Although LDCs are home to 13.3% of the world’s population, their share of COVID-19-related medical imports is just 1%. Commonwealth LDCs source around half of their medical supplies from other Commonwealth members; and these countries supply around one-third of COVID-19-related medical supplies to the other 33 non-Commonwealth LDCs. Ramping up globalised production and a coordinated approach for equitable distribution of these supplies could help LDCs to mitigate the current outbreak and future infections.