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Highly Selective Photo-Oxidation of Methane to Methanol by Fe–Au Site-Supported SrTiO<sub>3</sub> Hollow Nanotubes with Oxygen Vacancies
Alkali Metal Cations Induce Pseudo-outer-sphere Oxygen Reduction Reaction Mechanism in Electrolyte-Catalyst Synergy
Programming Aptamer–Protein Complexation Kinetics via Modulation of G-Quadruplex Secondary Structure
The Hydroxyl Migration Mechanism through Vibrational Rocking Unveiled from Magic-Numbered Hydrated Lanthanum Oxide Clusters
Synergy between Inter- and Intramolecular Interactions on Relaxation Pathways of Oligomeric Pentacene Assemblies
Harnessing Heterogeneous Asymmetric Oxide Interface for Efficient Photodehydrogenation of Isopropanol through α-C–H Bond Activation
Reusable Noncomplementary DNA-Based Neural Network
Discovery of RNA-Reactive Small Molecules Guides the Design of Electrophilic Modules for RNA-Specific Covalent Binders
Efficient Mn<sup>2+</sup> Doping in Non-Stoichiometric Cesium Lead Bromide Perovskite Quantum Dots
Capturing a Transition Phase during Birnessite-to-Spinel Transition for Efficient Water Oxidation
Strain-Promoted mRNA Transdermal Delivery by Lipoic Lipid Nanoparticles for Therapeutic Skin Genome Editing
Correction to “NIR-II Photoacoustic-Active DNA Origami Nanoantenna for Early Diagnosis and Smart Therapy of Acute Kidney Injury”
An Alkyne-Directed Cleavage Approach for Activity-Based Cu(I) Sensing Reveals Manganese-Promoted Sensitization of Cuproptosis
Discovery of Macrocyclic Peptide Binders, Covalent Modifiers, and Degraders of a Structured RNA by mRNA Display
Coordination-Driven Assembly Modulates the Piezoelectric Response of Bio-Inspired Amino Acid-Based Supramolecular Materials
Quantification of Membrane Protein Conformational Free Energy from Mutations and a Single Atom
Chemical Bond Engineering in Charge-Balanced Layered TiSe<sub>2</sub> Derivatives: 3D Charge Transport and Lattice Anharmonicity for Exceptional Thermoelectric Performance
Electrophilic Cyanation with Carbon Isotopes: A Versatile Access to <sup>13</sup>C, <sup>14</sup>C, and <sup>11</sup>C Aryl Nitriles from Labeled NCTS
Time series anomaly detection in helpline call trends for early detection of COVID-19 spread across Sweden, 2020
Abstract Timely detection and surveillance of disease community spread is a potent tool for implementing effective public health interventions. This study investigates the National Telehealth Service (1177 helpline) across 18 regions in Sweden in 2020 to identify early signals of community transmission of COVID-19 at the beginning of the pandemic. Focusing on calls related to key COVID-19 symptoms (cough, fever, and breathing difficulties in adults), we analyze their frequency and distribution across referral categories, comparing them to 2019 data. We employ an explainable time series anomaly detection algorithm using daily call data to identify the first collective anomalies across regions. The results show that anomalies in call data were correlated with, but preceded, the first confirmed case infected in Sweden by a median of 7 days (IQR: 2.5–10.5) and the first hospitalized case infected in Sweden by a median of 13 days (IQR: 7.25–16). They also preceded the estimated onset of community spread, indicated by the absolute confirmed cases (median: 24.5, IQR: 18.25-32.5), and severe outcomes defined by hospitalizations (median: 33, IQR: 27.25-44). These findings showcase how helpline call monitoring, using time series anomaly detection, can aid early outbreak detection.