Shillong, Feb 25 || More than 10,293 people living with HIV are currently receiving antiretroviral therapy (ART) in Meghalaya as of January 2026, with the state reporting the highest number of HIV cases in the country, the state Assembly was informed on Wednesday.
Replying to a question raised by National People’s Party (NPP) legislator Mehtab Chandee A. Sangma from Gambegre, Health Minister Wailadmiki Shylla said that HIV/AIDS-related deaths in the state over the past decade have reached 749.
East Khasi Hills recorded the highest number of fatalities at 435, followed by West Jaintia Hills with 123 and East Jaintia Hills with 90 deaths. Other districts reported comparatively lower numbers -- 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).
Shylla clarified that none of the deaths was directly caused by HIV/AIDS.
"It is pertinent to note that all the reported deaths were due to opportunistic infections, and no death has been attributed directly to HIV/AIDS," he said.
Responding to concerns over the rising number of infections, the minister said the Health Department faces legal and social challenges under the HIV and AIDS (Prevention and Control) Act.
"HIV status must remain confidential, testing cannot be conducted without consent, and patients cannot be forced to take medicines," he said, adding that stigma remains a major barrier to testing and treatment.
Despite these constraints, Shylla said the government is stepping up awareness campaigns to improve early detection and treatment uptake.