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In this third instalment of our 12-part Decolonising Global Health series, Maju Brunette joins us again as she reflects on the deep-rooted links between poverty, power and the spread of infectious diseases, focusing on tuberculosis (TB) and its disproportionate impact on marginalised communities in the Global South. Writing from Lima on World TB Day, she invites readers to consider how global health can move beyond biomedical responses to address the structural inequalities that allow diseases like TB to persist.