ROME, Italy (AP) — Italians in seven regions headed to the polls yesterday for two days of voting shaped by the COVID-19 pandemic.

Voters were required to wear masks and maintain social distancing as they cast ballots in regional contests originally scheduled for the spring but delayed due to the pandemic. Italy’s outbreak has claimed more than 35,600 lives — the second-worst confirmed death toll in Europe after Britain — and stricken 296,500 people since February.

For the first time, voters over 65 will have preferential access and will be guided to the front of any line by volunteers from Italy’s civil protection agency.

Once inside, voters may lower their masks just long enough to confirm their identity against voting cards and ID documents. And in a change, voters leaving the voting booths will place the ballots inside the boxes themselves, instead of turning them over to poll workers.

Veneto Governor Luca Zaia of the right wing League party is expected to win his third mandate handily, after helping Veneto avoid the worst of the pandemic through targeted testing early on and protocols that took the pressure off intensive care wards.

In the region of 5 million people centred around Venice, confirmed virus deaths have numbered 2,158, compared with 16,917 in Lombardy, the epicentre of Italy’s epidemic with a population of 10 million.

The other races are considered a test of the strength of the right wing opposition, led by League leader Matteo Salvini, against the ruling parties of the 5-Star Movement and the Democratic Party. The toughest contest is expected in Tuscany, where Salvini is betting his candidate can oust the Democratic Party from the left-wing stronghold.

Regional leadership is also being decided in Liguria, Le Marche, Campania, Puglia and Valle d’Aosta. Mayoral races also were being held in 1,000 towns and cities.

Despite the complications presented by coronavirus, analysts are projecting a strong turnout, as the pandemic emphasised the significance of local and regional leadership. In Italy, health care is administered at a regional level.

Regional presidents “are quite powerful and people understand this’,’ said Cristina Fasone, a professor at Rome’s LUISS University. “I think even more so after we experienced the first months of the pandemic.”

Italians also are voting on a referendum to reduce the number of national lawmakers, backed by the 5-Star Movement which has made reforming Italy’s often moribund institutions a central political plank. The move would cut lower house lawmakers from 630 to 400 and those in the Senate from 315 to 200. The 5-Stars, which have the most members of any party in the lower house after the 2018 election, say the move will save 500 million euros (US$580 million) each five-year legislative period.

Most parties back the constitutional reform, which has already been passed by parliament but without the two-thirds majority that would have avoided a referendum. Still, many top political voices say they are voting ”no” as the move would reduce regional representation.

Polls will close at 3:00 pm today.