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The Brazilian strategy to overcome the spread of COVID-19 has been particularly criticized due to the lack of a national coordinating effort and an appropriate testing program. Here, a successful approach to control the spread of COVID-19 transmission is described by the engagement of public (university and governance) and private sectors (hospitals and oil companies) in Macaé, state of Rio de Janeiro, Brazil, a city known as the National Oil Capital. In 2020 between the 17th and 38th epidemiological week, over two percent of the 206,728 citizens were subjected to symptom analysis and RT-qPCR testing by the Federal University of Rio de Janeiro, with positive individuals being notified up to 48 h after swab collection. Geocodification and spatial cluster analysis were used to limit COVID-19 spreading in Macaé. Within the first semester after the outbreak of COVID-19 in Brazil, Macaé recorded 1.8% of fatalities associated with COVID-19 up to the 38th epidemiological week, which was at least five times lower than the state capital (10.6%). Overall, considering the successful experience of this joint effort of private and public engagement in Macaé, our data suggest that the development of a similar strategy countrywise could have contributed to a better control of the COVID-19 spread in Brazil. Quarantine decree by the local administration, comprehensive molecular testing coupled to scientific analysis of COVID-19 spreading, prevented the catastrophic consequences of the pandemic as seen in other populous cities within the state of Rio de Janeiro and elsewhere in Brazil.

Este trabalho tem por objetivo descrever o perfil epidemiológico da Chikungunya no municí­pio de Macaé, norte fluminense. Trata-se de um estudo transversal, com coleta de dados feita no perí­odo de janeiro de 2015 a abril de 2019 por meio do Sistema de Informação de Agravos de Notificação. No ano de 2019, foi registrado aumento da incidência do agravo de 3,6 por 239.471 habitantes. Sobre o perfil epidemiológico, as mulheres foram mais acometidas, a idade variando entre 40 e 49 anos. Os principais sinais clí­nicos foram febre, artralgia e mialgia. Conclui-se que o aumento da incidência da Chikungunya em Macaé exigiu da gestão pública intervenção imediata, que incluiu, entre outras providências, a contratação de profissionais para os atendimentos necessários, capacitação da rede acerca do manejo do agravo, criação de mecanismos de compartilhamento da informação com os serviços de saúde e acompanhamento dos casos desde a notificação até o encerramento.

Background Brazilian strategy to overcome the spread of COVID-19 has been particularly criticized due to the lack of a national coordinating effort and an appropriate testing program. Here, a successful approach to control the spread of COVID-19 transmission is described by the engagement of public (university and governance) and private sectors (hospitals and oil companies) in Macaé, state of Rio de Janeiro, Brazil, a city known as the National Oil Capital. Methods Until the 38th epidemiological week, over two percent of the 206,728 citizens were subjected to symptom analysis and massive RT-qPCR testing by the Federal University of Rio de Janeiro, with positive individuals being notified up to 48 hours after swab collection. Geocodification and spatial cluster analysis were used to limit COVID-19 spreading in Macaé. Findings: Within the first semester after the outbreak of COVID-19 in Brazil, Macaé recorded 1.8% of fatality associated to COVID-19 up to the 38th epidemiological week, which was at least five times lower than the state capital (10.92%). Overall, considering the successful experience of this joint effort of private and public engagement in Macaé, our data suggest that the development of a similar strategy country wise would have saved over 50,000 lives. Interpretation: Quarantine decree by the local government, molecular massive testing coupled to scientific analysis of COVID-19 spreading prevented the catastrophic consequences of the pandemic as seen in other populous cities within the state of Rio de Janeiro and elsewhere in Brazil.

O coronavírus faz parte de um grande grupo de vírus causadores de infecções respiratórias que tem causado impactos importantes na saúde dos profissionais de saúde. Objetivo: descrever o perfil do atendimento aos profissionais da saúde suspeitos de covid-19 no município de Macaé nos dois primeiros meses de implementação do Centro de Triagem do Coronavírus. Método: constitui um estudo qualitativo com a análise do banco de dados do Centro de Triagem do Coronavírus de Macaé, criado pela vigilância epidemiológica municipal para monitoramento dos casos suspeitos de covid-19 em profissionais de saúde do município. Resultado: foram contabilizados 1065 atendimentos a profissionais ligados à saúde para covid-19, sendo 21% dos casos confirmados. As categorias mais notificadas foram os auxiliares e técnicos de enfermagem, enfermeiros, seguido dos médicos e outros profissionais. A maior parte das notificações foram provenientes da rede pública, com ausência de informação acerca de fatores protetivos conta a doença. Conclusão: O estudo contribuiu para a compreensão do cenário da covid-19 nos profissionais de saúde na pandemia para o redirecionamento do trabalho através da identificação das fragilidades do serviço.

Cross-sectional study that aims to: describe the experience of the city of Macae in implementing the Coronavirus Screening Center; describe the nurse's role in implementing the CTC; present the profile of COVID-19 in the municipality of Macae. Conducted from the analysis of notifications from the Information System for the Epidemiological Surveillance of Influenza and e-SUS VE in the period between March and July 2020. The data were tabulated and analyzed with the statistical resources of Microsoft Excel and Tabwin. The main symptoms identified were cough and fever and the number of cases was higher in males. The predominant age was between 30 and 49 years. It is concluded that the CTC became a municipal reference in the reception and monitoring of cases of COVID-19 and that nursing had a fundamental role in the organization of this service, in addition to appearing as the main category notified from the consultations.