, carrying life in hungry wombs, in the shadow of bombs, in half-ruined refugee tents. If and when they give birth, their children will carry in their cells the testimony of this age: That life triumphed, even when the whole world failed them.
Everyone here is hungry. Malnutrition is rampant. But the larger question remains: Why are people starving? Under what justification?
—Husam Masrouf
If you would like to donate to Husam’s Gaza-based publishing project, the link is here.
If you would like to donate to help people in Gaza, Medical Aid for Palestinians is a great organization.
Or you can donate to Crips for eSims for Gaza: an international collective of disabled people who have come together in support of Palestinans, helping Gazans regain internet access via eSims.
HYDRANYM No. 8: Vote!
by The Editors

HYDRANYM is a weekly word game for Flaming Hydra subscribers! Please see rules below.
A fine selection this round. Time to vote for your favorite!
On Thursdays all subscribers can vote from among the best 21 entries received on Tuesday and Wednesday, as judged by a panel of Flaming Hydra editors.
Winners will receive bragging rights, and their name and winning entry will be posted on the ANNALS of HYDRANYM page.
HERE IS YOUR BALLOT... VOTE NOW!
THE RULES OF THE FLAMING HYDRANYM
Players create an ENTERTAINING and APT acronym from the letters provided, using only (and all) the initial letters—and in the order shown.
If there is a theme specified, your HYDRANYM should refer to it in some way. For example if the theme were HISTORY, and the letters given G F P M, a possible submission would be:
Greeks Found Perseus Manly.
Come back on MONDAY when the victor shall stand revealed
HYDRAS IRL

Next Tuesday, July 22, join Hydra Carrie Frye in conversation with author Elon Green about his book The Man Nobody Killed at Malaprop's in Asheville.
The event starts at 6:00 p.m. and is free to attend; register here.
SOME SKYWRITING

![Bluesky post from Anna Merlan: If I wanted to make a newspaper really good I would drive out as many staffers as possible and rename it something like Big Jeff's Pro-Business Review [QUOTE POST from pbump.com: And, uh, some personal news: This is also my last column for The Post. I was offered and accepted a buyout. To answer one possible next question, I'm not sure what's next save taking some time off. If you want, you can enter your email at pbump.net and I'll let you know when I figure it out!]](https://storage.ghost.io/c/11/a3/11a34ed2-0d03-4467-9051-6142cc358694/content/images/2025/07/image-32.png)
![Bluesky post from Sam Thielman: excuse me I ordered an almond-filled croissant, this croissant is filled with rage [IMAGE: a pillowy beige pet bed with a tortoiseshell cat curled up inside]](https://storage.ghost.io/c/11/a3/11a34ed2-0d03-4467-9051-6142cc358694/content/images/2025/07/image-31.png)
The Price of Survival
by Jennie Rose Halperin

Liza and Adam, my grandmother’s best friends and neighbors, used to tell a dramatic—if somewhat vague—story about their lives in World War II. In their telling, Adam jumped off a cattle car heading to Auschwitz in late 1944 and fought his way through great adversity to Vittel, France, to join Liza, who had been deported from their native Warsaw to an internment camp, where she later gave birth to their son, Michael. Shortly after the war they moved to the United States, where the family became very wealthy after Adam founded a paint and brush factory based in Long Island City, Queens.
My grandmother and her best friends made a strange contrast. She was born in the Bronx to Yiddish-speaking immigrant parents and began working as a secretary at 16, a job she held in various iterations almost until her death. Quick-witted, sharp-tongued, and wildly well-read, she worked for many years as the personal secretary to Ted Thackrey of the New York Post, with whom she was rumored to have had one of her many affairs.
By the time Liza and Adam moved into my grandparents’ building on Jerome Avenue in the Bronx, they were already wealthy, but neither had any formal education past their early teens. Liza, who my grandmother said “fancied herself an intellectual” would read book reviews (just reviews, not the books) and then try to argue about them, which drove my grandmother nuts. My grandparents’ marriage ended in a messy and public divorce; Liza and Adam were devoted to each other and to their children, who were raised alongside my mother and her sister. My mother considered Adam to be more like her father than her actual father. Adam held my cousin at his bris.
Adam died when I was young, but Liza and Michael were there for all my family’s weddings, bar and bat mitzvahs, birthday parties, and funerals. We would occasionally spend vacations together at one of their homes in the Hamptons or Palm Beach, and Michael let me stay in his penthouse apartment when a bedbug infestation forced me to evacuate my dorm in college. Much like actual family, we couldn’t stand them most of the time, but we loved them. Liza died in 2014, a year after my grandmother, and Michael followed soon after. In a bizarre coda to his life, he turned out to be one of New York City’s biggest tax cheats, owing almost $16 million when he died. Although we were friendly with his siblings and children, our families lost touch soon after their deaths.
Though Liza sometimes spoke of her time in Cuba, where she and Adam had emigrated before coming to the United States, she rarely mentioned the Warsaw Ghetto, where she’d lived for at least three years. That was unremarkable in itself; many of those who survived while the rest of their families perished in the Holocaust choose to leave their trauma in the past. Liza and Adam were capitalists, Americans, liberals. For them, it was better to forget; their life before New York City was one of poverty, despair, and oppression. Their entire family was dead.
But even though we were told very little about their earlier lives, we knew that Adam had left a memoir, narrated to a ghostwriter and set down in both Polish and English. It was supposed to be published after the couple’s death.
Before 1939, Warsaw was home to a Jewish population of almost half a million people, about 30 percent of the city’s residents. In 1940 they were forced into a ghetto, where nearly the entire community died, either inside the ghetto walls or in the death camps to which they were sent following the Warsaw Ghetto Uprising in the spring of 1943. The number of escapees is unknown, but the Nazis were nothing if not thorough. In late 1943, after the liquidation of the Ghetto, they hatched a plot to lure the remaining Jewish inhabitants of Warsaw out of hiding.
A number of Jewish agents provocateurs working for the Nazis were involved in what became known as the Hotel Polski affair, which ultimately sent almost 3,000 people to their deaths. The scheme worked like this: most of the 30,000 Jews remaining in Warsaw were wealthy people who’d bought their way out of the Ghetto and gone into hiding on the Aryan side. German agents and the Jewish spies working with them found those in hiding and offered them a deal: the chance to buy travel documents, passports and visas, issued in neutral countries, which would allow them to leave Warsaw by way of a special internment camp in the German-occupied French spa town of Vittel. There, arrangements would be made to exchange them for German prisoners of war held abroad. More than 2,000 people agreed, despite their mistrust of the Germans and the warnings of the Polish Resistance that the deal was likely a trap. They were housed at the Hotel Polski while arrangements were made.
Starting in May 1943 the refugees were sent from the Hotel Polski to Vittel and later to Bergen-Belsen to await their chance. A few hundred, who were holding travel documents from the British protectorate of Palestine, really were eventually exchanged for German prisoners. But for the rest, months later the Germans determined that nearly all their documents were fraudulent; they sent the Hotel Polski refugees in Vittel and Bergen-Belsen to Auschwitz. The remaining undocumented Jews in the hotel, some 450 people, were executed.
One of those transports from Vittel to Auschwitz was the train from which Adam jumped, working his way back to Vittel to be with Liza, until they were able to emigrate to Cuba.
About a year after Michael and Liza’s deaths, my aunt called me. My uncle, a World War II buff, had been reading a book that mentioned the Hotel Polski affair and recognized a familiar name: Adam’s. The book revealed that Adam himself had been the primary orchestrator of the Hotel Polski affair, and a collaborator with the infamous Żagiew group and Group 13, a network of Jewish Gestapo agents. In a paper published in Holocaust: Studies and Materials, scholar Agnieszka Haska writes, “in his memoirs, [Adam] portrays himself as a knight-hero figure, who had never tarnished his hands with collaboration, but played a game with the Germans (and with the Poles), aimed only at saving his own family.”
In the memoir, which was ultimately self-published by his ghostwriter in 2016, Adam tells a truly incredible story: a prodigious teenage opera singer, he was admitted to the Catholic Warsaw Institute for Music as a high school student, even though he was Jewish. Using his student ID card to prove he was Catholic, he was able to live as an Aryan outside of the Ghetto, often visiting his impoverished girlfriend Liza. He hustled the residents of the Ghetto by selling and trading goods, which got him noticed by the Nazis. But, he promises, he was not a Jewish Gestapo agent; he was just pretending, in order to rescue people from the Ghetto. He obtained several guns from Christian friends in order to protect himself and his community, and he learned the brush-making skills that would later make him rich by selling brushes to the Wehrmacht. His daring escape from the train to Auschwitz appears to be true—even after he’d turned over thousands of people, the Nazis still tried to send him to his death.
In 1943, Adam was also sentenced to death by the Polish Jewish Underground, and according to both his memoirs and my family’s memories, the surviving members of the underground living in New York continued to harass him for the rest of his life, appearing in the lobby of my family’s building in the Bronx, at his residence in Manhattan, and probably even at his funeral. The memoir also reveals that most Jewish-owned companies refused to do business with him, and tells of the anonymous letters he and Liza received. He says that Liza experienced extreme despair at what she saw as a misunderstanding, of their inability to “ever live a normal life.”
In the book’s climax, Adam narrates his appearance before a “Beit Din” (Jewish Rabbinic tribunal) in the 1950s, where, he claims, he was absolved of all crimes. He tells several touching stories about various people apologizing to him for their accusations of collaborationism that stretch the imagination. My aunt remembers this differently; she says that when Liza and Adam went again to the Rabbinate in the 1970s, they were denied forgiveness by the tribunal.
I’ll admit that I only skimmed the memoir. The rest of my family refuses to read it. It’s too painful to consider the past that was kept from us, to try to piece together what my grandmother might have known, what Adam’s children were or were not told, and what we chose to ignore to maintain our friendships.
It almost feels like the punchline to a bad joke or an episode of Curb Your Enthusiasm; my very American grandmother knew only a few Holocaust survivors, and one of them turned out to be a collaborator. Still, I can’t imagine what it felt like for her, having lived in the United States through the Holocaust, to know the fate that could have been hers if her parents had made different choices only a few years before. I have to believe that despite all the evidence to the contrary, my grandmother chose to trust, to believe that Adam’s survival was proof enough of his goodness.
When I interviewed her for this article, my aunt said that she still found it hard to judge, that what Adam did, “he did for survival.” He behaved foolishly at best, unbelievably selfishly and evilly at worst, but in one way, she’s right: he got out alive. His will to survive is the only truth we can know for sure.
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