Finland has transitioned from pandemic waves to a high, seasonally surging endemic state, with:
- persistent high baseline
- winter peaks rivaling early Omicron
- surveillance, media attention down
- 100s of diseases showing remarkable patient growth across all age groups; no growth before 2020
5/x

Public perception vs reality gap

Despite much lower public attention after 2022:
- viral circulation in 2023–2025 often equals or exceeds Omicron 1 levels

This highlights:
- Surveillance fatigue ≠ virus disappearance
- Policy and media attention diverging from epidemiological reality
4/x

Repeated large waves in 2023–2024, not diminishing. Notable peaks:
- Apr 2023
- Nov 2023 (highest for the entire pandemic)
- Dec 2024

These peaks are:
- comparable to or higher than Omicron 2022
- evidence against a simple “each wave gets smaller” narrative
3/x

Post-Omicron baseline is permanently higher than pre-Omicron
- before late 2021, levels were mostly 10³–10⁴.
- from 2022 onward, even troughs sit around 10⁵, or 10-100 times higher

This suggests:
- C19 has become endemic
- constant background transmission, even outside waves
2/x

If the current 2025 growth rate continues, 50% of 7-14 year olds will get a hyperkinetic disorder diagnosis in 12 year's time (in 2037).
- in 2024, 5.04 % of 7-14 year olds received this diagnosis
- in 2025, y/y patient growth is expected to be 19 percent
8/x

The one circadian rhythm related disorder showing strongest patient growth is hyperkinetic disorders (incl. ADHD).
- 32% average patient growth in total population (10x in 8.3 years)
- highest incidence among 7-14 year olds (6.0%), and growing 28% per year (10x in 9.1 years)
7/x

Among total population, the following circadian rhythm related diseases and conditions are showing fastest patient growth:
- hyperkinetic disorders (incl. ADHD) (31% per year in 2019-2025e)
- sleep disorders (G47) (20.4%)
- obesity (E66) (14% in 2019-2025e, 37% in 2024-2025e)
4/x

Sleep disorders & circadian rhythm related diseases:
- 7-14 and 15-24 year olds are leading in terms of patient growth
- there was little or no growth before 2020
3/x

A brief backgrounder.
- primary circadian rhythm sleep–wake disorders (G47)
- conditions linked to circadian rhythm (29 in total)
2/x

We knew back *in 2010* that SARS-CoV infections can cause serious long-term health complications. pubmed.ncbi.nlm.nih.gov/20337995/

The democratic system is a loser in the long term. No chance.
Democracy cannot exist without privacy:
- anonymity in thought
- freedom in communication
- safety in dissent
- equality of information
- the inability of any one actor to know everything
9/x