PurposeThis paper analyses emergency management in two regions of Italy – Emilia-Romagna and Veneto – in order (1) to understand whether they impact on the spread of local coronavirus disease 2019 (COVID-19) contagion and (2) evaluate which strategy works best.Design/methodology/approachA three-step method was developed consisting of (1) a regional incidence curve analysis; (2) a descriptive statistical analysis of the respective operational measures related to the COVID-19 curve stages; and (3) a dynamic Structural Equation Model.FindingsThe results show the effects of the models during the various stages of the local contagion, focussing both on the two individual regions and a comparison of the way they responded.Practical implicationsTh...