During the COVID-19 pandemic, those over 80 years of age face a mortality rate five times higher than other age groups. This United Nations policy brief elaborates on these impacts and identifies both immediate and longer-term policy responses needed to protect the elderly. They recommend strengthening older people’s social inclusion and solidarity during physical distancing. Increasing their access to digital technologies, protecting their vulnerability by investing in universal health coverage and social protection, and strengthening the applicable national and international legal frameworks are all suggested. Furthermore, risks faced by older persons in accessing health care need to be properly monitored and fully addressed.