Ilkka Rauvola Profile picture
Dec 15, 2023 16 tweets 8 min read Read on X
Finland's epidemic 15 Dec 2023: both deaths and hospital admissions are set to reach new all-pandemic records. In Helsinki, the capital, virus levels in wastewater continue to increase, suggesting that there may be no lull between the EG.1 and JN.1 waves.
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Suomen epidemia 15.12.2023: sekä kuolemien määrä että sairaalahoitoon otettujen potilaiden määrä ovat nousemassa (tai jo nousseet) uuteen ennätykseen. Helsingin jätevesiluvut noussevat edelleen, mikä voi viitata siihen, ettei EG.1 -ja JN.1 -aaltojen väliin jää suvantoa.
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In some of the largest cities (Helsinki, Turku, Tampere) and Rovaniemi, the decline of the amount of virus found in wastewater has either stopped, or is increasing again. (The 7 Dec measurements may have suffered from an extended time in storage.)
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Suurimmissa kaupungeissa (Helsinki, Turku, Tampere) sekä Rovaniemellä viruksen määrän lasku on joko pysähtynyt tai kääntynyt nousuun. (7.12. mittaukset ovat saattaneet kärsiä poikkeuksellisen pitkästä varastoinnista.)
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The combined share of EG.1 and BA.2.86 (which includes JN.1) continues to increase. JN.1 now captures almost all of the total increase, as other BA.2.86 variants appear to be giving way.
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Väistymässä olevan EG.1:n ja kasvussa olevan BA.2.86:n (joka sisältää JN.1:n) yhteinen prosenttiosuus sekvensoinneista on kasvussa. JN.1 vastaa melkein kaikesta kasvusta; muut BA.2.86 -perheen variantit pystyvät kasvamaan yhä vähemmän.
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Acute tonsillitis (J03), which is caused by e.g. strep A, has started to show extremely strong y/y patient growth among <15 year old children. Exponential growth started in early 2022 (coinciding with BA.1 and BA.2).
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Akuutin nielurisatulehduksen (J03), jota aiheuttaa esimerkiksi A-streptokokki, potilasmäärä on ruvennut kasvamaan erittäin voimakkaasti alle 15-vuotiaiden lasten keskuudessa. Eksponentiaalinen kasvu alkoi alkuvuodesta 2022 (samaan aikaan BA.1 ja BA.2 -varianttien kanssa).
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The number of <1 year patients with other congenital malformations of tongue, mouth and pharynx (Q38) has started to show very strong growth.
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Niiden alle 1-vuotiaiden potilaiden määrä, joilla on muun synnynnäisen kielen, suun tai nielun epämuodostuman (Q38) diagnoosi, on ruvennut kasvamaan erittäin nopeasti.
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In several European countries, wastewater indicators have continued to race right past the recent EG.1 peak to new all-time highs, with the EG.1 peak barely even showing on the charts. It looks that we may have a combined EG.1-JN.1 wave in our hands.
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Useissa Euroopan maissa jätevesi-indikaattorit ovat jatkaneet kasvuaan suoraan ohi äskettäisen EG.1-huipun uusiin ennätyskorkeuksiin; EG.1-huippu tuskin edes näkyy näissä kuvissa. Näyttää siltä, että meillä voi olla käsissämme yhdistetty EG.1-JN.1-aalto.
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This seems like triage to me: The CDC has warned of potential hospital space shortages during the upcoming JN.1 wave. I infer that the oldest age groups are least likely to receive hospital care.
In Finland, the THL has remained silent.
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Tämä vaikuttaa priorisoinnilta: CDC on varoittanut, että sairaalapaikkoja ei ehkä ole kaikille tulevan JN.1-aallon aikana. Päättelen, että vanhimmat ikäryhmät ovat ne, joilta todennäköisimmin kielletään sairaalahoito.
Suomessa THL on vaiennut asiasta.
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The warnings are out. We now know in advance that JN.1 could become the worst variant ever.
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Varoitukset ovat ulkona. Tällä kertaa meillä on ennakkotieto siitä, että JN.1 tullee olemaan koko pandemian ajan pahin variantti.
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More from @jukka235

Nov 30
Congenital malformations, deformations and chromosomal abnormalities. For 1-6 year olds,
- the condition showing largest increase since 2022 is Down's syndrome (Q90)
- the condition showing fastest growth since 2022 is Congenital malformations of great arteries (Q25)
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1-6 year olds / chromosomal abnormalities (Q90-Q99).
- Down's syndrome (Q90): average patient growth (2022-2025e) 14% per year = 10x in 18 years)
- fastest growing condition: other sex chromosome abnormalities, male phenotype (Q98), up 150% in 2025e
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<1 year olds / chromosomal abnormalities (Q90-Q99):
- Down's syndrome (Q90) is the most frequent diagnosis
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Read 9 tweets
Nov 11
Intellectual disabilities (F70-F79): <1 year olds are leading in terms of y/y growth. Ten percent of <1 year olds will have an intellectual disability diagnosis in 14 year's time (2039), if current growth rates continue.
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The rise in intellectual disability among <1 year olds also shows in number of diagnoses: up roughly 11 times in 4 years. Also note the rise among 1-6 year olds.
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7-14 and 15-24 year olds are showing the highest levels of intellectual disability. If current growth rates continue, 5 percent of 7-14 and 15-24 year olds will have an intellectual disability diagnosis by 2048 (24 years from now).
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Read 6 tweets
Nov 3
Last time I checked, unvaccinated 30-49 year olds were dying at a rate 39 times higher than those who had received two vaccine doses. Finland.

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Read 6 tweets
Oct 27
In 30 years from now, 5 percent of 1–6 year olds and 8 percent of 25–49 year olds will be walking with white sticks, if current growth trends continue. Image
Here is the graph for all age groups, all of which are showing quite uniform y/y growth. Patients / public outpatient healthcare.
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For total population, visual disturbances and blindness have doubled since the onset of the pandemic. There has been no letup in recent years. Average growth rate is power(1.97, 1/5) = 14.5 percent per year (= 10x every ln(10)/ln(1.145)= 17 years).
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Read 9 tweets
Sep 18
Malignant neoplasms (C00-C97): number of diagnoses is up year-on-year in all age groups below 50.
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Meant to say either diagnoses or patients. For 25-49 year olds, diagnoses are down 12% y/y in 2025e, but patients are up 12% y/y in 2025e.
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For 15-24 year olds, number of patients is up 1.2% y/y in 2025e while number of diagnoses is down.
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Read 33 tweets
Sep 14
Finland's epidemic 14 Sep 2025: year-to-date number of patients in 2025 is already higher than at any time during the pandemic. There are 5 more months to go. 1/x Image
Suomen epidemia 14.9.2025: kaikkien sairauksien potilasmäärä vuoden 2025 alusta ylittää jo nyt pandemian edellisten vuosien potilasmäärät, ja vuotta on vielä 5 kuukautta jäljellä.
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Almost 80 percent of pregnancies and childbirths now involve complications and diseases.
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Read 7 tweets

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