Refugee camps are exceptionally vulnerable to the COVID-19 pandemic, as they tend to have poor infrastructure around sanitation and health care. Typical distancing interventions (such as isolation and quarantine) are unlikely to be practical strategies both due to threats to the livelihoods of those living in the camps and the nature of the camp environment itself. However, without any intervention to stop or mitigate a pandemic, in only a few months, there will be a high mortality rate and a high healthcare burden. Caroline Favas of the London School of Hygiene and Tropical Medicine has given guidance on “targeted shielding,” an alternative strategy to those above. Targeted shielding involves selecting high risk and vulnerable individuals to be separated from the rest of the population, limiting contact between people that can result in transmission of the disease (effective contacts). This is done by placing the vulnerable in “green zones”, areas that are only used by these vulnerable individuals that other less vulnerable people may not enter. Green zones can be implemented at varying scales (household, neighbourhood, sector), and have flexibility in terms of disruption to daily life, as well as care and sanitation strategy. At the household level vulnerable members are sectioned into their own areas in their own home, and are provided with water and soap for handwashing. At the neighbourhood and section level, residents of the camps swap homes so that the vulnerable have dedicated accommodation, and it becomes possible to house showering and latrine facilities within the green zone. It also becomes possible to house physically able but low risk residents in these larger green zones to act as carers if needed.