There have been higher incidence of drug resistance (53%), emergence of recombinant virus (32%) and greater incidence of co-infection with hepatitis C virus. The key explanation for the HIV is a result of the employs of ‘heroin’ smuggled from your ‘South Asia Golden Triangle’ and complicated styles of cross-border movement https://hivhub.in/understanding-the-hiv-situation-in-manipur-an-overview/