FAST-TRACK CITIES: A NETWORK TO END THE GLOBAL HIV EPIDEMIC
The 200 largest cities and municipalities in the world account for more than one quarter of people living with HIV globally. 1
Reducing new HIV infections and AIDS-related deaths in these urban centres can have a profound impact not just on national HIV epidemics but on the global HIV pandemic. City and municipal governments can therefore play an important role in curbing the global rates of new HIV infections and AIDS-related deaths.
Actioning this vision, the Fast-Track Cities initiative was launched on World AIDS Day in 2014, with 26 cities and municipalities signing the Paris Declaration on Fast-Track Cities. They each pledged to attain and surpass the Joint United Nations Programme on HIV/AIDS (UNAIDS) 90-90-90 targets by 2020 on a trajectory towards ending urban HIV epidemics. Today, the Fast-Track Cities network includes more than 300 cities and municipalities worldwide.
The first step in addressing the HIV epidemic is to understand what is happening at a local level. We need to know the gaps in HIV testing: Who is not getting tested? We need to know who is not accessing treatment. We need to know who is achieving viral suppression and who is not. If not, how can we address the problem? How do we correct the issue? Dashboard data generation has been incredibly important because a dashboard serves as a simple tool that can establish a baseline and allow us to track whether, year on year, a Fast-Track City is making progress or is falling behind.
In Conversation with Dr. José M. Zuniga
-  UNAIDS. Ending the AIDS Epidemic: The advantage of cities. Available at: https://www.unaids.org/sites/default/files/media_asset/20150918_Ending_urban_AIDS_epidemic_en.pdf Last accessed: January 2021.