Despite zero confirmed COVID-19 cases in 2025, Meghalaya health authorities have intensified preparedness following a high-level review led by Principal Secretary Sampath Kumar. Healthcare facilities across the state have been directed to assess readiness, including oxygen supply, ICU capacity, and monitoring for SARI, ILI, and fever. Surveillance in high-footfall areas like markets is being enhanced. The health department stressed continued vigilance, testing, and revisiting drug inventories. Officials aim to prevent panic while ensuring public safety. Updated protocols from earlier COVID-19 waves are to be followed, and Kumar urged a proactive approach to track illness trends and strengthen community-level response.