The article by Margaret Douglas and colleagues highlights the potential widening of health inequalities due to the economic and social impacts of social distancing measures in response to the COVID-19 pandemic. The authors argue that while these measures aim to reduce transmission, they also have profound consequences for health, particularly for vulnerable populations. Key areas of concern include economic effects, social isolation, family relationships, and disruptions to essential services and education. Low-income individuals, women, young people, and those already in precarious employment are at higher risk. The authors emphasize the need for targeted support to mitigate these adverse effects, including measures to safeguard incomes, provide social and psychological support, and maintain family stability. They also stress the importance of long-term policy decisions to build a more sustainable and inclusive economy, avoiding austerity and ensuring equitable access to social security and public services.The article by Margaret Douglas and colleagues highlights the potential widening of health inequalities due to the economic and social impacts of social distancing measures in response to the COVID-19 pandemic. The authors argue that while these measures aim to reduce transmission, they also have profound consequences for health, particularly for vulnerable populations. Key areas of concern include economic effects, social isolation, family relationships, and disruptions to essential services and education. Low-income individuals, women, young people, and those already in precarious employment are at higher risk. The authors emphasize the need for targeted support to mitigate these adverse effects, including measures to safeguard incomes, provide social and psychological support, and maintain family stability. They also stress the importance of long-term policy decisions to build a more sustainable and inclusive economy, avoiding austerity and ensuring equitable access to social security and public services.