Pharmacy in Latvia during the occupation regime of Nazi Germany (1941-1945).

The study covers the period of World War II after shift of occupational powers in Latvia when Soviet occupation was replaced by the occupation regime of Nazi Germany in the summer of 1941 and retained until first half of 1945. Due to this shift gradually Latvia, Lithuania, Estonia and Belarus were merged into a single administrative area and designated as "Ostland". Soviet officials left the pharmaceutical industry, which they had tried to apply to the communist ideology from June 1940 to June 1941 creating confusion and chaos. The renewed Pharmacy Board of Latvia had to deal with the restoration of supervision and a partial return from the communist to the capitalist regime. The research provides an insight to adaptation and development of the pharmaceutical industry in Latvia during Nazi Germany occupation regime, highlighting as essential indicators the administrative operation of Pharmacy Board of Latvia and its cooperation with German authorities, the availability of medicines, process of reprivatisation of pharmacies and changes in the number of pharmaceutical employees. The research issue raised is topical, since it is this period that reflects the industry's ability to adapt and perform work in fundamentally different and severe circumstances, which include both resource deficits and the transition from one regime to another. The collected evidence shows the efforts to stabilize the pharmaceutical industry in many terms. One example was the attemptions to ensure the rational dispensing of medical products to the pharmacies and hospitals, with the greatest degree of austerity, because the supply and consumption of medication was extremely complex issue throughout the war.

Pharmacy in Latvia during the first Soviet occupation (1940-1941).

The first period of the independent state of Latvia lasted from 1918 to 1940. During this period, pharmacy in Latvia had reached a high level of development. The study covers the period after the loss of independence, when the beginning of World War II marked a major crisis in the development of pharmacy in Latvia. The aim of the study was to compile and systematize information available in published and unpublished sources on the impact of the Soviet occupation (1940-1941) on pharmacy in Latvia, which has not been studied before. The main idea of the study was to find evidence that the Soviet occupation decreased the development capacity of Latvian pharmaceutical industry and narrowed its development opportunities. At the same time, the study reflects part of the general political, ideological and economic environment in Latvia over that period. The study is retrospective and descriptive. Materials from Latvian State Historical Archives and the National Archives of Latvia, and publications from the 20th century press of Latvia were used in the study. In one year, the Soviet system attempted to aggressively transform Latvian pharmaceutical industry to match the USSR standards. This meant the destruction of the capitalist system and the free market, as well as the introduction of centralised management. The radical changes were poorly organised and unsuitable candidates were appointed to positions of responsibility. There is evidence that pharmacy in Latvia experienced complete chaos during that period: private enterprises were nationalised, the number of pharmacy professionals decreased, and medical products from abroad were not supplied to the Latvian market. The Latvian population was rescued from total lack of medications by the last major medication purchase from Germany and the Netherlands shortly before the occupation. All the USSR actions in the pharmaceutical industry were coercive. With the occupation of Nazi Germany in the summer of 1941, the Soviet functionaries left the industry. However, in 1945, during the second occupation, the previous procedures were renewed and their results strengthened. It leads to the conclusion that the Soviet political system had an adverse effect on the development of pharmacy in Latvia.

The impact of the Baltic Germans' emigration on the pharmaceutical sector in Latvia (1939-1940).

For several hundred years, the Baltic German families of pharmacists have been the decisive creator of traditions in Latvian pharmacy. A large amount of the oldest pharmacies in Latvia, especially in Riga, were owned by pharmacists of Baltic German origin. Many of these ancient pharmacies ceased to exist in 1939, as a result of the emigration of the Baltic Germans. The agreement on the outward migration of German nationality citizens between Latvia and Germany was signed October 30, 1939. According to the information of the Pharmacy Board of Latvia, the number of employees in the pharmaceutical sector, registered in 1939, was 2068 persons. During the first wave of emigration, at the end of the year 1939, 306 persons, related to pharmacy, renounced the Latvian citizenship and emigrated. During the second wave of emigration, in spring of 1941, when Latvia had already lost its political independence, another 49 pharmaceutic employees left Latvia. In total 355 employees emigrated to Germany. As a result of the Baltic German emigration there was a decreased number of pharmacies in Latvia and the lack of pharmacists became a local issue. In rural areas quite often the only one pharmacy, which had been owned by a German origin pharmacist was liquidated or stayed closed for several months.

Activities of Latvian pharmacists in the Latvian Red Cross organization in exile in Germany (1945-1976).

The Latvian Red Cross has performed its assistance mission outside the territory of Latvia for several decades. In the 40-s of the 20th century, the state of Latvia and its people went through one of the most tragic pages of their history. Due to the re-occupation made by the Soviet Union in 1944, many people of Latvia fled to exile and under exile conditions the Latvian societies, parishes and public organizations came into being, including the Latvian Red Cross. It started its activities in the second part of the 40-s of the 20th century in Germany and then representative offices emerged in the U.S.A., Sweden, France, Italy, Denmark, Belgium, Australia, New Zealand. Special attention should be paid to the fact that the activity under exile conditions was of a large scale, well-organized and long-lasting. Substantial work at that time has been done by a number of pharmacists. Among them, the pharmacist and doctor Hugo Skudins (1903-1976) should be emphasized, who organized the purveyance of medication and sending them to Latvians in the occupied Latvia and to the penal camps in Siberia.

The national pharmacopoeias of the Baltic States.

After Estonia, Latvia and Lithuania proclaimed their independence in 1918 and began to create their national health care systems, one of their stated priorities was the formulation and publication of national pharmacopoeias. In order to accomplish this, working groups as well as commissions composed of pharmacists, medical specialists and even linguists had to be formed. The process was long and difficult. New terminology in native languages had to be created. Sources for the monographs had to be chosen, researched, analyzed and compared. There were organizational and financial problems. Nevertheless, by the late 1930s, all three Baltic States published their national pharmacopoeias. Officially, they were not able to use them for long because during World War II all three were occupied and annexed by the Soviet Union. Pharmacists in those countries were obliged to use the Soviet pharmacopoeias, although unofficially, they also made good use of their national ones. Currently, the European Pharmacopoeia is in use in Estonia, Latvia and Lithuania.