Back in December 2019, the novel coronavirus disease 2019 (Covid-19) started rapidly spreading worldwide, especially in Italy that was among the most affected countries. The geographical distribution of air pollution and Covid-19 mortality in Italy suggested atmospheric pollution as a worsening factor of severe Covid-19 health outcomes. The present nationwide ecological study focused on all 107 Italian territorial areas, aiming to assess the potential association between Particulate Matter concentration, less than 2.5 μm in diameter (exposure), and Covid-19 mortality rate (outcome) throughout 2020, by looking at 28 potential confounders. A potential positive association between exposure and outcome was observed when performing a multivariate regression analysis with a Negative Binomial model, suggesting that an increase of 1 μg/m 3 in the exposure is associated with an increase of 9.0% (95% CI: 6.5%–11.6%) in the average Covid-19 mortality rate, conditional on all 28 potential confounders. A sensitivity analysis, based on the E-value, shows that a hypothetical unmeasured confounder would have to be associated with both PM 2.5 concentration and Covid-19 mortality rate by a rate ratio of at least 1.40-fold each to explain away the exposure-outcome association, conditional on all 28 covariates included in the main analysis model. Moreover, the Observed Covariate E-value (OCE) was reported to provide a contextualization of the E-value on the observed covariates included in the study. The OCE sensitivity analysis shows that a set of unknown confounders similar in size and magnitude to the set of the considered climatic factors could potentially explain away the estimated exposure-outcome association. Consequently, the role of climatic factors in the Covid-19 pandemic is worth of further investigation.

One of the most important open challenges in climate science is downscaling. It is a procedure that allows making predictions at local scales, starting from climatic field information available at large scale. Recent advances in deep learning provide new insights and modeling solutions to tackle downscaling-related tasks by automatically learning the coarse-to-fine grained resolution mapping. In particular, deep learning models designed for super-resolution problems in computer vision can be exploited because of the similarity between images and climatic fields maps. For this reason, a new architecture tailored for statistical downscaling (SD), named MSG-GAN-SD, has been developed, allowing interpretability and good stability during training, due to multi-scale gradient information. The proposed architecture, based on a Generative Adversarial Network (GAN), was applied to downscale ERA-Interim 2-m temperature fields, from 83.25 to 13.87 km resolution, covering the EURO-CORDEX domain within the 1979–2018 period. The training process involves seasonal and monthly dataset arrangements, in addition to different training strategies, leading to several models. Furthermore, a model selection framework is introduced in order to mathematically select the best models during the training. The selected models were then tested on the 2015–2018 period using several metrics to identify the best training strategy and dataset arrangement, which finally produced several evaluation maps. This work is the first attempt to use the MSG-GAN architecture for statistical downscaling. The achieved results demonstrate that the models trained on seasonal datasets performed better than those trained on monthly datasets. This study presents an accurate and cost-effective solution that is able to perform downscaling of 2 m temperature climatic maps.

Compartmental models have long been used in epidemiological studies for predicting disease spread. However, a major issue when using compartmental mathematical models concerns the time-invariant formulation of hyper-parameters that prevent the model from following the evolution over time of the epidemiological phenomenon under investigation. In order to cope with this problem, the present work suggests an alternative hybrid approach based on Machine Learning that avoids recalculation of hyper-parameters and only uses an initial set. This study shows that the proposed hybrid approach makes it possible to correct the expected loss of accuracy observed in the compartmental model when the considered time horizon increases. As a case study, a basic compartmental model has been designed and tested to forecast COVID-19 hospitalizations during the first and the second pandemic waves in Lombardy, Italy. The model is based on an extended formulation of the contact function that allows modelling of the trend of personal contacts throughout the reference period. Moreover, the scenario analysis proposed in this work can help policy-makers select the most appropriate containment measures to reduce hospitalizations and relieve pressure on the health system, but also to limit any negative impact on the economic and social systems.