A blood sample and a routine check-up could soon flag five chronic diseases years before symptoms appear. The Wellbeing Services County of North Karelia in Finland — Siun sote — is becoming the first Finnish region to add Nightingale Health's blood-based disease-risk detection to its statutory health checks for the unemployed, with a pilot starting this month.
Here's how it works: clients give a blood sample before the appointment, Nightingale analyzes it, and a healthcare professional reviews a risk report covering heart attack, ischemic stroke, type 2 diabetes, chronic kidney disease and fatty liver disease at the visit. Clients flagged as high-risk are offered risk-based care pathways — including digital diabetes coaching and a digital heart-health program — with a follow-up sample later to measure how risks change.
North Karelia is the first wellbeing services county to fold the test into a statutory public-health check, but the technology is already deployed at scale: more than 250,000 people in Finland have received results through occupational healthcare, and the underlying science is validated in over 1,000 peer-reviewed publications, with approvals in the EEA, UK, Japan and Singapore.
The pitch is prevention at population scale: catching disease risk in a routine blood draw instead of an emergency room years later. If the North Karelia pilot delivers, expect other regions — and other countries — to watch closely.



