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Top 10 states in Nigeria with the highest HIV infections (2026)

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Lagos recorded the highest number of new HIV infections in Nigeria in 2025, according to the Federal Ministry of Health. See the top 10 states with the highest HIV cases.

Lagos State recorded the highest number of newly reported HIV infections in Nigeria in 2025, with 10,430 new cases, according to the Federal Ministry of Health and Social Welfare’s State of the Health of the Nation Report 2025.

The report showed that 102,025 new HIV infections were recorded across Nigeria’s 36 states and the Federal Capital Territory (FCT) during the year, highlighting the continued burden of the virus despite ongoing prevention and treatment efforts.

According to the ministry’s state-by-state breakdown, Rivers State ranked second with 6,287 new infections, followed by Kano State with 6,106.

Lagos state

Other states with high numbers of newly recorded HIV infections include Akwa Ibom (5,413), Taraba (4,854), Benue (4,804), Anambra (4,468), Kaduna (3,659), Adamawa (2,989) and the Federal Capital Territory (2,764).

Top 10 Nigerian states with the highest HIV infections in 2025

  1. Lagos – 10,430
  2. Rivers – 6,287
  3. Kano – 6,106
  4. Akwa Ibom – 5,413
  5. Taraba – 4,854
  6. Benue – 4,804
  7. Anambra – 4,468
  8. Kaduna – 3,659
  9. Adamawa – 2,989
  10. Federal Capital Territory – 2,764

The report also identified several other states that recorded more than 2,000 new HIV infections during the year. These include:

  • Cross River – 2,595
  • Sokoto – 2,592
  • Abia – 2,546
  • Imo – 2,537
  • Delta – 2,469
  • Borno – 2,311
  • Ogun – 2,107
  • Plateau – 2,084
  • Niger – 2,020
  • Ebonyi – 2,015

At the lower end of the ranking, Ekiti State recorded the fewest newly reported HIV infections with 462 cases. It was followed by Bayelsa (982), Gombe (1,083), Osun (1,093), Kwara (1,371), Enugu (1,429), Yobe (1,483), Katsina (1,541) and Kebbi (1,572).

The report provides a snapshot of the geographical distribution of newly reported HIV infections across the country and comes amid renewed calls by health experts for sustained investment in HIV prevention, testing and treatment programmes.

While Lagos recorded the highest number of new infections, experts note that the figures reflect newly reported cases, not the overall HIV prevalence in each state. Factors such as population size, urbanisation and access to HIV testing services can influence the number of cases detected. Nigeria’s national adult HIV prevalence remains about 1.3%, with an estimated 1.9 million people living with HIV, according to the National Agency for the Control of AIDS.

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