Findings from this study generate further questions: What were the determinants of elevated psychological distress? Was it the risk of the disease itself, e.g. fear of the disease, or concern for horses? Was it the social and emotional impacts of disease control measures and restrictions, e.g. social isolation, quarantine, loss of freedom or control, stigma of being 'infected'? Was it loss of income or sporting aspirations? More importantly, how enduring is this elevated psychological distress, and what are the longer term mental or physical health consequences for those affected? The latter is of critical importance given the increased prevalence of high psychological distress reported in young people in this study. Some of these questions can be addressed using additional data collected in the wider study; however, the issue of enduring psychological distress will require further assessment.