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Introduction. This research was developed in the framework of the Observatory on rurality and peace in pandemic and post-pandemic contexts, this paper presents advances of interdisciplinary research and reflections about collective health in the Antioquian subregion of Urabá, focused on rural contexts. Objective. To identify the integration/exclusion dynamics related to collective health in rural territories of the Antioquian subregion of Urabá, in the pandemic for COVID-19 context. Methods. The Scalar Model of Collective Health in Times of Pandemic was used as a tool for questioning epidemiological data and territorial readings, in dialogue with the voices of inhabitants and leaders of local social organizations. Results. Results allow to identify the dynamics of the pandemic in terms of integration/exclusion of the municipalities of the sub-region; the overlapping logics of legality and illegality in the territories; the amplification of impacts in territories with historical burdens of inequality; and the great limitations to achieve an effective level of governance in health. Conclusions. The greatest limitation has been the absence of differentiated data for the rural areas, ethnic origin, and precision about the contagion origin. This analysis leads us to affirm that pandemic for COVID-19 reveals structural imbalances, especially in the rural areas of Colombia. [ABSTRACT FROM AUTHOR]