There have been high incidence of drug resistance (53%), emergence of recombinant virus (32%) and greater incidence of co-infection with hepatitis C virus. The key reason for the HIV is as a result of uses of ‘heroin’ smuggled through the ‘South Asia Golden Triangle’ and complex patterns of cross-border movement https://hivhub.in/understanding-the-hiv-situation-in-manipur-an-overview/