Another country with equivalent sun exposure to Italy is Greece, again orders of magnitude less deaths (like Germany). They also had strong lockdowns and early enough.
It's the measures. Analyzing what happened in Europe (and still happens) can't be explained with anything else.
Compare it with fires. Small fires are easy to extinguish. Pretending "it will go away" will simply result in a big fires. Eventually there won't be anything to burn. With people, eventually everybody who can and "feels the heat" will try to protect themselves.
A lot of older people in Sweden stay in their homes and take care not to be infected. Masks are common in the supermarkets, etc.