PARIS DECLARATION
1 December 2014
(amended 24 July 2018)

FAST-TRACK CITIES:ENDING THE
AIDS EPIDEMIC
Cities achieving the 90–90–90 targets by 2020

90%of people living with HIVknowing their HIV status.

90%

of people who know their
HIV-positive status ontreatment.

90%of people on treatment
with suppressed viralloads.

PARIS DECLARATION
We stand at a defining moment in the AIDS response. Thanks to scientific breakthroughs,
community activism and political commitment, we have a real opportunity to achieve theSustainable Development Goals target of ending the AIDS epidemic by 2030. Cities havebeen heavily affected by the epidemic and have been at the forefront of responding to HIV.
Cities are uniquely positioned to lead Fast-Track action towards achieving the 90–90–90
and other targets by 2020. Attaining these targets will put us on a trajectory towards getting
to zero new HIV infections and zero AIDS-related deaths.
We recognize that ending AIDS requires a comprehensive approach that allows all people
to access quality life-saving and life-enhancing prevention, treatment, care and support
services for HIV, tuberculosis and viral hepatitis. Integrating these services into sexual,reproductive and mental health services is critical to achieving universal access to healthcare.
We can eliminate stigma and discrimination if we build our actions on scientificevidence. Understanding that successful HIV treatment and viral suppression prevents
HIV transmission (Undetectable = Untransmittable) can help reduce stigma andencourage people living with HIV to initiate and adhere to HIV treatment.
Working together, cities can accelerate local actions towards ending the AIDS,
tuberculosis and viral hepatitis epidemics globally by 2030. As called for by the New Urban
Agenda, we will leverage our reach, infrastructure and human capacity to build a more
equitable, inclusive, prosperous and sustainable future for all our residents, regardless ofage, gender, sexual orientation and social and economic circumstances.

WE, THE MAYORS, COMMIT TO:
1. End the AIDS epidemic in cities by 2030
We commit to achieve the 90–90–90 and other Fast-Track targets by 2020, which will put
us firmly on the path to ending the AIDS, tuberculosis and viral hepatitis epidemics by2030. We commit to provide sustained access to quality HIV testing, treatment andprevention services, including pre-exposure prophylaxis (PrEP), in support of acomprehensive approach to ending AIDS that also addresses tuberculosis, viral hepatitis,
sexually transmitted infections, mental health, substance use disorders, and comorbidities
associated with aging with HIV. We will eliminate HIV-related stigma and discrimination.
2. Put people at the centre of everything we do
We will focus our efforts on all people who are vulnerable to HIV, tuberculosis, viral
hepatitis and other diseases. We will help to realize and respect the human rights of all
affected people and leave no one behind in our city’s AIDS, tuberculosis and viral
hepatitis response. We will meaningfully include people living with HIV in decisionmaking around policies and programmes that affect their lives. We will act locally and in

partnership with our communities to galvanize global support for healthy and resilient
societies and for sustainable development.
3. Address the causes of risk, vulnerability and transmission
We will use all means, including municipal ordinances, policies and programmes, toaddress factors that make people vulnerable to HIV and other diseases, including laws thatdiscriminate against or criminalize key populations. We will ensure that people affected by
HIV enjoy equal participation in civil, political, social, economic and cultural life, free fromprejudice, stigma, discrimination, violence or persecution. We will work closely withcommunities, clinical and service providers, law enforcement and other partners, and withmarginalized and vulnerable populations, including slum dwellers, migrants and otherdisplaced people, young women, sex workers, people who use drugs, gay men and othermen who have sex with men and transgender people, to foster social equity.
4. Use our AIDS response for positive social transformation
Our leadership will leverage innovative social transformation to build societies thatare equitable, inclusive, responsive, resilient and sustainable. We will integrate
health and social programmes to improve the delivery of services, including for HIV,tuberculosis, viral hepatitis and other diseases. We will use advances in science,technology and communication to drive the social transformation agenda, including
within the context of efforts to ensure equal access to education and learning.
5. Build and accelerate an appropriate response reflecting local needs
We will develop and promote services that are innovative, safe, accessible,
equitable and free from stigma and discrimination. We will encourage and foster
community leadership to build demand for, and to deliver, quality services that areresponsive to local needs.
6. Mobilize resources for integrated public health and sustainable development
Investing in the AIDS response together with a strong commitment to public healthand sustainable development is a sound investment in the future of our city thatwill yield increased productivity, shared prosperity and the overall well-being of ourcitizens. We will adapt our city plans and resources for a Fast-Track response toHIV, tuberculosis, viral hepatitis and other diseases within the context of an
integrated public health approach. We will develop innovative funding strategies
and mobilize additional resources to end the AIDS epidemic by 2030.
7. Unite as leaders
We commit to develop an action plan to guide our city’s Fast-Track efforts,
embrace the transparent use of data to hold ourselves accountable and join with anetwork of cities to make the Paris Declaration a reality. Working in broad
consultation with everyone concerned, we will regularly measure our results andadjust our responses to be faster, smarter and more effective. We will support
other cities and share our experiences, knowledge and data about what works andwhat can be improved. We will report annually on our progress.