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Youth predominance in Mizoram had been evident because of the mean chronilogical age of initiation less then 18 years; 74% and 65% had 1st exposure of any medicine and inserting medication in less then 20 years. In Manipur and Nagaland, 60% and 49% of IDUs, correspondingly, had been ≥30 years old. These specific age brackets may be targeted for IDU risk mitigation handling the state-specific determinants.Background In 2017, the sampling procedure for HIV sentinel surveillance (HSS) among all risky