Daijiworld Media Network - Shillong
Shillong, Feb 26: More than 10,293 people living with HIV in Meghalaya are currently undergoing antiretroviral therapy (ART) as of January 2026, the state Assembly was informed, with officials noting that the state records the highest HIV prevalence in the country.
Responding to a question from National People’s Party legislator Mehtab Chandee A. Sangma, Health Minister Wailadmiki Shylla said that 749 HIV/AIDS-related deaths have been reported in the past decade. East Khasi Hills accounted for the highest number of fatalities at 435, followed by West Jaintia Hills (123) and East Jaintia Hills (90). Other districts reported lower figures, including Ri Bhoi (51), Eastern West Khasi Hills (16), West Khasi Hills (8), South West Khasi Hills (7), West Garo Hills (9), East Garo Hills (4), South Garo Hills (3), North Garo Hills (1) and South West Garo Hills (2).
The minister clarified that none of the deaths were directly caused by HIV/AIDS, stating that all fatalities resulted from opportunistic infections associated with weakened immunity.
Addressing concerns over rising infections, Shylla pointed to legal and social hurdles under the HIV and AIDS (Prevention and Control) Act, which mandates confidentiality of HIV status, prohibits testing without consent and does not allow forced medication. He noted that stigma continues to discourage individuals from coming forward for testing and treatment.
Despite these challenges, the government has intensified awareness drives to promote early diagnosis and adherence to therapy. The minister credited Chief Minister Conrad K. Sangma and the state cabinet for approving a five-year mission-mode programme aimed at tackling what he described as an alarming surge in cases. A sum of Rs 25 crore has been earmarked for the initiative to expand testing centres, strengthen manpower and enhance outreach services.
In response to a supplementary query from Voice of the People Party legislator Ardent Basaiawmoit, Shylla said the government is treating the issue with urgency and is working closely with community institutions. An Assembly forum on HIV/AIDS has been constituted, and legislators have collectively donated a vehicle to support people living with HIV.
Emphasising progress in treatment, the minister said HIV is no longer a death sentence and, though incurable, can be effectively managed to ensure a dignified life. He added that the state currently operates 392 Integrated Counselling and Testing Centres, along with four mobile ICTCs to widen access across Meghalaya.