Abstract

ABSTRACT We examine the regional mortality rates associated with the spread of Covid-19 in Europe. In particular, we analyse the potential contribution of the country’s geographical and institutional features in shaping the virus's interregional spread and resulting local death rates. Our analysis is based on information from both pandemic waves from March to the end of November 2020. In a multilevel hierarchical regression estimation setting, covering information from over 600 OECD-TL3 areas, over 120 larger OECD-TL2 areas and 15 national-level areas, our findings suggest that local death rates are affected by the geographical and institutional features at the local, regional and national levels.

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