ABOUT TORONTO TO ZERO
TtZ brings together people living with and at risk of HIV, community-based organizations, clinicians, researchers, and policymakers in a city-wide drive to prevent local transmissions and ensure that all people living with HIV in Toronto receive the care they need without stigma or discrimination.
Toronto has always been the epicentre of HIV in Ontario. Home to only 20% of Ontarians, Toronto accounts for about 50% of HIV diagnoses each year.
In 2020, UNAIDS built upon their 2014 90-90-90 HIV targets with ambitious new 95-95-95 targets, suggesting that by 2025:
- 95% of people with HIV should be diagnosed
- 95% of those diagnosed should be on treatment
- 95% of those on treatment should be virally suppressed
Under the new HIV Action Plan to 2030 developed by the Ontario Advisory Committee on HIV/AIDS, our goal is to meet and surpass the new UNAIDS 95-95-95 targets.
Planning for Toronto to Zero began in 2018 – pre-COVID. It involved more than 200 people organized into 17 task groups: people living with and at risk of HIV, community-based organizations, clinicians, researchers, and policymakers. The process also included community consultations.
On December 1, 2023, the Mayor of Toronto, Olivia Chow, officially declared Toronto a Fast-Track City.
WHAT'S THE OHTN'S ROLE?
As the backbone infrastructure support for TtZ, the Ontario HIV Treatment Network facilitates engagement across the initiative, providing coordination and secretariat support including convening, coordination, producing data and reports, evaluation and monitoring.
In addition, the OHTN contributes more directly to TtZ actions that align with existing OHTN related projects that require a Toronto regional lens (e.g. provincial campaigns and the Intensive Case Management initiative for ACB communities through the AYA Circle of Care).
OUR TARGETS
In collaboration with Toronto Public Health, the Ontario HIV Treatment Network, and researchers, Toronto to Zero will work towards the following goals:
Reduce the number of new local HIV infections by...
75%
Increase the proportion of people at high risk who are on PrEP from 60% to...
80%
Increase the proportion of people living with HIV in Toronto
who are diagnosed from 89% to...
95%
Increase the proportion of people diagnosed with HIV who are linked to care within one week of their diagnosis, overall and within each population from 65.6% to...
95%
Increase the proportion of people diagnosed with HIV in Toronto who are on treatment, overall and within each population from 86.7% to...
95%
Increase the proportion of people with HIV who are on treatment who are virally suppressed, overall and within each population, from 97.8% to...
98%
Increase the proportion of people with HIV who are on treatment who are virally suppressed within three months, overall and within each population, from 86.4% to...
95%
Guiding principles
To accomplish the goals and intentions of TtZ, activities must embed, and be accountable to, all the following principles.
Utilizing anti-oppressive and anti-racist frameworks to inform, develop, implement and evaluate initiatives that prioritize Indigenous and African/Caribbean/Black Communities across the HIV Care Cascade.
READ THE COMPLETE ACTION PLAN
Our timeline
We've been on the journey to zero HIV infections since 2018.
