Under pressure from Islamic countries, Western nations were forced to back away from specifically naming the most vulnerable populations, including homosexuals and prostitutes. But experts said Wednesday that the heart of the document was in the details, not the language.
The 16-page Declaration of Commitment on HIV/AIDS was adopted by consensus by the 189-nation General Assembly. It calls for accelerating efforts to find a cure for the pandemic that has taken more than 22 million lives.
"After today, we shall have a document setting out a clear battle plan for the war against HIV/AIDS, with clear goals and a clear timeline," U.N. Secretary-General Kofi Annan said Wednesday. "It is a blueprint from which the whole of humanity can work in building a global response to a truly global challenge."
Though not legally binding, the document calls on governments to create AIDS policies and programs to quickly reduce infection rates and protect those most at risk.
It makes specific references to cooperation needed between public and private sectors and says that human rights and fundamental freedoms are "essential to reduce vulnerability to HIV/AIDS."
It also recognizes the need for greater access to affordable drugs. Drug companies have lowered prices but African leaders at the summit said prices are still too high for most in the developing world.
The three-day U.N. conference brought together over 3,000 health experts, scientists, lawmakers, aid workers and people living with the virus. Many shared heart-wrenching stories while their leaders made pleas for assistance from wealthier nations.
Red ribbons, signaling sympathy for AIDS sufferers, were tied to fences around the U.N. complex and a large ribbon illuminated 550 windows of the 38-floor high-rise building.
First detected in homosexual men in the United States 20 years ago, the AIDS virus has exploded across the developing world.
Some 36 million people are infected throughout the world, 25 million in Africa with the virus galloping through Asia and eastern Europe.
Prevention campaigns have been a constant theme but without drugs that prolong life, AIDS threatens to wipe out a generation of young, productive workers, leaving millions of AIDS orphans in their wake.
Only Brazil, among developing countries, has a successful mass treatment program, cutting the death rate in half.
The United States announced Monday in Washington it would drop its World Trade Organization litigation against Brazil for planning to produce and market generic anti- AIDS medicine.
Annan has proposed a global war chest, estimating that $7 billion to $10 billion should be spent annually to halt or even reverse the pandemic.
The AIDS document "supports the establishment on an urgent basis of a global HIV/AIDS and health fund to finance an urgent and expanded response to the epidemic."
Annan found widespread support for the fund to be "particularly gratifying," and said he expected to see more contributions at next month's G-8 summit in Italy.
Both wealthy and impoverished nations announced contributions for AIDS totaling about $700 million.
The United States has already pledged $200 million and leaders of a key U.S. congressional committee agreed Tuesday to push for more than $1.3 billion to a global campaign against AIDS. It is expected to receive full committee approval Wednesday.
A last-minute compromise on the declaration came after Western nations reluctantly agreed to drop language specifically naming groups vulnerable to the disease including homosexuals and prostitutes because it was offensive to some Muslim nations.
Instead of mentioning "men who have sex with men," the new language refers to those who are at risk due to "sexual practice."
Prostitutes are referred to as those vulnerable to infection due to "livelihood," and prisoners as those made vulnerable through "institutional location."
Egyptian diplomat Amr Rashdy, who led the push to change the language, said his country could live with the final document. "The outcome is fair and we accept it," he said.
But others argued that the original languae would have better served those most in need of protection.
"For many, there is a reluctance to recognize groups affected by HIV/AIDS including men having sex with men; much of that reluctance is based on religion and on culture," said Mary Robinson, the U.N. high commissioner for human rights. "A failure to recognize it means the numbers of those infected can only grow."
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