Background:
COVID -19 pandemic mortality hit especially people over 80 years. This paper aims to assess the impact of Community-based pro-Active Monitoring Program (CAMP) on octogenarians’ survival, during the COVID-19 pandemic.

Methods:
The CAMP “Long Live the Elderly!” supports to the over 80s population living in selected Urban Area (UAs) of Rome. The paper compares mortality in these UAs with the mortality of adjacent neighbourhoods, which were not served by the CAMP program, between October 2020 and March 2021. Mortality was stratified by COVID-19 incidence, percentage of people living alone, and income per capita by means of a Generalized Linear Model weighted for the UAs’ > 80s population. The Rome Municipality Statistics Office provided data on mortality.

Results:
Between October 2020 and March 2021 the Statistics Office reported 234 (56.5/1000) deaths in the zones served by CAMP and 477 (52.9/1000) deaths for the UZs not served by CAMP. The increase in mortality compared to the same period of the previous year was 37 (22.4%) and 74 (25.2%) respectively for UAs served and not served by CAMP. The absence of CAMP, weighted for the population and adjusted for the COVID-19 incidence, and the percentage of Older Adults >80 living alone, was associated to a 37% increase of deaths (p<0.001).

Conclusions:
Mortality among octagenerians increased during Rome's worst phase of COVID-19 pandemic. The implementation of CAMP is associated with a containment of mortality. Social support might be one of the reasons for this result. However, given the limited sample size, futher reasearch is warranted.