Rabies, caused by the Lyssavirus genus, is a highly lethal zoonotic disease transmitted by animals such as bats and domestic and wild carnivores to humans, claiming nearly 100% of lives. In Brazil, recent evidence suggests an increasing role of bats in human deaths from rabies, particularly in the Amazon region. This neglected tropical disease disproportionately affects impoverished and vulnerable populations in rural areas, where approximately 80% of human cases are concentrated. This article presents research conducted in riverine communities of the Tapajós/Arapiuns Extractive Reserve in Brazil to combat rabies in September 2022. The study adopted a participatory and collaborative approach, involving community members, healthcare professionals, and educators. Prioritizing proactive interventions, the health team administered prophylactic vaccinations to 30 individuals residing in communities exposed to the Lyssavirus. Educational activities focused on dispelling myths and raising awareness about preventive measures, with 100% of individuals reporting prior doubts about the disease, emphasizing the essential nature of the clarification, especially regarding preventive aspects. This study underscores the importance of community involvement, personalized interventions, and ongoing education to effectively combat rabies. By reinforcing public health policies and promoting health education, we can empower communities to take proactive measures in rabies prevention, leading to a reduction in incidence and an improvement in quality of life.

The emergence of SARS-CoV-2, leading to the widespread outbreak of COVID-19, has unveiled a spectrum of symptoms and severe health complications, challenging healthcare systems and impacting millions of lives worldwide. To analyze events allegedly attributable to vaccination or immunization (ESAVI) against SARS-CoV-2 (COVID-19) in the municipality of Santarém, in the interior of the state of Pará, an epidemiological, descriptive study was conducted using data from e-SUS Notifica in Santarém/PA from January 2021 to January 2022. The analyzed data for ESAVI cases included the administered immunobiologicals (Coronavac, Covishield, and Comirnaty), the type of event, case progression, time in days between immunobiological administration, and symptom onset, causality, and classification of ESAVI according to the vaccine package inserts. The incidence rate of ESAVI due to the COVID-19 vaccine was 17 per 100,000 doses administered in the municipality. According to the ESAVI classification, 14.0% were classified as Serious ESAVI (ESAVIG) (IR: 8.12 per 100,000 doses administered), with 100% of these events resulting in full recovery without sequelae, and 82.4% of reported cases were classified as Non-Serious ESAVI (ESAVING) (IR: 47.78), of which 3.60% were immunization errors (IR: 2.08 IE per 100,000 doses). This study fosters discussion on the importance of accurate recording of ESAVI related to COVID-19 vaccines, demonstrating their safety for the population.

Identificar o cenário acerca da adesão da vacinação da COVID-19 em uma comunidade ribeirinha do interior da Amazônia. É um estudo descritivo, transversal com abordagem qualitativa. Fizeram parte do estudo aqueles que se denominam ribeirinhos moradores do lugar e aqueles remanescentes de outras comunidades que residem no local. Os dados obtidos através de entrevistas individuais gravadas foram analisados através da técnica de análise de conteúdo segundo Bardin. Dentre os 15 participantes, 100% aderiu à vacina da COVID-19. Os dados revelaram que a população estudada possui como perfil sociodemográfico a prevalência da faixa etária de adultos, sexo feminino, baixa renda e pouca escolaridade, somando-se ao serviço de saúde de qualidade e o receio de contaminação como fatores de maior adesão. Por isto posto, o estudo mostra, que a promoção em saúde realizada na comunidade ribeirinha Santana do Ituqui pela equipe multiprofissinonal, foi fundamental para a totalidade da adesão vacinal da Covid-19. Destacando e reforçando a importância dos profissionais de saúde como formadores de opinião sobre vacinação e da educação em saúde.

Resumo: O artigo analisa as ações da Atenção Primária à Saúde durante a covid-19 em comunidade ribeirinha da Amazônia paraense. Destacam-se ações de diagnóstico, tratamento, reabilitação e manutenção da saúde, com estratégias, como pontos de triagem, adaptação de protocolos, busca ativa de usuários para acompanhamento, além de iniciativas voltadas à reabilitação e à manutenção da saúde, enfatizando a importância de uma resposta rápida, eficaz e adaptada ao contexto ribeirinho amazônico.