In this section, we analyze the temporal evolution of the detected communities in the fist and second observation period and the new communities obtained by integrating climate data with Intensive Care, Total Hospitalised and Total Currently Positive data. The aim is to highlight that the communities may be diverse according to (i) different data analyzed and (ii) different time intervals when considering the same data.
For the first observation period the temporal evolution of the communities is computed at the following different time intervals:
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at the end of the first week (February 24–March 1);
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after 3 weeks (February 24–March 15);
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after 5 weeks (February 24–March 29);
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after 7 weeks (February 24–April 12);
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after 9 weeks that we called the observation period (February 24–April 26);
Then, we considered the temporal evolution of the communities for the second observation period at following different time intervals:
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at the end of the first week (September 29–October 4);
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after 3 weeks (September 29–October 18);
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after 5 weeks (September 29–November 1);
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after 7 weeks (September 29–November 15);
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after 9 weeks that we called the second observation period (September 29–November 29).
Furthermore, we analyzed the communities on the networks obtained by integrating climate data with three types of Italian COVID-19 data, Intensive Care, Total Hospitalised, and Total Currently Positive data.
Our goal is to assess: (i) if diverse COVID-19 measures show similar or dissimilar communities and (ii) if the communities are similar or dissimilar analyzing diverse time intervals on the same COVID-19 measure.
First observation period (February 24–April 26, 2020 (\(1\text {st}\) wave))
We analyze Fig. 6 that shows the development of Hospitalised with Symptoms Network Communities. In the first week, six communities are identified (Fig. 6a): (1) Lombardy, (2) Veneto, (3) Emilia and Marche, (4) Liguria, Tuscany and Piedmont, (5) Puglia, Lazio, Campania, Abruzzo, Bolzano and Sicily, (6) Umbria, Sardinia, Calabria, Molise, Valle d’Aosta, Friuli, Basilicata, Trento. After 3 weeks, the regions leave the previous communities, and they move to other ones. For example, Veneto, that was an alone community in the first week, migrates to another community after 3 weeks. Also, Emilia represents a single community, whereas it formed a community with Marche in the first week. In Fig. 6b all identified communities after 3 weeks are reported: (1) Lombardy, (2) Emilia, (3) Veneto, Marche, Piedmont, Liguria, Tuscany and Lazio, (4) Trento, Bolzano, Abruzzo, Friuli, Sicily, Puglia, (5) Campania, Umbria, Sardinia, Calabria, Molise, Valle d’Aosta, Basilicata. After 5 weeks, five communities are extracted as Fig. 6c depicts. The first community is formed by Basilicata that becomes a single one by leaving the previous community; the second community is formed by Piedmont, Marche, Emilia, Lombardy and Veneto; the third community is formed by Liguria, Lazio, Tuscany; the fourth one is composed by Campania, Puglia, Sicily, Abruzzo, Valle d’Aosta, Friuli, Trento and Bolzano; the last community consists of Umbria, Sardinia, Calabria, Molise. Figure 6d shows the development of the communities after 7 weeks. The initial network is split into seven groups, and eight communities are formed. (1) The first one consists Lombardy; (2) the second community is represented by Veneto; (3) the third one consists of Piedmont and Emilia; (4) the fourth one consists of Molise and Basilicata; (5) the fifth one consists of Friuli and Bolzano; (6) Valle d’Aosta, Sardinia, Umbria and Calabria form the sixth community; (7) the seventh one is formed by Umbria, Marche, Liguria, Tuscany and Lazio; (8)Abruzzo, Sicily, Campania, Puglia, and Trento compose the eighth community. After 9 weeks, the network splits into more groups by forming nine communities, reported in Fig. 6e: (1) Lombardy; (2) Veneto; (3) Piedmont and Emilia; (4) Molise and Basilicata; (5) Friuli and Bolzano; (6) Abruzzo and Trento; (7) Valle d’Aosta, Sardinia, Umbria, and Calabria; (8) Sicily, Campania and Puglia; (9) Marche, Liguria, Tuscany and Lazio.
It is possible to notice that the progression of the Hospitalised with Symptoms Network Communities is similar to the Total Hospitalised Network Communities, reported in Fig. 8.
In fact, in the first week, Fig. 8a, six communities are mined. The first one consists of Liguria, Tuscany and Piedmont, the second community comprises Sardinia, Umbria, Calabria, Basilicata, Valle d’Aosta, Friuli, Trento and Molise; the third community consists of Lazio, Campania, Sicily, Abruzzo, Bolzano and Puglia; the fourth one consists of Marche, Emilia; the fifth is represented by Lombardy, and the sixth one is formed by Veneto. Then, after 9 weeks, the network splits into eleven communities, seven of them are equal to the communities identified in Hospitalised with Symptoms Network: (1) Lombardy; (2) Veneto; (3) Piedmont and Emilia; (5) Friuli and Bolzano; (6) Marche, Liguria, Tuscany and Lazio, (7) Valle d’Aosta, Sardinia, Umbria and Calabria.
The comparison among Hospitalised with Symptoms Network Communities and Total Hospitalised Network Communities after 9 weeks is reported in Fig. 27.
Moreover, Deceased Network Communities, Fig. 13, and Total Cases Network Communities, Fig. 14, report similar evolution.
Figure 13a presents the mined communities of the Deceased Network at the end of the first week. The detected communities consist of: a considerable community formed by 17 regions: Emilia, Piedmont, Liguria, Campania, Abruzzo, Puglia, Valle d’Aosta, Umbria, Calabria, Sicily, Campania, Trento, Lazio, Sardinia, Bolzano, Basilicata, Molise and Friuli; a single community formed by Lombardy: a single community represented by Veneto; and a single community consisting of Marche and Tuscany.
Figure 14a shows the five communities mined from Total Cases Network at the end of the first week. The first one comprises Liguria, Tuscany Lazio, Piedmont, Campania and Sicily; the second is composed by Sardinia, Abruzzo, Umbria, Calabria, Basilicata, Bolzano, Valle d’Aosta, Friuli, Trento, Molise and Puglia; the third cluster is represented by Marche and Emilia; the forth one comprises only Lombardy and the last one Veneto. Although the communities are different in the first week, at the end of the 9 weeks, the community evolution shows a similar trend. In fact, both networks split into more similar communities. The comparison among Deceased Network Communities and Total Cases Network Communities in the observation period is reported in Fig. 28.
Also, Total Currently Positive Network Communities, Fig. 10, and New Currently Positive Network Communities, Fig. 11 report similar evolution.
Figure 10 shows the development of Total Currently Positive Communities. Figure 10a depicts the detected community at the end of the first week. The first one comprises Umbria, Sardinia, Basilicata, Molise, Friuli Tuscany, Calabria, Valle d’Aosta and Trento; the second community is represented by Bolzano, Lazio, Abruzzo and Puglia; the third one is represented by Campania, Sicily and Liguria; Piedmont and Lazio form the forth community; Marche forms the fifth community; the sixth one is formed by Emilia; the seventh is composed of Lombardy and the eight community consists of Veneto. At the end of 5 weeks, the detected communities further decline, as reported in Fig. 10c. The first one comprises Veneto, Lombardy, Emilia and Marche; the second one is represented by Piedmont; the third one groups Basilicata, Molise, Calabria and Sardinia; the fourth one comprises Tuscany, Lazio, Friuli, Valle d’ Aosta, Sicily, Campania, Liguria Puglia, Abruzzo, Umbria, Trento and Bolzano.
Figure 11 depicts the development of New Currently Positive Communities. Figure 11a shows the detected communities at the end of the first week. Lombardy, Veneto and Emilia composes a single communities, and then there are two considerable communities: the first community consists of Marche, Piedmont, Liguria, Campania, Abruzzo and Tuscany; the second one is formed by Puglia, Valle d’Aosta, Umbria, Calabria, Sicily, Campania, Trento, Lazio, Sardinia, Bolzano, Basilicata, Molise and Friuli. After 5 weeks, the number of communities further decline, as reported in Fig. 11c. In fact, four communities are detected: (1) Piedmont, Marche, Tuscany; (2) Lombardy, Veneto and Emilia, (3) Basilicata and Molise, (4) Puglia, Friuli, Valle d’Aosta, Lazio, Abruzzo, Umbria, Campania, Trento, Liguria Bolzano, Calabria, Sardinia and Sicily.
Figures 10e and 11e report the Total Currently Positive Network Communities and New Currently Positive Network Communities after 9 weeks. It is possible to notice that both networks split into more similar groups such as: (1) Lombardy community; (2) Basilicata and Molise community; (3) Valle d’Aosta, Umbria, Calabria and Sardinia community; (4) Emilia and Piedmont community.
The comparison among Total Currently Positive Network Communities and New Currently Positive Network Communities at the end of the 9 weeks is reported in Fig. 29 in the first observation period.
In contrast, there are different networks such as, Intensive Care Network, Discharged/Healed Network, Swabs Network, whose communities evolve differently over time, resulting reduced at the end of 9 weeks due to several members that leave different groups, see Figs. 7, 12 and 15.
Second observation period (September 28–November 29, 2020 (\(2\text {nd}\) wave))
By considering the networks built in the second observation period it is possible to note that the topology evolves from a sparse to a dense structure and this reflects on the discovered communities. In fact, by analyzing the first week in Hospitalised with Symptoms Network (Fig. 15a), Total Hospitalised Network Communities (Fig. 17a), Total Currently Positive Network Communities (Fig. 19a), Discharged/ Healed Network Communities (Fig. 21a), Deceased Network Communities (Fig. 22a), Total Cases Network Communities (Fig. 23a), it is possible to notice that the Italian regions represent single communities that is reflected by the sparse network topology. Especially, in Deceased Network, each region forms a single community in the first week and after three weeks, whereas, after five weeks, three communities are composed by two regions (Fig. 22c): (i) Marche and Lazio, (ii) Campania and Abruzzo, (iii) Sicily and Friuli. After seven weeks (Fig. 22d), the Italian regions form single communities with the exception of three communities formed respectively by: Umbria and Calabria, Campania and Abruzzo, Lazio and Marche; and a community formed by three regions, Friuli, Sicily and Trento. Instead, after 7 weeks (Fig. 22e), the community composed by Lazio and Marche splits into two single communities whereas Umbria and Calabria, Campania and Abruzzo, and Friuli, Sicily, Trento continue to form communities. Furthermore, by comparing the communities extracted from the networks in the first observation period and those discovered in the second observation period, it is possible to notice a substantial diversity among them. This reflects the different impact that the spread of the virus has had on the Italian regions considering the different observation periods. In fact, the mined communities are different for each kind of COVID-19 measure and for each considered week. This implies that highlighted original clusters of regions with respect to COVID-19 data are discovered.
Thus, it should be noted that the network representation of similar/dissimilar regions allows showing in a graphical way how this varies over time. In addition, community detection allows to better identify clusters of regions that can be shown both graphically and also considering objective measures such as community (cluster) centroid (e.g. mean measure). In fact, it is possible to notice that the community centroids are different for each individual community surveyed, considering both the different observation periods and the individual weeks. Therefore this is an indication of the variability of the communities.
The results evidence that community structure evolves. For example, the communities grow due to joining of regions or the communities reduces due to leaving of regions. This allows to evaluate the changes of community coherence in relation to different data and along time. We showed that the regions most affected by the epidemic (Lombardy, Veneto, Piedmont, and Emilia) behaved differently than the other regions. This aspect is reflected in the community detection analysis in which those regions formed a single community or a community among them. In addition, this study also allows to highlight that regions geographically distant may show similar behaviours and form community. For instance, far regions like Calabria, Sardinia, and Molise, form a community in Hospitalized with Symptoms Network, Total Hospitalized Network, Total Currently Positive Network, Discharged/Healed Network, Total Cases, Deceased Network, Intensive Care Network.
In conclusion the CCTV methodology is able to provide a snapshot of COVID-19 measures at a given time interval or depict their temporal evolution. The analysis of the results could lead to the identification of: (i) an event that did not cause a region to move from an initial community, (ii) an event that caused a region to move to a more supportive community, for example where fewer people were recorded cases or (iii) an event that led to a region to move into one. Once the event is identified, it might be possible to plan interventions to improve the behavior of critical regions such as increasing the number of intensive care units or swab tests. In this work, we conducted the analyzes at the regional level but the methodology can be applicable to different zooms, such as the analysis of the behavior of the cities in a region or the behavior of the states of in a country (e.g. Europe). Therefore, our methodology can be considered as a support tool for political and health decisions.
Integrating climate data with COVID-19 measures by using network alignment method
Finally, we wanted to integrate climate data to correlate them with a selection of three types of Italian COVID-19 measures, using network alignment techniques. At first, we built three new networks relating to the first observation period, three networks relating to the second observation period that integrate the chosen COVID-19 measures with climate data, and we extracted the communities. As it is possible to see in Figs. 30 and 31), the communities related to Intensive Care, Total Hospitalised and Total Currently Positive networks including climate data are different if compared with those extracted from the networks both for the first and for the second period on the same networks. This implies that the variation of the climate in the Italian territory affects the identification of the communities for Intensive Care, Total Hospitalised and Total Currently Positive data.
Let’s consider the example of Lombardy in relation to Intensive Care Units data. In the first observation period, Lombardy formed a single community, except 5 weeks after the start of the pandemic in which it forms a community with Veneto. In the second observation period, Lombardy initially forms a community with Campania, then Lazio joins these two. After that, Campania leaves the community and finally, until 9 weeks, Lombardy forms a single community.
Instead, by considering the networks obtained by integrating the climate data, we can see that in the first observation period Lombardy forms a community with Trento, while in the second period it forms a community with Bolzano, Basilicata and Sardinia. Starting from these results, it is possible to build a forecast model based on climate data.
Hence the CCTV methodology can be used as a decision support tool. For example, given a target, such as a maximum number of infected per inhabitants, it could be analyze what variations in the climate data may modify those infected per inhabitants data. Therefore, a possible rule may be: if the climate remains in the positive (i.e. it positively affects the COVID-19 measures) side , there is no alarm on infected per inhabitants data, on the other hand, if the climate becomes negative (i.e. it negatively affects the COVID-19 measures), interventions such as avoiding travel or planning a lockdown can be planned. So, as affirmed before, our methodology can be considered as a tool to support different public health policy decisions.