Excess mortality and protected areas during the COVID-19 pandemic: Evidence from Italian municipalities. Issue 12 (December 2022)

• Record Type: Journal Article
• Authors: Becchetti, Leonardo; Conzo, Gianluigi; Conzo, Pierluigi; Salustri, Francesco
• Is Part Of: Health policy. Volume 126:Issue 12(2022)
• Page Start: 1269
• Page End: 1276
• Publication Date: 2022-12
• Subjects: COVID-19 -- Mortality -- Protected areas -- Pollution; Medical education -- Periodicals; Medical policy -- Periodicals; Delivery of Health Care -- Periodicals; Education, Medical -- Periodicals; Health Education -- Periodicals; Health Planning -- Periodicals; Public Policy -- Periodicals; Enseignement médical -- Périodiques; Politique sanitaire -- Périodiques; Medical education; Medical policy; Periodicals; Electronic journals; Electronic journals; 362.1
• DOI: 10.1016/j.healthpol.2022.10.005
• Languages: English
• ISSNs: 0168-8510

Abstract

Highlights: Italian municipalities located in protected areas experienced lower COVID-19 deaths. Protected areas show 1.4 deaths less per 1000 inhabitants, corresponding to 18.7%. Our analysis controls for various co-factors and is robust to different methodology. Results are confirmed for both national parks and environmental economic zones. Protected areas have beneficial effects for health and health risks exposure. Abstract: There is widespread debate on the drivers of heterogeneity of adverse COVID-19 pandemic outcomes and, more specifically, on the role played by context-specific factors. We contribute to this literature by testing the role of environmental factors as measured by environmentally protected areas. We test our research hypothesis by showing that the difference between the number of daily deaths per 1, 000 inhabitants in 2020 and the 2018–19 average during the pandemic period is significantly lower in Italian municipalities located in environmentally protected areas such as national parks, regional parks, or Environmentally Protected Zones. After controlling for fixed effects and various concurring factors, municipalities with higher share of environmentally protected areas show significantly lower mortality during the pandemic than municipalities that do not benefit from such environmental amenities.