This refers to “Plagued by Trumpism” (March 18). One wonders why the US, the most developed country as they call it, could not emulate the small Indian state of Kerala, in fighting epidemics and building up its own sustainable preventive system. As Joseph Stiglitz has rightly pointed out, the spread of diseases is one of the negative side effects of globalisation that has made the world small. Governance, or the lack of it, in the US is now mocking at the helplessness of the average American. In such situations, governments must take the lead role in mitigation and global cooperation