45 days before the first coronavirus case was announced, a global health security index was published, showing how prepared countries were to tackle a serious pandemic outbreak. The USA was ranked best out of 195 nations. Days before Trump’s inauguration, the Obama administration urged his team to get ready for a pandemic that could be the worst since 1918. Warning of possible ventilator shortages, it stressed the importance of a coordinated response. However, the Trump team, ignoring the advice, shut down the White House office devoted to pandemic preparedness set up by Obama. On 18 January health secretary Alex Azar, a practising Christian, warned Trump of potential danger from the virus, but Trump called him an ‘alarmist’, saying it was just one person coming in from China. See