Fast-Track Cities:
How Cities Are Leading
the HIV Response
Last reviewed:
Mayors, health departments, clinics, and communities participate in a network of more than 600 cities and municipalities. The Paris Declaration commits signatories to ending AIDS as a public health threat by 2030. Here is what that commitment means for local action.[2]
What Is Fast-Track Cities?
Fast-Track Cities is not a federal program, a grant mechanism, or a top-down mandate. It is a city-level commitment — a mayor's signature on a declaration that says: we take responsibility for the HIV epidemic in our community, and we will act on it.
Fast-Track Cities launched in Paris on World AIDS Day, December 1, 2014. Its founding partners were IAPAC, UNAIDS, UN-Habitat and the City of Paris. IAPAC now describes a network of more than 600 cities and municipalities. The Paris Declaration sets a goal of ending AIDS as a public health threat by 2030; that does not mean eliminating every HIV infection.[1][2]
Signing the declaration makes the local HIV response a public political commitment. Signatories agree to community participation, an implementation plan and regular reporting. These commitments require follow-through from local leaders and partners.[3]
Local governments can influence housing, access to services and community partnerships, although their powers differ by jurisdiction. Fast-Track Cities aims to connect those local efforts with national and international HIV responses.
↑ Back to navigationHow Fast-Track Cities Works
Signing the declaration is the beginning, not the end. Fast-Track Cities provides a structured implementation framework, data dashboards, peer learning, and technical assistance — so cities have the tools to actually deliver on what they signed.
The five themes below summarize practical priorities in the declaration and IAPAC support materials; they are not an official named five-element framework.[4]
🔗 The Paris Declaration
The 2021 Paris Declaration includes treatment targets, action against stigma and discrimination, equitable services and public progress reporting. Explore the network →[11]
Florida’s Fast-Track Cities
IAPAC’s list dated July 1, 2026 includes Miami-Dade County, Fort Lauderdale, Tampa and Jacksonville. These areas overlap four of Florida’s seven EHE priority counties; the city network and federal EHE program are separate.[2][7]
Four Cities, One Commitment
Jacksonville Mayor Donna Deegan signed on September 18, 2024, as reported by WUSF. Separately, DOH-Duval’s published 2023 snapshot reports 273 new HIV diagnoses. Diagnosis counts describe when HIV was identified, not necessarily when it was acquired.[5][6]
Miami-Dade, Broward, Hillsborough and Duval counties are EHE priority jurisdictions. Fast-Track membership does not itself award federal funding; the programs have separate commitments and funding arrangements.[7]
What Joining Actually Means
IAPAC describes technical assistance, dashboards and peer exchange as membership benefits. Its commitments FAQ explicitly says joining does not bring direct financial support. Local advocates can use the signed commitment to ask about budgets, implementation and results.[4]
📍 Check Local Participation
Orange, Palm Beach and Pinellas are EHE priority counties. Orlando, Palm Beach and Pinellas are not listed in IAPAC’s July 1, 2026 membership snapshot. Confirm current participation with IAPAC and local officials before advocating for a new signature.[2][12]
The 95-95-95 Goal — and Why It Matters
The 95–95–95 targets were set for 2025. They remain useful care-continuum benchmarks, within the broader goal of ending AIDS as a public health threat by 2030.[8]
The 95-95-95 targets — successor to the earlier 90-90-90 targets[9] — set three sequential goals for the HIV care continuum:
Diagnosis, treatment and sustained viral suppression are linked steps in care. ART improves health, but suppression does not guarantee freedom from every health condition. People who achieve and maintain a viral load below 200 copies/mL do not transmit HIV through sex (U=U). Global UNAIDS monitoring commonly uses a different threshold, below 1,000 copies/mL, so a reported population target should not be substituted for an individual U=U assessment.[13][10]
Multiplying 0.95 × 0.95 × 0.95 gives about 86% of all people living with HIV with viral suppression if all three targets are reached. This arithmetic is not a universal threshold that guarantees epidemic decline or zero new infections. Prevention access, sustained treatment and inequalities also matter.[9]
The Paris Declaration asks local leaders to act together, involve communities and report progress toward ending AIDS as a public health threat.[11]
Summary of the 2021 Paris DeclarationWhy Cities — Not Just States or Federal Programs
Cities are important settings for HIV services and community action. National and rural responses matter too; the opportunities available to a local government depend on its authority, resources and partnerships.
Local leaders can work with residents and service providers on barriers such as unstable housing, stigma and clinic access. A public commitment gives communities a basis for asking what action follows.
The network supports learning between cities. Local advocates can compare reported indicators and approaches, while checking that years, populations and definitions are comparable.[4]
🔗 Fast-Track Cities + EHE: Complementary, Not Competing
EHE provides targeted federal support to priority jurisdictions. Fast-Track Cities offers a local commitment and international network. Miami-Dade, Broward, Hillsborough and Duval are the EHE counties corresponding to the four Florida network entries. Read about EHE and Florida’s seven priority counties →[7]
What You Can Do With This
Residents in these areas can ask their mayor’s office, county government or health department for the local implementation plan and latest progress report. Ask which communities are represented and what the city is doing about gaps in care.
For communities considering participation, contact IAPAC and local officials about the process, responsibilities and available support. Joining requires local work and resources; it is not a promise of grant funding.[4]
🌍 Explore Your City's Dashboard
Look for your community at fast-trackcities.org →. Check the date and coverage of each indicator before interpreting progress.
🌴 Find HIV Care in Florida
Looking for testing, treatment, or PrEP in one of Florida's Fast-Track Cities? Our locator lists Florida testing, treatment and support resources. Find HIV care near you →
References & Sources
- International Association of Providers of AIDS Care (IAPAC). "Fast-Track Cities Initiative: Ending the AIDS Epidemic By 2030." IAPAC launch statement, December 1, 2014. iapac.org — IAPAC-cities-statement-01DEC14.pdf ↩
- IAPAC. Fast-Track Cities overview and membership list dated July 1, 2026; current network described as more than 600 cities and municipalities. Source. ↩
- IAPAC. Paris Declaration, April 2021 revision. Source. ↩
- IAPAC. Frequently Asked Questions: Commitments and Benefits, 2015. Historical targets in this document were 90–90–90; used here for implementation and financing guidance. Source. ↩
- WUSF Public Media. "Jacksonville joins an international partnership to stop the spread of HIV." September 21, 2024. wusf.org — Jacksonville joins international partnership on HIV ↩
- Florida Department of Health in Duval County. HIVCareNow statistics, 2023 data. Source. ↩
- HIV.gov. "Priority Jurisdictions: Phase I." Ending the HIV Epidemic in the U.S. initiative. hiv.gov — EHE Priority Jurisdictions: Phase I ↩
- UNAIDS. Understanding progress toward the 95–95–95 targets, March 2024; targets adopted in 2021 for 2025. Source. ↩
- UNAIDS. Definitions and denominators for 95–95–95, March 2024. Source. ↩
- CDC. HIV Treatment as Prevention: sustained viral suppression and sexual transmission. Source. ↩
- IAPAC. Paris Declaration, April 13, 2021 revision. Source. ↩
- HIV.gov. "Priority Jurisdictions: Phase I — Florida counties (Miami-Dade, Broward, Hillsborough, Orange, Palm Beach, Pinellas, Duval)." Ending the HIV Epidemic in the U.S. initiative. hiv.gov — EHE Priority Jurisdictions ↩
- UNAIDS Indicator Registry. Global viral-suppression monitoring threshold and third-95 denominator. Source. Checked September 21, 2026. ↩