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At the same time, he provided an overview of the situation in Tartu regarding prostitution. The official figures on the spread of syphilis in the latter half of the 19th century indicate strong growth in Tartu as well as throughout the Russian Empire. A breakthrough came in the pharmaceutical industry only after Dr. This publication was also written at the same time. Similarly to many other European countries, a procedure was established in Russia where prostitution was allowed under medical-police supervision, observing cleanliness requirements, and not violating public order.
In return for their passports, prostitutes were given a medical card where notations of medical examinations were entered. Prostitutes had to obtain permits from the police in order to travel. Girls younger than 16 years old were not permitted to work in brothels the age limit was later raised. Brothel prostitutes accounted for about one fifth of all known public women.
The remainder were either individual prostitutes or covert prostitutes. The Medical-Police Committee headed the supervision of prostitution. In Tartu, the chief of police and the municipal physician belonged to this committee. A police officer, whose task it was to fight covert prostitution, was at the disposal of the chief of police. Women who were under supervision had the right to receive free medical care, but this was actually employed only for individual prostitutes of peasant origin in the Governorate of Livland.
A separate clinic for women suffering from venereal disease was opened under his leadership on Puiestee Street together with a reception centre. He played quite an important role, if not the leading role, in writing the text. Petersburg as an appendix of the periodical St. Petersburger medicinische Wochenschrift. The publication under consideration was also completed in the course of this work.