cases were registered (increase of 129% in relation to 2,018); the annual parasitic incidence rate went from 1.2 to 2.7 per thousand inhabitants. In March 2020, the first cases of COVID-19 were reported; In a pandemic year, 255,621 cases were reported nationwide and 15,887 in the Amazon; incidence, general mortality, and case-fatality rates are higher in the Amazon. Conclusions. In a scenario with a chronic circulation of a parasitic disease, SARS-CoV-2 has been introduced with a notable impact on health in 2020, which is repeating and deepening in 2021. The reduction in the provision of health care, due to the indirect effects of COVID-19, it threatens the tasks of all the programs, food security, economic growth and the worsening of poverty of the population.