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He gutted the Federal Pandemic Response Team in 2018.
https://www.snopes.com/fact-check/trump-fire-pandemic-team/
He then took deliberate steps to inhibit pandemic response in 2020.
https://www.nbcnews.com/politics/congress/trump-white-house-made-deliberate-efforts-undermine-covid-response-report-n1286211
Dismantling the CDC and HHS is absolutely to be expected.