Show Hide image Science & Tech 23 February 2015 Sex isn’t chromosomes: the story of a century of misconceptions about X & Y The influence of the XX/XY model of chromosomal sex has been profound over the last century, but it’s founded on faulty premises and responsible for encouraging reductive, essentialist thinking. While the scientific world has moved on, its popular appeal remains. By Ian Steadman When the International Astronomical Union (IAU) reclassified Pluto from planet to dwarf planet in 2006, it did nothing to change the fact of the existence of Pluto. Its status, however, is an innocuous example of how science is not always an objective descriptor of reality, but an interpreter, loaded with the context of previous generations – how the Greek “planetai” and the post-Copernican “planets” were both labels to describe things that moved in the heavens, even if we realised those things weren’t actually that similar to each other on closer inspection over time. The scientific process often involves tweaking taxonomies. Humanity saw distant objects above, and the taxonomy we built was simple: two entries, one labelled “planets”, the other “stars”. Over time we added extra things, like asteroids (rocky) and comets (icy), to cover new discoveries – and, then, even further research (and pictures like those returned by the Rosetta probe) meant that some of the things we thought made asteroids and comets very different were really only a reflection of our perspective. (And, for what it’s worth, at the same meeting in 2006 where the IAU created the new term “dwarf planet” for objects like Pluto and “planet” for, y’know, planets, it also voted to use “small Solar System body” for everything else. This too will pass, probably.) We all believe in the existence of comets and asteroids, even though the colloquial distinction between them makes less and less formal sense – would we bother with two different names if we’d only discovered them today? What purpose would drawing the dividing line between them that way serve? Famously, when the first taxidermied duck-billed platypus was sent back to London by naturalists working in Australia, it was believed to be a hoax, as it refused to cohere to the then-accepted definitions of mammals and birds by insisting on being a hairy warm-blooded creature that laid eggs. The taxonomical status of the platypus (and the few other egg-laying monotremes that have yet to become extinct) is still a subject of debate to this day - biologists have found it has genes usually only present in fish and amphibians. A male platypus even has ten sex chromosomes (XYXYXYXYXY), instead of the normal two for a mammal. Ah, but there’s a weasel word there: “normal”. And with sex chromosomes, perceptions of “normal” play a huge role – not only in what we think that they are and do, but in the very existence of the term “sex chromosomes”. This is the subject of Sarah Richardson’s revelatory book Sex Itself: The Search for Male and Female in the Human Genome, a history of the science of sex and the invention of the sex chromosome concept – one that Richardson argues we should reject entirely as a mistake that has led to bad science, societal prejudice and widespread misunderstanding of what sex really is. This is the point in talking about this issue where, so to speak, things can fall apart. Just as mammals not only don’t lay eggs, but shouldn’t, it can come across as a bizarre postmodern self-indulgence to say that humanity isn’t split neatly in two on the basis of whether they’re chromosomally male (XY) or female (XX). This is a framework that makes intuitive sense to almost everyone because it correlates exactly with sexual dimorphism – there are those with penises, and those with vaginas, and with a bit of luck combining the two means we end up with even more humans that each have their own penises or vaginas. But like the platypus, it’s crucial not to think the taxonomy more important than the reality it’s meant to describe. As Claire Ainsworth writes for Nature, the science of sex has, for some years now, recognised that sexual characteristics exist on a spectrum – not as a binary: Sex can be much more complicated than it at first seems. According to the simple scenario, the presence or absence of a Y chromosome is what counts: with it, you are male, and without it, you are female. But doctors have long known that some people straddle the boundary – their sex chromosomes say one thing, but their gonads (ovaries or testes) or sexual anatomy say another. Parents of children with these kinds of conditions – known as intersex conditions, or differences or disorders of sex development (DSDs) – often face difficult decisions about whether to bring up their child as a boy or a girl. Some researchers now say that as many as 1 person in 100 has some form of DSD. ... Since the 1990s, researchers have identified more than 25 genes involved in DSDs, and next-generation DNA sequencing in the past few years has uncovered a wide range of variations in these genes that have mild effects on individuals, rather than causing DSDs. Ainsworth’s article is an excellent overview of the current state of the science of sex; Richardson, as a historian and philosopher of science, excels at telling of the people whose work (and whose mistaken assumptions) has misled popular thinking on sex over the years. She describes how existing sex and gender stereotypes were projected onto chromosomes by early researchers, in turn creating and reinforcing the misunderstanding among the wider public that the strict XX/XY binary is a true synecdoche for sexual dimorphism. In reality, there are extremely few sexual characteristics solely controlled by the presence or absence of a Y chromosome – and just as there are plenty of characteristics controlled by genes found on other chromosomes, the “sex” chromosomes also carry genes that determine traits that have nothing to do with sex. Y is not the essence of masculinity, nor is X that of femininity. As Richardson writes: Gender has helped to shape the questions that are asked, the theories and models proposed, the research practices employed, and the descriptive language used in the field of sex chromosome research... Today, scientific and popular literature on the sex chromosomes is rich with examples of the gendering of the X and Y. Humorous maps of the X and Y chromosome – pinned up on laboratory walls and always good for a laugh in an otherwise dry scientific talk – assign stereotypical female and male traits to the X and Y, from the ‘Jane Austen appreciation locus’ to ‘channel flipping’. The X is dubbed the ‘female chromosome’, takes the feminine pronoun ‘she’, and has been described as the ‘big sister’ to ‘her derelict brother that is the Y’ and as the ‘sexy’ chromosome. The X is frequently associated with the mysteriousness and variability of the feminine, as in a 2005 Science article headlined ‘She Moves in Mysterious Ways’ and beginning, ‘The human X chromosome is a study in contradictions’. The X is also described in traditionally gendered terms as the more ‘sociable’, ‘controlling’, ‘conservative’, ‘monotonous’, and ‘motherly’ of the two sex chromosomes. Similarly, the Y is a ‘he’ and ascribed traditional masculine qualities – ‘macho’, ‘active’, ‘clever’, ‘wily’, ‘dominant’, and also ‘degenerate’, ‘lazy’, and ‘hyperactive’.” We treat the X and Y chromosomes in a way we’d never think of treating other physical characteristics – many people who would think it absurd or rude to tell a stranger that “really you’re male, though” because they have short hair, or a penis, or excess body hair, nevertheless think nothing of doing so when it comes to having XY chromosomes. Sex Itself is the story of how some scientists became convinced that there was something in the body, and then the cell, and then the genome, that would literally be “sex itself” – the only thing that truly mattered for sex, the thing that was its true source and the thing that finally allowed for a simple, causational definition of sex. It’s also the story of how the premise of that entire argument was wrong from the start. Surprisingly, though, the emergence of the “sex chromosome” concept didn’t happen immediately – while the term itself was first coined by Edmund Wilson of Columbia University in 1906, and not generally accepted by the rest of the science world until the 1920s due to its incompatibility with what was already understood about inheritability. During the 19th century, biologists were “fascinated by the diversity of forms of sexual dimorphism and intersexuality in nature”, Richardson writes. Sex was seen as something that began before conception and which could change before and after birth – experiments with castrated chickens, and male guinea pigs given ovaries through transplants, gave rise to what was known as the “metabolic model”. A combination of environmental factors – like the health of the parents, or the temperature of an egg – determined the sex development of the offspring. By the end of the century, though, microscopes had improved enough to allow biologists to see inside the nuclei of cells, and researchers “raced” each other to try and identify the cellular evidence that would confirm the theories put forward by Darwin in On The Origin of Species in 1859. It didn’t take long for chromosomes to be found - but German cytologist Hermann Henking found a weird, unpaired chromosome in the sperm of a fire wasp in 1891. He called it the “X element”, and others speculated that it might be a “degenerate” or “accessory” chromosome that no longer serves a purpose, like the appendix in the human gut. Between 1903 and 1906, Nettie Stevens (left) at Bryn Mawr College in Pennsylvania investigated this “X element”, and found that it wasn’t alone – there was a tiny Y chromosome hidden right next to it. Elsewhere, Wilson (he who first used the phrase “sex chromosomes”) also found the Y, and agreed with her that its presence seemed to influence the development of male sex characteristics. (Richardson takes some time to sardonically note the extraordinary achievements Stevens, who was never offered a full faculty post, made “in the face of few opportunities for women” – when she applied for post-doctoral funding from the Carnegie Institution in 1903, she “assembled stunning letters of recommendation” from America’s most prestigious cytologists, and “none failed to note her brilliance – for a woman”.) Stevens and Wilson both agreed that the X and the Y had something to do with sex – but they disagreed as to what. Stevens thought that sex must be one of the traits carried on the X, in the same way other chromosomes seemed to carry multiple traits; Wilson, instead, saw them as solely sex-determing. There was “a whole-chromosome effect – one X kept things titled towards maleness, while two Xs pushed the balance in favour of femaleness”. The two worked to refute each other until Stevens died in 1912, aged 50. By 1920, Wilson’s version of the chromosomal theory of sex won out, as the term “sex chromosomes” became almost ubiquitous in the scientific literature, displacing “accessory chromosomes”, “hetero-chromosomes” and “idiochromosomes” as popular alternative labels. This came after a strong fight from those who disagreed. Richardson writes of Thomas Montgomery at the University of Philadelphia, who called the sex chromosome theory “an absurd and simplistic overextension of the chromosome theory of heredity”; and of Thomas Hunt Morgan, one of the leading figures in the young field of embryology, who blasted it for inventing “a special element that has the power of turning maleness into femaleness”. Calling them “sex chromosomes” ran against the accepted convention of naming other chromosomes after their size and structure within a cell, not their function. And there were still unanswered questions: what the hell was going on with species that reproduce with more than two X accessory chromosomes at a time? What about odd numbers of sex chromosomes? A significant number of species didn’t reproduce in line with the neat sex chromosome theory. Wilson was one of those who tried to integrate the sex chromosomes into the metabolic theory – with sex chromosomes, hormones and environmental pressures each influencing how offspring move through different parts of the sex development spectrum – but the damage, Richardson argues, was done. One of the main reasons the name had such appeal, she argues, is that the 1920s and 30s was when oestrogen and testosterone were first isolated, and the idea of binary “sex hormones” captured the popular imagination: By the mid-1920s, hormones had become, like genes today, the most prominent object of biomedical, pharmaceutical, and popular interest to emerge from modern biology. Sex hormones seized the public imagination and became a node through which ideas were exchanged between scientific theory and cultural norms, ideologies, and expectations. Scientists promoted the view that the sex glands were the ‘master glands’ of the endocrine system... Pharmaceutical hormone therapies promised new fertility aids and offered the prospect of a simple, highly effective means of birth control. Many also believed hormones would permit the correction of modernity’s gender deviants – feminist spinsters, homosexuals, impotent males, and frigid wives. The endocrinology pioneer Eugen Steinach promoted testicular transplantation as a medical cure for homosexuality and a 'rejuvenation' therapy for low virility and listlessness in elderly men.” (It was around this time, by the way, that Frank Buckley, the then-manager of Wolverhampton Wanderers, started a rumour that he was injecting his players with a serum taken from monkey glands to improve their performance. The sex hormone fad was weird.) In this context, sex chromosomes made perfect sense – a matching pair to go with the hormones that determine maleness and femaleness. By the end of the 1930s, the metabolic theory had been discarded in favour of this new model, where the genetic sex (XX/XY) causes the developments of either testes or ovaries, which in turn create the sex hormones that take care of the rest. This two-stage process was “a powerful mutually self-reinforcing framework for the biology of sex”, and the foundation upon which later work – like the idea that sex is biological and fixed, and gender social and malleable - was built. This can been seen in how the sex chromosomes began to influence debates on gender and sexuality. There was speculation that the Y chromosome “represses” the feminine X, or that femaleness is the “absence” of maleness; or, that the “greater intellectual variability among males” (ie, why male researchers thought men were smarter than women) was down to the lottery of having a single X chromosome. With two Xs, unusual recessive traits would be more commonly repressed, but with one, rare genes presumed responsible for genius must be allowed through. And, similarly, early women's rights activists and feminists, as well as male writers like the anthropologist Ashley Montagu, seized on the idea of having twice as much X as men as the scientific justification for what was really women's “biological superiority” over the male. The idea of the X and Y carrying “sex itself” was entrenched, helped by the fashionable eugenics of the time that saw biology as the justification for a range of racist, sexist and classist prejudices. This only became worse after the Second World War, with the discoveries of DNA and the first specific chromosomal causes for certain illnesses (like Down’s Syndrome, caused by an extra chromosome 21). The fashion was to think of genetics as the reductive answer to everything – it felt like every physical characteristic, from eye colour to height to intelligence to sex, was caused by the presence or absence of a single gene or set of genes. The sex chromosomes of the 1930s hormonal model – “the genetic homunculi underlying sexual dimorphism”, as Richardson calls them – fit perfectly into this new paradigm. Karyotypes (pictures of chromosomes against a stark white background) became widely known, giving people perhaps the first real iconic image of the human genome. The sex chromosomes were shoved to the margin or to the end of the last row, accentuating their perceived difference – the format still used today: A human male karyotype. Image: Wikimedia Commons Sex Itself has plenty of stories about the general public not understanding that X and Y are not all there is to sex, but it has even more when it comes to scientists leaning on theoretical models built on sand not realising until too late. (Though that isn't to say this was true of everyone – Richardson finds plenty of evidence of geneticists struggling to figure out how much influence they should really ascribe to the X and the Y.) One particularly damning example is that of the so-called “super male” – the discovery by a researcher that an unusually high number of men incarcerated in an Edinburgh prison had an extra Y chromosome (making them “XYY males”), leading to speculation that “it predisposes its carriers to unusually aggressive behaviour”. The amount of time spent investigating this hypothesis, and its influence on pop culture, is astounding: The so-called XYY syndrome was a mainstream target of investigation in the most prestigious journals of biology, genetics, and cytogenetics... by 1970, nearly two hundred papers on the link between XYY and aggression had appeared in the scientific literature. Between 1960 and 1970, XYY research comprised 82 per cent of all published scientific studies on the human Y chromosome. It accounts for 28 per cent of the entire body of Y chromosome research generated in the quarter-century between 1960 and 1985. ... As Jeremy Green records, ‘by the early 1970s, there had been at least two thriller films in which the main character is a violent criminal driven by a chromosome abnormality, a series of crime novels with an XYY hero (who constantly wrestles with his inner compulsion to commit crimes), and as a spin-off from the novels, a TV series called The XYY Man’. The Oxford English Dictionary cites Peter Cave’s 1974 Dirtiest Picture Postcard as the earliest English-language usage of the Y chromosome in a nonscientific text: ‘You’ve buttonholed me to give me long and boring lectures upon Germaine Greer, the faulty Y chromosome and the drudgeries of housework and child-bearing’. But of course there was no link between having an extra Y chromosome and extra “maleness”, because maleness is not defined by the Y chromosome. Stereotypically male traits (like aggression, even though not every XYY male in a prison was there because of violent crime) are a result of a complex interplay of nature and nurture, and the projection of the western concept of maleness onto the Y chromosome led to untold hours of research into a dead-end. And this type of thinking was common with the X chromosome as well - Richardson describes how Klinefelter (XXY) males were seen as more “mother-dependent”, and tested to see if they were more like men or women in their verbal and social skills. XXY males look like men, and most men with the extra chromosome never realise they have it – yet researchers often interpreted their deviations from normal maleness (like larger breasts or smaller testes) not on objective terms, but as “feminised” male traits, in turn creating a stigma. The last gasp of the sex chromosome theory came in the 1990s, with the discovery of the SRY gene on the Y chromosome – without it, the development of male gonads is impossible. It’s the only genetic tag found only in those who present as male, and is the best candidate to underpin the classic sex chromosome theory. But, as Richardson writes: “Today the SRY gene is understood as one among the many essential mammalian sex-determining factors that are involved in the genetic pathways of both testicular and ovarian determination. Mammals require cascades of gene product in proper dosages and at precise times to produce functioning male and female gonads, and researchers recognize a variety of healthy sexual phenotypes and sex determination pathways in humans.” Ascribing biological sex based on the presence or absence of the SRY gene makes no sense when it’s only part of a massively complex network of other biological and environmental factors, especially when it’s not even necessary in every species of mammal. (And perhaps we owe our Victorian ancestors some belated recognition here for their more nuanced appreciation of sex development.) Many scientists strenuously argue that research into the genetics of race shouldn’t begin by cataloguing genomes by what we perceive to be different racial groups, to avoid projecting racial bias onto results – shouldn’t we do the same for sex? Richardson points to several different groups as responsible for digging genetics out of its chromosome-determining rut: criminal psychologists, clinical physicians and, above all, feminists, whose interrogations of gender and sexuality (often from outside the scientific academy) created an important body of empirical evidence. Anne Fausto-Sterling and Jennifer Graves, in particular, as well as feminist science pressure groups like the Society for Women’s Health Research, are cited as important critics of the binary representation of biological or genetic sex - and critical to the post-2000 “conceptual shift” towards the complex model we know today, where the interplay of different genetic and environmental factors gives rise both to physical sex characteristics and aspects of the psychological feeling of gender identity. Sex Itself is a comprehensive demolition of the very term “sex chromosomes” – a taxonomy from nearly a century ago, stumbling along half-alive in the public’s imagination but long overdue a visit to the glue factory: Gender ideology is dynamic, persistent, and ever-present in genetic and genomic research on sex and gender; it cannot be surgically or permanently excised from the science. Rather than seeking to somehow eliminate gender in science, we are better advised to focus on modeling the many roles of gender assumptions in particular areas of the sciences to develop gender-critical methods for and approaches to science. The question is not ‘how can we get all of this gender politics out of genetics?’ but rather ‘how can we enlarge and critically hone our ideas about gender, which are central to our scientific theories of sex?’ In the time between the discovery of Pluto in 1930 and its reclassification as a dwarf planet in 2006, it had only completed a third of a full orbit around the Sun; about the same amount of time sex chromosomes had to enjoy being mystical arbiters of all things sex. Worrying about the hurt feelings of a downgraded planet is as sensible as worrying about those for some clumps of genetic material in a cell – what matters is how we make sure that we interpret our world, and build our taxonomies, in such a way that improves our understanding of the world, not limit it. Ian Steadman is a staff science and technology writer at the New Statesman. He is on Twitter as @iansteadman.
Show Hide image Middle East 25 November 2016 Fight to the death in Mosul The street-by-street battle against Islamic State for control of Iraq’s second city. By Quentin Sommerville The men of Iraq’s special forces map their victories over Islamic State (IS) by tracing the scars on their bodies. “These four bullets were from a sniper in Ramadi,” said one soldier, lifting his shirt to show a pockmarked torso. A gap-toothed gunner called Ahmad turned a wrist and revealed his wound, a souvenir from Fallujah. Their commander’s close-cropped hair has deep furrows, the result of a rocket-propelled grenade (RPG) attack in the same city. Both Ramadi and Fallujah were retaken from IS this year, which restored the confidence of the Iraqi military after its humiliating retreat from the terror group. Two years ago, the Iraqi army ran from Mosul and a caliphate was declared. Now, the soldiers’ task is to build on their recent gains and liberate the country’s second-largest city. At the tip of the spear in Mosul is the Iraqi Special Operations Forces’ 1st Brigade, also known as the Golden Division. It is commanded by Major Salam al-Abeidi, the man who survived the RPG attack in Fallujah and led the offensive against IS in Ramadi. He is a compact figure, a black streak of motion in his special forces uniform, never at rest. (“He would exhaust 20 soldiers,” said one of his men.) He prefers to be on the offensive. “It’s when we are in defensive positions that we take the most casualties,” he told me. Al-Abeidi does not smile much, but he enjoys a joke. In his hands is always one of three things: a walkie-talkie, a can of Red Bull, or a cigarette. His seven-month-old German shepherd, named Caesar, has recently joined him at the special forces headquarters. Most of his men, fearless when fighting IS, are terrified of the puppy. The major leads from the front. In the morning, he is on patrol; in the afternoon, he is on the roof guiding air strikes. One evening, I found him climbing into a tank, heading out to defend a road. “Do you ever sleep?” I asked. “Sleep? I drink 20 cans of this a day,” he joked, holding up the energy drink. The Golden Division is making slow but steady progress through the eastern residential neighbourhoods of Mosul. This city is different from the ones in his previous campaigns, the major told me. “Most of the areas we fought in while in Ramadi were nearly empty of residents,” he said. “Here, it’s heavily populated, making the security forces very cautious while advancing, so as to avoid civilian casualties. The enemy uses a lot of car bombs.” The Zahra (formerly known as Saddam) and Qadisiya 1 districts of eastern Mosul are the battlegrounds of the moment. IS has blocked the streets with concrete barriers to impede the Iraqi military advance, and the Iraqi army has constructed earthen berms with the aim of slowing down the IS car bombers. The gunfire is constant; so, too, are the boom and thud of suicide attacks and coalition air strikes. “Here come the French,” said al-Abeidi, as fighter aircraft roared overhead while another explosion shook the eucalyptus and citrus trees of the neighbourhood’s gardens. On the front line, a four-lane road separates the Golden Division’s Bravo Company from IS. On the lookout in an abandoned house, a young sniper named Abbas pointed out a dead IS fighter lying a few hundred metres away. “Over the last four days, I killed three Da’esh [the Arabic acronym for IS]. But my buddy, he killed four or five,” he said. A car bomb detonated nearby, the shock wave blowing out what was left of the room’s windows. A French photographer accompanying us, who had refused to wear a helmet, almost dropped his cigarette. Abbas fired into IS territory, a precaution in case the car bomb was followed by attackers on foot. He continued: “Here, the difficult thing for us is that IS fighters carry babies in their arms, and all of them look the same – they have beards.” Outside, it looked and smelled like a war zone. Shops had been destroyed and I saw a burnt-out suicide truck that had crashed into a storefront. The street was littered with the remnants of another car bomb. Car bombs are the IS equivalent of cruise missiles. The militants have no aircraft, so they rig up and deploy these heavily armoured high explosives on wheels instead. The unit I was with had at least two a day aimed at it. They move fast and are often hidden, lying in wait. Only when the military think that a neighbourhood is clear do they appear, driven at speed and often with deadly precision. None of the forces fighting IS – the Iraqi army, the Kurdish peshmerga, the Shia militias – releases casualty numbers. If any ever does, these will show that many of their men were killed by car bombs. To avoid the militants’ RPGs and sniper fire, Bravo Company created rat runs through homes and backyards. My guide to the front line was called Sergeant Haider. Rooms and upturned domestic life flashed past us. The sergeant’s Frank Zappa moustache and wraparound shades were complemented by a grey knitted beanie. He looked like he should have been snowboarding, not touring a front line. “There are many more Da’esh here than in Anbar,” he said, referring to the province where Fallujah and Ramadi are situated. “Because this area has been under its control for two and a half years, Da’esh has really taken control. This looks like just the beginning of [retaking] Mosul.” Iraq’s prime minister, Haider al-Abadi, wants Mosul “liberated” by the end of the year. That is unlikely to happen. It will take a month at least, perhaps more, to make it to the banks of the Tigris, which runs through the city. And IS is concentrated in the west. Across the river, there is worse to come. *** The scar that Rana Ibrahim Hamad carries is not visible. It is a memory of the baby she lost shortly after giving birth during IS rule. “I lost the baby because doctors were not available. The baby had a brain haemorrhage and died,” she told me, standing on the street. We could hear the sounds of a gun battle nearby but Rana didn’t blink – she had grown used to it. It was the first time that she, her husband, Amer, and their three-year-old daughter, Azel, had left their home in five days. Until then, the fighting around them had been too fierce. Rana was pregnant again and ready to give birth any day. After detailed questioning by the military, the family would be allowed to leave for a hospital in Erbil. An armoured Humvee would be their ambulance. She told me that she hoped that having the new child would help her forget her loss. “Life is difficult,” she said. “We all live in fear. Pain is coming from fear. I pray it gets better.” In October, I flew over Mosul with the Iraqi air force. It was not on a combat run, but on a propaganda mission. Under a bomber’s moon – full and bright – the planes dropped leaflets by the million, sometimes still in their cardboard boxes, from the side doors of a C-130 cargo plane. Below, the land was lit up, roads and buildings illuminated and stretching for miles in the dark. From 17,000 feet, Mosul didn’t look like a city under occupation. It looked alive. Later, in its industrial suburbs, I found a few of the leaflets in the dirt. Some, at least, had found their target. “Nineveh, we are coming,” they proclaimed, a promise to Mosul and the surrounding province. They encouraged people to stay away from IS buildings. And the Iraqi government told people not to flee. It feared that there would be a humanitarian crisis if the city, which has more than a million residents, were to empty. As Mosul’s fight enters its second month, however, services are still largely absent. “The army brought us food and lentils but there’s no government,” said Bushra, a woman from the city of Tikrit who is now trapped in Mosul. “We are living, but [we have] no water or electricity. We sleep at eight. We don’t have any services. I didn’t get my husband’s salary this month. We live off his pension.” As the men of the Golden Division move through houses and parts of the city, they find more than just IS dead, weapons and supplies. They also discover records of rule. Although the group is cruel and murderous, it keeps tidy books and distributes welfare. We found dozens of the militants’ ledgers, recording payments made to widows, the poor and the sick. *** Across Iraq, senior military and police commanders complain that Baghdad is not moving fast enough to fill the gaps left by the fighting, and that although they distribute water, food and medicine to local people, their men must come first. In the war against IS, no city has been bombed more than Mosul. The coalition air strikes come day and night. The only let-up is during bad weather, which also results in ground operations being paused. According to some monitoring groups, as many as 1,300 civilians have been killed in coalition air strikes so far. Yet it is Islamic State that is doing most of the killing, through executions and sniper and mortar attacks. The militants have murdered and continue to murder hundreds of people inside the city each week. During one patrol, an IS sniper pinned down the unit I was with inside a house. One by one, the soldiers ran to their armoured vehicles – me among them – and to safety. The bangs sounded especially loud. We soon discovered why. The marksman was firing armour-piercing bullets. One managed to penetrate the turret of a Humvee and the gunner inside it was wounded. Mosul, the beautiful, once-cosmopolitan centre of northern Iraq, became a mystery under IS. The fighters cut off its contact with the outside world. At the edge of the city, I walked through a former IS workshop. There, between 20 and 30 men had cast and milled mortar shells every day. Thousands of the steel casts remained in piles, waiting to be finished. The roof of the foundry had been peppered with shrapnel. IS had tried to conceal the factory from passing aircraft by burning oil fires through the roof. It struck me then that the militants had spent their two years in Mosul with one priority in mind: preparing for this battle. Who knew how many mortar shells, filled with explosives, were now inside the city, ready to be fired? This was weapons production on an industrial scale. “Isis was scared shitless of the Iraqi soldiers. Believe me, we saw. They pissed their pants,” said Alaa, an English teacher who lives near the front line. White flags were hanging from homes along the street. He described to me the past few days of fighting and how the Iraqi special forces had arrived in his neighbourhood. “Now I feel safe, because they are here,” he said. “And if they need any support, all these people will be with them. Even the people who were influenced by the Isis talk, now they are not, because they endured two years of suffering, two years of depravation, two years of killing, mass killing.” At the mosque across the street from Alaa’s house, males over the age of 13 were being lined up for security screening, to see if they were IS supporters. The soldiers kept their distance, fearful of suicide bombers. The local people carried their identification papers. Some had shaved off their beards but others had not. They did not share Alaa’s optimism, and said they were afraid that IS could return. *** Safar Khalil’s wound had no time to heal and become a scar. The bright red hole in his chest came from an IS sniper round, his brothers said. A medic tried to plug it with his finger and stabilise him but the damage inside was too great. Safar’s lungs were gone. He spewed out dark, thick blood. His face was covered in it. And there, in front of me, he died. Two of his brothers – one a small boy, the other a young man – stood screaming nearby. They had left their home only a few moments earlier to sell eggs. An army sleeping bag was brought to cover Safar’s face. At first, I thought he was a teenager, because the blood and gore made it difficult to tell how old he was. On his right hand, he wore a heavy ring with an amber stone. Afterwards, I learned that he was 26. They took his body on a cart back to his home. From inside the house, grief exploded. The women, his relatives, tried to run out, fear and rage written on their faces. But it seemed that the sniper was still nearby, so they were pushed back inside and a family member pulled hard on the metal door to keep them contained. The women’s voices filled the neighbourhood. In the middle of the street, looking horribly alone, Safar’s body lay on the cart. It was not yet safe enough to take him to the cemetery. There are other fronts in the war to retake Mosul: the federal police and army are moving in from the south and may soon retake what is left of the city’s airport. To the west, the Shia militias of Iraq’s Popular Mobilisation Forces have cut off escape routes to Raqqa in Syria and are on top of the IS stronghold of Tal Afar. In the north, several towns and villages have been taken by the Iraqi army’s 16th Division and the Kurdish peshmerga. But it is in the east that Mosul proper is being cleared of IS militants. Major al-Abeidi’s convoy was hit again the other day. He sent me pictures of his badly damaged Humvee and complained that he had lost the car and spilled his energy drink. “We’ll be at the river in weeks,” he said confidently. Until then, eastern Mosul and its people will remain in the maelstrom – surviving not in a city, but on a battlefield. Quentin Sommerville is the BBC’s Middle East correspondent This article first appeared in the 24 November 2016 issue of the New Statesman, Blair: out of exile