The main cause ofHIVinfection in the state is sexual (86.31%), while transmission through infected syringes and needles is merely 5.24%, revealed data released by theAssamState Aids Control Society (AACS) on World Aids Day.
The route of transmission in 82.20% detected HIV positive cases is heterosexual, whereas in 4.11% cases the transmission is by homosexuals or bisexuals. Parent to child infection rate is 4.64%, and in 2.82% cases the reason behind the transmission has not been specified or remains unknown.
The obvious concern has been the areas in and around Guwahati. District wise detection shows that, the maximum number of cases (33%) has been diagnosed in Kamrup (Metropolitan) district as on October 31. Also in the scanner is Cachar district in South Assam where 23% of the state’s total cases have been diagnosed. The National AIDS Control Programme (NACP) data shows that Assam has been able to test 67,15,121 persons (22,22,527 general clients and 44,92,594 pregnant Women) till October 31, 2021 and 20,841 cases have been diagnosed as HIV positive, out of which 19,030 are general clients and 1,811 are pregnant women.
In the last 20 years though, the HIV case detection graph has been unevenly on the rise and reached climax in 2019-20 when the highest 1,955 number of cases. In the last two years, however, it has noticeably gone down to 1,288 in 2020-21 and 1,287 in 2021-22 (April to October).
Expert analysis done by ASACS stated that Assam remains a highly vulnerable state as far as HIV transmission possibility is concerned because a large number of young Population from the state is also going to large cities for EMPLOYMENT and get involved in high-risk behaviour. A large number of female migrants from other northeastern states, West Bengal and Nepal, who have come to Assam for employment and Education, got involved in risk behavior favorable for HIV transmission, they observed.
According to India HIV estimations 2019, adult (15 to 49 years) prevalence Percentage in northeast was highest in Mizoram (2.32%), followed by Nagaland (1.45%), Manipur (1.18%), Meghalaya (0.54%), Tripura (0.10%), Assam (0.09%),(0.07%) and Arunachal Pradesh (0.06%).