21Finland provides unique opportunities to investigate population and medical genomics 22 because of its adoption of unified national electronic health records, detailed historical 23 . CC-BY 4.0 International license peer-reviewed) is the author/funder. It is made available under a The copyright holder for this preprint (which was not . http://dx.doi.org/10.1101/200113 doi: bioRxiv preprint first posted online Oct. 13, 2017; 3 and birth records, and serial population bottlenecks. We assemble a comprehensive 1 view of recent population history (≤100 generations), the timespan during which most 2 rare disease-causing alleles arose, by comparing pairwise haplotype sharing from 3 43,254 Finns to geographically and linguistically adjacent countries with different 4 population histories, including 16,060 Swedes, Estonians, Russians, and Hungarians. 5We find much more extensive sharing in Finns, with at least one ≥ 5 cM tract on 6 average between pairs of unrelated individuals. By coupling haplotype sharing with fine-7 scale birth records from over 25,000 individuals, we find that while haplotype sharing 8 broadly decays with geographical distance, there are pockets of excess haplotype 9 sharing; individuals from northeast Finland share several-fold more of their genome in 10 identity-by-descent (IBD) segments than individuals from southwest regions containing 11 the major cities of Helsinki and Turku. We estimate recent effective population size 12 changes over time across regions of Finland and find significant differences between 13 the Early and Late Settlement Regions as expected; however, our results indicate more 14 continuous gene flow than previously indicated as Finns migrated towards the 15 northernmost Lapland region. Lastly, we show that haplotype sharing is locally enriched 16 among pairs of individuals sharing rare alleles by an order of magnitude, especially 17 among pairs sharing rare disease causing variants. Our work provides a general 18 framework for using haplotype sharing to reconstruct an integrative view of recent 19 population history and gain insight into the evolutionary origins of rare variants 20 contributing to disease.