Weak governance, an impoverished health service and a population with disproportionate health problems all increase the likelihood that the coronavirus pandemic could have a significant negative impact in Abkhazia. There is misinformation about Covid-19, limited access to protective equipment, and no infrastructure to enable deliveries of essential goods, other than by friends, family or volunteers. This is made worse by Abkhazia’s economic overdependence on tourism from Russia as months of travel restrictions between Russia and Abkhazia have caused economic stagnation and eaten up what little savings people may have had. The weak welfare system means many are suffering socio-economic hardship. There are multiple drivers for these problems, but the isolation resulting from decades of unresolved conflict is a root cause, hampering modernisation and development, and creating the potential for fault lines to emerge in a society strained by economic stagnation.