Mizoram Climbs to No. 3 in HIV Prevention Ranking, Still Has India’s Highest Adult Prevalence

Overview

• The state improved from fifth in 2024–25 to third in 2025–26 on the national HIV prevention scorecard, yet its adult prevalence stands at 2.75% versus the 0.20% national average.
• From April 2024 to November 2025, 3,257 people tested positive out of more than 140,000 samples, including 953 women and 179 pregnant women.
• Of the new cases, 70.4% were sexually transmitted and 27.3% were linked to needle sharing, with infections concentrated among adults aged 25–34.
• Mizoram operates 14 antiretroviral therapy centres with 18,355 patients currently receiving treatment.
• Since the first case in 1990, authorities have recorded 33,781 cases, estimate 26,321 people living with HIV, and report 5,026 AIDS-related deaths; the government is considering church partnerships to encourage pre-marital testing.