IAPAC

Seven More Fast-Track Cities Surpass HIV 90-90-90 Targets

Two Fast-Track Cities Report (Partial) Baseline TB 90-90-90 Data

Washington, DC, USA (December 1, 2020) – Six Fast-Track Cities in the United Kingdom – Aberdeen, Bristol, Dundee, Edinburgh, Glasgow, and Liverpool – as well as Berlin announced today that they have surpassed the Joint United Nations Programme on HIV/AIDS (UNAIDS) HIV 90-90-90 targets, which are recognized as a starting point on a trajectory towards the goal of achieving zero new HIV infections and zero AIDS-related deaths.

The Paris Declaration on Fast-Track Cities calls for cities and municipalities to attain and surpass the targets, which translate into 90% of people living with HIV (PLHIV) knowing their status, 90% of PLHIV who know their status accessing antiretroviral therapy (ART), and 90% of PLHIV on ART achieving viral suppression. Numerous studies have shown that achieving viral suppression has both a therapeutic and preventative effect, promising PLHIV a near-normal lifespan and preventing HIV transmission among serodiscordant couples.

Berlin, which signed the Paris Declaration on Fast-Track Cities in July 2016, is now the 12th Fast-Track City in Europe to surpass the 90-90-90 targets by attaining 90-90-96. The progress of the six other UK cities follows London’s 2018 achievement of being the first Fast-Track City globally to surpass the 90-90-90 targets. Ultimately, so, too, did Amsterdam, Brighton and Hove, Manchester, and New York City. Of note, London also surpassed the UNAIDS HIV 95-95-95 targets in 2019, with 95% of PLHIV knowing their status, 98% of PLHIV who know their status accessing ART, and 97% of PLHIV on ART achieving viral suppression.

“Many Fast-Track Cities are making progress towards attaining and surpassing the 90-90-90 targets, with civic and public health leaders making tremendous efforts to maintain a continuity of HIV services during the COVID-19 pandemic,” said IAPAC President/CEO Dr. José M. Zuniga. “We are confident such efforts will go a long way towards continuing to close gaps across the prevention and care continua, including getting 12.6 million PLHIV who still do not have access to ART onto treatment and virally suppressed.”

HIV 90-90-90 Target Data Announced

IAPAC launched new data dashboards for three municipalities in the United States on World AIDS Day 2020, including Baton Rouge (Louisiana), Dallas County (Texas), and Minneapolis (Minnesota). Fast-Track City dashboards illustrate city and municipal baseline and annually updated HIV 90-90-90 data.

Fast-Track City Know Status (1st 90) On ART (2nd 90) Virally Suppressed (3rd 90)
Baton Rouge, LA, USA (2018) 88% N/A* 97%
Dallas County, TX, USA (2018) 81% 73% 88%
Minneapolis, MN, USA (2018) 87% 69% 88%

Following is a list of 32 other cities and municipalities that joined Baton Rouge, Dallas County, and Minneapolis in reporting new or updated HIV 90-90-90 data:

NORTH AMERICA

  • Austin, TX, USA: 100-80-72 (2016) to 89-79-90 (2018)
  • Charleston, SC, USA: 84-68-85 (2019 Baseline)
  • Denver, CO, USA: 84-NA-90 (2018) to 87-84-91 (2019)
  • Fulton County (Atlanta), GA, USA: 84-87-82 (2018) to 84-94-83 (2019)
  • Miami-Dade County, FL, USA: NA-64-93 (2018) to NA-67-93 (2019)
  • New Orleans, LA, USA: 87-75-89 (2018) to 87-72-94 (2019)
  • New York City, NY, USA: 93-90-92 (2018) to 93-90-92 (2019)
  • San Francisco, CA, USA: 94-79-94 (2017) to 94-80-94 (2019)
  • Washington, DC, USA: 87-78-85 (2018) to 87-78-85 (2019)

LATIN AMERICA/CARIBBEAN

  • Kingston/St. Andrew, Jamaica: 93-53-66 (2018) to 93-54-72 (2019)

SUB-SAHARAN AFRICA

  • Blantyre, Malawi: 85-88-92 (2019 Baseline)
  • Dakar, Senegal: 92-89-95 (2019 Baseline)
  • eThekwini, South Africa: 91-77-93 (2018) to 91-77-93 (2019)
  • Kampala, Uganda: 59-99-83 (2018) to 57-72-95 (July-September 2020)
  • Lagos, Nigeria: 66-99-84 (2018) to 78-80-62 (2019)
  • Lusaka, Zambia: 70-88-63 (2018 Baseline)
  • Windhoek, Namibia: 85-89-73 (2018) to 85-89-73 (2019)

ASIA-PACIFIC

  • Taipei, Taiwan: 80-92-96 (2018) to 86-95-97 (2019)

WESTERN, CENTRAL, EASTERN EUROPE

  • Aberdeen, UK: 92-99-93 (2019 Baseline)
  • Amsterdam, Netherlands: 95-94-96 (2018) to 95-93-96 (2019)
  • Bergamo, Italy: 94-89-95 (2019 Baseline)
  • Berlin, Germany: 88-94-95 (2018) to 90-96-96 (2019)
  • Brighton and Hove, UK: 93-99-99 (2018) to 94-99-99 (2019)
  • Bristol, UK: 92-98-98 (2018 Baseline)
  • Dundee, UK: 92-97-95 (2019 Baseline)
  • Edinburgh, UK: 92-98-96 (2019 Baseline)
  • Glasgow, UK: 92-99-94 (2019 Baseline)
  • Kyiv, Ukraine: 73-73-96 (2018) to 70-83-85 (Jan-Oct 2020)
  • Liverpool, UK: 92-99-97 (2018 Baseline)
  • London, UK: 95-98-97 (2018) to 95-98-97 (2019)
  • Manchester, UK: 91-97-94 (2017) to 91-98-97 (2018)
  • Seville, Spain: 85-98-95 (2018) to 87-99-93 (2019)

This is also the first year that Fast-Track Cities are reporting tuberculosis (TB) 90-90-90 target data on their Fast-Track City dashboards. Two cities and municipalities reported the data in 2020: Lusaka (Zambia) and Maputo (Mozambique). The targets are defined by the Stop TB Partnership as 90% of all people with TB on treatment (first- and second-line or preventative), 90% of key populations with diagnosed TB on treatment, and 90% of all people diagnosed with TB achieving treatment success.

  • Maputo (Quarter 1/2, 2020): 1st 90 and 3rd 90 TB targets = 62% and 84% (baseline)
  • Lusaka (Quarter 3, 2020): 3rd 90 TB target = 89% (baseline)

“It is exciting to see for the first time TB data on the Fast-Track City dashboards. As more cities and municipalities report on TB, I believe these data will guide strong local advocacy and actions towards universal access to TB prevention and care services for all PLHIV. We look forward to further partner with IAPAC to push for real-time TB data based on the experience of the COVID-19 reporting systems in the cities and municipalities that are members of the Fast-Track Cities network,” said Dr. S. Sahu, Deputy Executive Director of the Stop TB Partnership.

Tuberculosis is the leading cause of death among PLHIV, and over 1.4 million people die from TB every year. The Paris Declaration on Fast-Track Cities commits cities and municipalities to end their urban TB epidemics by 2030. IAPAC is a partner of the Stop TB Partnership in support of the Zero TB Cities initiative.

­­Fast-Track City dashboards are maintained and updated on the Fast-Track City Global Web Portal. Development of individual dashboards has been supported through grant funding from the AIDS Healthcare Foundation, MAC AIDS Fund, Merck & Co., the President’s Emergency Plan for AIDS Relief (PEPFAR), US Agency for International Development (USAID), and ViiV Healthcare.

*N/A:  Data are not currently generated by public health authorities