The COVID-19 (coronavirus) pandemic is increasingly a concern for developing countries. Using a new database on COVID-19 trade flows and policies, this note looks at the role of trade and trade policy to address the looming health crisis in developing countries with highest numbers of recorded cases. It shows that export restrictions by leading producers could cause significant disruption in supplies and contribute to price increases. Tariffs and other restrictions to imports further impair the flow of critical products to developing countries.