Heatmaps of three Italian cities, Turin, Milan, and Palermo

Data-driven distribution of the proportion of non-compliant individuals, ri⁠, scaled such that 0 represents the minimum level and 1 the maximum level of non-compliance. Darker colours correspond to smaller values, using the same colour normalization for the three cities. 

Image source: Mazza F, Brambilla M, Piccardi C, Pierri F, Proceedings of the Royal Society A (CC BY 4.0

News • Public health compliance

Epidemic spread: individual behaviour matters

Simulations of Turin, Milan and Palermo reveal that individual behaviour affects the intensity and timing of epidemics spreading in urban areas.

Even a small proportion of citizens who do not follow health measures can amplify the spread of an epidemic and make it expand faster in large cities. Such were the results of research conducted by the Politecnico di Milano and published in the journal Proceedings of the Royal Society A by the Royal Society of London. 

The study, authored by Fabio Mazza, Marco Brambilla, Carlo Piccardi and Francesco Pierri from the Department of Electronics, Information and Bioengineering (DEIB), analyses how individuals who do not comply with public health recommendations influence the spread of contagions in urban environments. 

Photo
(a–c) Distribution of the population in tiles for the cities under analysis: each tile is coloured according to the number of individuals (see colour bar on the left-hand side). (d) Schematic representation of a tile, with household contacts in blue and social contacts in orange–some of the latter connect to tiles not visible in the diagram. The dashed grey lines indicate the boundaries of the tile.

Image source: Mazza F, Brambilla M, Piccardi C, Pierri F, Proceedings of the Royal Society A (CC BY 4.0)

Using contact networks based on real data and a mathematical model that distinguishes between citizens ‘adhering’ and ‘not adhering’ to public health measures, the researchers simulated the spread of an epidemic in three Italian cities: Turin, Milan and Palermo. 

The simulations showed that even a small proportion of non-adherents can substantially increase the infection peak and hasten the time of infection, straining healthcare facilities. The effect is particularly evident when the transmissibility of the disease is moderate. Moreover, when people who ignore preventive measures are concentrated in certain areas, local hotspots can form, making it more difficult to contain the epidemic. 

‘We observed that although the epidemic followed similar overall dynamics in the cities we studied,’ explains Francesco Pierri, a researcher in the Data Science Lab and coordinator of the study, ‘the geographical distribution of non-adherent behaviour significantly alters local contagion trajectories, leading to marked differences between city districts.’ 

This work emphasises the need to monitor the distribution of preventive behaviour and adapt public health strategies to the nature of individual urban contexts, thereby making public health interventions more effective. 

The research is part of the CODE — Coupling Opinion Dynamics with Epidemics project, financed by NRRP Mission 4 ‘Education and Research’ – Projects of National Interest (PRIN 2022 NRRP). 


Source: Politecnico di Milano 

13.12.2025

More on the subject:

Related articles

Photo

News • Global rise in infectious diseases

'Creeping catastrophe': New study warns of health impact of climate change

Climate change, poverty, and drug resistance are combining to create an escalating health crisis that could become a ‘creeping catastrophe’ if left unaddressed, a new international study finds.

Photo

News • Cervical cancer prevention

HPV vaccine protects for a long time, study shows

More than a decade of protection against the human papillomavirus (HPV): a new study confirms the long-term effectiveness of the HPV vaccine to prevent development of cervical cancer and pre-cancer.

Photo

News • Link between Covid, flu, HIV and CVD

Viral infections may increase the risk of cardiovascular disease

After a bout of influenza or Covid, the risk of heart attack or stroke may rise dramatically, and chronic infections may increase the long-term risk of serious cardiovascular disease events.

Related products

Subscribe to Newsletter