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A tale of two epicentres: Lombardy and New York City at the outbreak of the Coronavirus pandemic

Published online by Cambridge University Press:  23 March 2022

Luca Storti*
Affiliation:
Department of Cultures, Politics and Society, University of Turin, Italy
John Torpey
Affiliation:
The Graduate Center, City University of New York, USA
Joselle Dagnes
Affiliation:
Department of Cultures, Politics and Society, University of Turin, Italy
Marianna Filandri
Affiliation:
Department of Cultures, Politics and Society, University of Turin, Italy
Justine Lyons
Affiliation:
The Graduate Center, City University of New York, USA
*
Corresponding author: Luca Storti: email luca.storti@unito.it

Abstract

The paper explores the tale of two 'epicentres’ – metropolitan New York and Lombardy – and seeks to depict the socio-demographic patterns that characterise the worst cases of infection, hospitalisation, and death during the first six months of the Covid-19 pandemic in 2020. By drawing upon secondary data concerning sub-territorial units within the two regions – ZIP-code level and counties in New York and municipalities in Italy – the paper compares the characteristics of the two areas in an effort to understand both how they became the original major epicentres and how their experiences of the pandemic differed. We suspected initially that the pandemic in Lombardy was a function of a complex constellation of variables, such as the age of the population, the unexpected emergence of the virus, and features of the local health system. In New York, the pattern seemed to fit a more familiar dynamic, the kind one would expect from the course that most pandemics take: the poor suffer the worst. The paper tries to extend the understanding of the complex and not univocal mix of social variables that can facilitate the spread of a pandemic and make its effects extreme.

L'articolo esplora la storia di due ‘epicentri’ – l'area metropolitana di New York (USA) e buona parte della Lombardia (Italia) – con l'intento di descrivere i principali aspetti sociali che hanno caratterizzano i primi sei mesi della pandemia di Covid-19 nel 2020. L'analisi si basa su dati secondari relativi a unità sub-territoriali: le zone delimitate dagli ZIP-code e dalle contee a New York e dai comuni in Lombardia. Le principali acquisizioni empiriche mostrano che la pandemia in questa regione italiana è stata condizionata da una complessa costellazione di variabili, quali ad esempio l'elevata età media della popolazione, l'emergere inaspettato del virus e le caratteristiche del sistema sanitario locale. A New York, invece, l'origine della pandemia si dispiega seguendo una dinamica più familiare: sono le fasce meno abbienti della popolazion a soffrire di più. L'articolo cerca di estendere la comprensione del complesso e non univoco mix di variabili che agevola la diffusione di una pandemia e che ne rende estremi gli effetti.

Type
Research Articles
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of the Association for the Study of Modern Italy

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Footnotes

The original version of this article was published with an error in the author order. A notice detailing this has been published and the error rectified in the online PDF and HTML copies.

References

Achenbach, J. and Meckler, L.. 2020. ‘Shutdowns Prevented 60 million Coronavirus Infections in the US, Study Finds’. The Washington Post, 8 June. https://www.washingtonpost.com/health/2020/06/08/shutdowns-prevented-60-million-coronavirus-infections-us-study-finds/.Google Scholar
Alicandro, G., Remuzzi, G. and La Vecchia, C.. 2020. ‘Italy's First Wave of the COVID-19 Pandemic has Ended: No Excess Mortality in May, 2020’. The Lancet 396 (10253): e27e28, https://doi.org/10.1016/S0140-6736(20)31865-1.CrossRefGoogle ScholarPubMed
Baccini, M., Grisotto, L., Catelan, D., Consonni, D., Bertazzi, P.A. and Biggeri, A.. 2015. ‘Commuting-adjusted Short-term Health Impact Assessment of Airborne Fine Particles with Uncertainty Quantification via Monte Carlo Simulation’. Environmental Health Perspectives 123 (1): 2733, doi:10.1289/ehp.1408218.CrossRefGoogle ScholarPubMed
Bagnasco, A. 1977. Tre Italie. La problematica territoriale dello sviluppo in Italia. Bologna: Il Mulino.Google Scholar
Bagnasco, A. 1988. La costruzione sociale del mercato. Studi sullo sviluppo di piccola impresa in Italia. Bologna: Il Mulino.Google Scholar
Baqaee, D. and Fahri, E.. 2020. ‘Supply and Demand in Disaggregated Keynesian Economies with an Application to the Covid-19 Crisis’. Working paper, NBER (National Bureau of Economic Research), doi:10.3386/w27152.CrossRefGoogle Scholar
Bifulco, L. 2010. ‘Quasi-mercato e sussidiarietà come pilastri del modello lombardo di welfare’. In Il modello lombardo di welfare. Continuità, riassestamenti, prospettive, edited by Carabelli, G. and Facchini, C., 3958. Milan: FrancoAngeli.Google Scholar
Binkin, N., Michieletto, F., Salmaso, S. and Russo, F.. 2020. ‘Lombardia e Veneto: due approcci a confronto’. Scienza in rete, 18 April. https://www.scienzainrete.it/articolo/lombardia-e-veneto-due-approcci-confronto/nancy-binkin-federica-michieletto-stefania.Google Scholar
Boccia, S., Ricciardi, W. and Ioannidis, J.P.. 2020. ‘What Other Countries Can Learn from Italy during the Covid-19 Pandemic’. JAMA Internal Medicine 180 (7): 927–8, doi:10.1001/jamainternmed.2020.1447.CrossRefGoogle ScholarPubMed
Bontempi, E. 2020. ‘First Data Analysis about Possible Covid-19 Virus Airborne Diffusion due to Air Particulate Matter (PM): The Case of Lombardy (Italy)’. Environmental Research 186 (109639), https://doi.org/10.1016/j.envres.2020.109639.CrossRefGoogle Scholar
Busso, S. and Storti, L.. 2013. ‘Social Cohesion and Economic Development: Some Reflections on the Italian Case’. Modern Italy 18 (2): 197217, doi:10.1080/13532944.2013.783269.CrossRefGoogle Scholar
Casula, M., Terlizzi, G. and Toth, F.. 2020. ‘I servizi sanitari regionali alla prova del Covid-19’. Rivista Italiana di Politiche Pubbliche 15 (3): 307–36.Google Scholar
Choi, K.H., Denice, P., Haan, M. and Zajacova, A.. 2021. ‘Studying the Social Determinants of Covid-19 in a Data Vacuum’. The Canadian Review of Sociology 58 (2): 146–64, https://doi.org/10.1111/cars.12336.CrossRefGoogle Scholar
Christakis, N. 2020. Apollo's Arrow: The Profound and Enduring Impact of the Coronavirus on the Way We Live. New York: Little, Brown & Company.Google Scholar
Coker, E.S., Cavalli, L., Fabrizi, E., Guastella, G., L\\ippo, E., Parisi, M.L., Pontarollo, N., Rizzati, M., Varacca, A. and Vergalli, S.. 2020. ‘The Effects of Air Pollution on Covid-19 Related Mortality in Northern Italy’. Environmental and Resource Economics 76: 611–34, https://doi.org/10.1007/s10640-020-00486-1.CrossRefGoogle ScholarPubMed
Credit, K. 2020. ‘Neighbourhood Inequity: Exploring the Factors Underlying Racial and Ethnic Disparities in Covid-19 Testing and Infection Rates Using ZIP Code Data in Chicago and New York’. Regional Science, Policy & Practice 12: 1249–71, doi:10.1111/rsp3.12321.CrossRefGoogle Scholar
Durante, R., Guiso, L. and Gulino, G.. 2020. ‘Civic Capital and Social Distancing: Evidence from Italians’ Response to Covid-19’, last modified 16 April 2020, https://voxeu.org/article/civic-capital-and-social-distancing#.XzCa4s8aFr0.gmail.Google Scholar
Esteve, A., Permanyer, I. and Boertien, D.. 2020. ‘La vulnerabilidad de las provincias españolas a la covid-19 según su estructura por edad y de co-residencia: implicaciones para el (des)confinamiento’. Perspectives Demogràfiques 19: 14. https://www.ced.cat/PD/PerspectivesDemografiques_019_ESP.pdfGoogle Scholar
Gauthier, G.R., Smith, J.A., García, C., Garcia, M.A. and Thomas, P.A.. 2021. ‘Exacerbating Inequalities: Social Networks, Racial/ Ethnic Disparities, and the Covid-19 Pandemic in the United States’. Journals of Gerontology 76 (3): 8892, https://doi.org/10.1093/geronb/gbaa117.CrossRefGoogle ScholarPubMed
Goldstein, J.R. and Lee, R.D.. 2020. ‘Demographic Perspectives on the Mortality of Covid-19 and other Epidemics’. Proceedings of the National Academy of Sciences – PNAS 117 (36): 22035–41, https://doi.org/10.1073/pnas.2006392117.CrossRefGoogle ScholarPubMed
Gregori, D., Azzolina, D., Prosepe, I., Destro, N., Lorenzoni, G. and Berchialla, P.. 2020. ‘A First Estimation of the Impact of Public Health Actions against Covid-19 in Veneto (Italy)’. Journal of Epidemiology and Community Health 74 (10): 858–60, http://dx.doi.org/10.1136/jech-2020-214209.Google Scholar
Horowitz, J. 2021. ‘The Lost Days That Made Bergamo a Coronavirus Tragedy’. The New York Times, 2 February. https://www.nytimes.com/2020/11/29/world/europe/coronavirus-bergamo-italy.html.Google Scholar
Hsiang, S., Allen, D., Annan-Phan, S., Bell, K., Bolliger, I., Chong, T., Druckenmiller, H. et al. 2020. ‘The Effect of Large-scale Anti-contagion Policies on the Covid-19 Pandemic’. Nature 584 (7820): 262–7, https://doi.org/10.1038/s41586-020-2404-8.CrossRefGoogle ScholarPubMed
Jay, J., Bor, J., Nsoesie, E.O., Lipson, S.K., Jones, D.K., Galea, S. and Raifman, J.. 2020. ‘Neighbourhood Income and Physical Distancing during the Covid-19 Pandemic in the United States’. Nature Human Behaviour 4: 12941302, https://doi.org/10.1038/s41562-020-00998-2.CrossRefGoogle ScholarPubMed
Kuchler, T., Russel, D. and Stroebel, J. 2021. ‘JUE Insight: The Geographic Spread of Covid-19 Correlates with the Structure of Social Networks as Measured by Facebook’. Journal of Urban Economics 103314, https://doi.org/10.1016/j.jue.2020.103314.Google ScholarPubMed
Lavezzo, E., Franchin, E., Ciavarella, C., Cuomo-Dannenburg, G., Barzon, L., Del Vecchio, C., Rossi, L. et al. 2020. ‘Suppression of a SARS-CoV-2 Outbreak in the Italian Municipality’. Nature 584 (7821): 425–9, https://doi.org/10.1038/s41586-020-2488-1.CrossRefGoogle ScholarPubMed
Leonhardt, D. 2021. ‘The Latest Case of Vaccine Alarmism’. The New York Times, 4 March. https://www.nytimes.com/2021/03/04/briefing/elaine-chao-cuomo-capitol.html.Google Scholar
Leonhardt, D. and Serkez, Y.. 2020. ‘What Does Opportunity Look Like Where You Live?The New York Times, 13 May. https://www.nytimes.com/interactive/2020/05/13/opinion/inequality-cities-life-expectancy.html.Google Scholar
Lombardi, A., Amoroso, N., Monaco, A., Tangaro, S. and Bellotti, R.. 2021. ‘Complex Network Modelling of Origin–Destination Commuting Flows for the Covid-19 Epidemic Spread Analysis in Italian Lombardy Region’. Applied Science 11 (10): 4381, https://doi.org/10.3390/app11104381.CrossRefGoogle Scholar
Mapelli, V. 2012. Il sistema sanitario italiano. Bologna: Il Mulino.Google Scholar
Marzocchi, A. 2020. ‘Coronavirus, dalla chiusura “anomala” di Alzano all'errore sui presidi sanitari: cosa è successo negli ospedali di Bergamo’. Il Fatto Quotidiano.it, 1 April. https://www.ilfattoquotidiano.it/2020/04/01/coronavirus-dalla-chiusura-anomala-di-alzano-allerrore-sui-presidi-sanitari-cosa-e-successo-negli-ospedali-di-bergamo/5748702/.Google Scholar
Mays, J.C. and Newman, A.. 2020. ‘Virus Is Twice as Deadly for Black and Latino People Than Whites in NYC’. The New York Times, 26 June. https://www.nytimes.com/2020/04/08/nyregion/coronavirus-race-deaths.html?smid=em-share.Google Scholar
Mukherjee, S. 2021. ‘Why Does the Pandemic Seem to be Hitting Some Countries Harder Than Others?The New Yorker, 22 February. https://www.newyorker.com/magazine/2021/03/01/why-does-the-pandemic-seem-to-be-hitting-some-countries-harder-than-others.Google Scholar
National Academies of Sciences, Engineering, and Medicine. 2020. ‘Evaluating Data Types: A Guide for Decision Makers Using Data to Understand the Extent and Spread of Covid-19’. Washington, DC: The National Academies Press, https://doi.org/10.17226/25826.CrossRefGoogle Scholar
Neri, S. 2011. ‘La sanità lombarda tra centralizzazione e privatizzazione’. In Il cambiamento possibile. La sanità italiana fra Nord e Sud, edited by Pavolini, E., 149–89, Bari: Donzelli.Google Scholar
Neri, S. 2021Siamo andati troppo oltre? I processi di ristrutturazione dell'assistenza ospedaliera’. In Libro Bianco. Il Servizio Sanitario Nazionale e la pandemia da Covid-19. Problemi e proposte, edited by Vicarelli, G. and Giarelli, G., 4957. Milan: FrancoAngeli.Google Scholar
OECD 2019. ‘State of the Health in the EU – Italy. Country Health Profile’, accessed 7 February 2022, https://www.euro.who.int/__data/assets/pdf_file/0010/419464/Country-Health-Profile-2019-Italy.pdf.Google Scholar
OECD 2020. ‘Health at a Glance: Europe 2020: State of Health in the EU Cycle’, accessed 7 February 2022, https://www.oecd-ilibrary.org/sites/1d767767-en/index.html?itemId=/content/component/1d767767-en.Google Scholar
Paybarah, A., Bloch, M. and Reinhard, S.. 2020. ‘Where New Yorkers Moved to Escape Coronavirus’. The New York Times, 16 May. https://www.nytimes.com/interactive/2020/05/16/nyregion/nyc-coronavirus-moving-leaving.html.Google Scholar
Pluchino, A., Biondo, A.E., Giufrida, N., Inturri, G., Latora, V., Le Moli, R., Rapisarda, A., Russo, G. and Zappa, C.. 2021. ‘A Novel Methodology for Epidemic Risk Assessment of Covid-19 Outbreak’. Nature Scientific Reports 11 (5304): 1-20, https://doi.org/10.1038/s41598-021-82310-4.Google ScholarPubMed
Quealy, K. 2020. ‘The Richest Neighborhoods Emptied Out Most as Coronavirus Hit’. The New York Times, 15 May. https://www.nytimes.com/interactive/2020/05/15/upshot/who-left-new-york-coronavirus.html?action=click&module=Editors%20Picks&pgtype=Homepage.Google Scholar
Ragin, C. 2014. The Comparative Method. Moving Beyond Qualitative and Quantitative Strategies. Berkeley: University of California Press.CrossRefGoogle Scholar
Renelus, B.D., Khoury, N.C., Chandrasekaran, K., Bekele, E., Briggs, W.M., Ivanov, A., Mohanty, S.R. and Jamorabo, D.S.. 2020. ‘Racial Disparities in Covid-19 Hospitalization and In-hospital Mortality at the Height of the New York City Pandemic’. Journal of Racial and Ethnic Health Disparities 8: 1161-1167, https://doi.org/10.1007/s40615-020-00872-x.CrossRefGoogle ScholarPubMed
Rudan, I. 2020. ‘A Cascade of Causes that Led to the Covid-19 Tragedy in Italy and in other European Union Countries’. Journal of Global Health 10 (1), https://doi.org/10.7189/jogh.10.010335.CrossRefGoogle Scholar
Sassano, M., McKee, M., Ricciardi, W. and Boccia, S.. 2020. ‘Transmission of SARS-CoV-2 and other Infections at Large Sports Gatherings: A Surprising Gap in our Knowledge’. Frontiers in Medicine 7 (277): 110, doi:10.3389/fmed.2020.00277.CrossRefGoogle ScholarPubMed
Savini, L., Candeloro, L., Calistri, P. and Conte, A.. 2020. ‘A Municipality-based Approach using Commuting Census Data to Characterize the Vulnerability to Influenza-like Epidemic: The Covid-19 Application in Italy’. Microorganism 8 (6): 911, https://doi.org/10.3390/microorganisms8060911.CrossRefGoogle ScholarPubMed
Schwirtz, M. and Cook, L.R.. 2020. ‘These NYC Neighborhoods Have the Highest Rates of Virus Deaths’. The New York Times, 22 July. https://www.nytimes.com/2020/05/18/nyregion/coronavirus-deaths-nyc.html.Google Scholar
Sciarrone, R. and Dagnes, J.. 2014. ‘Geografia degli insediamenti mafiosi. Fattori di contesto, strategie criminali e azione antimafia’. In Mafie del Nord. Strategie criminali e contesti locali, edited by Sciarrone, R.. Rome: Donzelli.Google Scholar
Serkez, Y. 2020. ‘Who is Most Likely to Die from the Coronavirus?The New York Times, 4 June. https://www.nytimes.com/interactive/2020/06/04/opinion/coronavirus-health-race-inequality.html.Google Scholar
Shapiro, E. 2020. ‘New York City Public Schools to Close to Slow Spread of Coronavirus’. The New York Times, 15 March. https://www.nytimes.com/2020/03/15/nyregion/nyc-schools-closed.html.Google Scholar
Torpey, J. 2020. ‘What is the True Death Toll of Covid?Forbes, 15 October. https://www.forbes.com/sites/johntorpey/2020/10/15/what-is-the-true-death-toll-of-covid/#28f3594f3f6b.Google Scholar
Tosi, S. and Vitale, T.. 2011. Piccolo Nord. Scelte pubbliche e interessi privati nell'alto milanese. Milan: Mondadori.Google Scholar
Toth, F. 2021. ‘How the Health Services of Emilia-Romagna, Lombardy and Veneto Handled the Covid-19 Emergency’. Contemporary Italian Politics 13 (2): 226–41, doi:10.1080/23248823.2021.1903174.CrossRefGoogle Scholar
Usuelli, M. 2020. ‘The Lombardy Region of Italy Launches the First Investigative Covid-19 Commission’. The Lancet 396 (10262): e86e87, https://doi.org/10.1016/S0140-6736(20)32154-1.CrossRefGoogle ScholarPubMed
Vacca, R., Bianchi, F., Piolatto, M., Squazzoni, F.. 2021. ‘Toward Testing the Intergenerational Contact Hypothesis: The Prevalence and Variation of Intergenerational Ties among Older Adults in a Covid-19 Epicenter’. Paper presented at SISEC Conference, Catania, 912 June.Google Scholar
Wade, L. 2020. ‘From Black Death to Fatal Flu, Past Pandemics Show Why People on the Margins Suffer Most’. Science, 14 May. https://www.sciencemag.org/news/2020/05/black-death-fatal-flu-past-pandemics-show-why-people-margins-suffer-most.CrossRefGoogle Scholar
Wu, X., Nethery, R.C., Sabath, M.B., Braun, D. and Dominici, F.. 2020. ‘Air Pollution and Covid-19 Mortality in the United States: Strengths and Limitations of an Ecological Regression Analysis’. Science Advances 6 (45), doi: 10.1126/sciadv.abd4049.CrossRefGoogle ScholarPubMed
Yang, J., Li, J., Lai, S., Ruktanonchai, C.W., Xing, W., Carioli, A., Wang, P. et al. 2020. ‘Uncovering Two Phases of Early Intercontinental Covid-19 Transmission Dynamics’. Journal of Travel Medicine 27 (8), doi: 10.1093/jtm/taaa200.CrossRefGoogle ScholarPubMed
Yin, R. 2013. Case Study Research. Design and Methods. Newcastle-upon-Tyne: Sage.Google Scholar