There have been superior incidence of drug resistance (53%), emergence of recombinant virus (32%) and improved incidence of co-infection with hepatitis C virus. The prime reason for the HIV is due to uses of ‘heroin’ smuggled in the ‘South Asia Golden Triangle’ and complicated designs of cross-border movement for trade https://hivhub.in/understanding-the-hiv-situation-in-manipur-an-overview/