UN Secretary General Ban Ki-moon has called for global action to end the Aids disease by 2020.
"That is our goal - zero new infections, zero stigma and zero Aids-related deaths," Mr Ban said at a UN summit on Aids in New York.
The three-day meeting marks the 30th anniversary since the discovery of HIV - the virus that leads to Aids.
Meanwhile, African leaders called for greater resources to battle the pandemic across the world.
Some 34m people have Aids, but about half of them do not know they have the disease, according to the UN.
'Insufficient funds'
"Today, we gather to end Aids," Mr Ban said at the opening of the United Nations General Assembly meeting on Wednesday.
"If we are to relegate Aids to the history books we must be bold. That means facing sensitive issues, including men who have sex with men, drug users and the sex trade," the UN chief said.
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30 years of HIV
5 June 1981: Center for Disease Control mentions a new virus in its weekly mortality report
1982: The term Aids (acquired immunodeficiency syndrome) first used
1984: Virus identified and named HIV
1985: Rock Hudson dies of Aids, teenage haemophiliac Ryan White expelled from school because infected through treatment
1987: First showing of Aids Memorial Quilt on National Mall in Washington DC
1991: Jeremy Irons wears red ribbon and basketball's Magic Johnson has the virus
1993: Philadelphia film wins two Oscars
2000: Infection rate in US among African Americans overtakes that in gay men
2011: Global death toll 22m, infections 60m
Mr Ban stressed that new infections have dropped by 20% since 2001 - the year when world leaders first pledged to act to control the pandemic.
He also urged the global community to "come together in global solidarity as never before" to achieve universal access to Aids treatment by 2015 and also efforts to lower costs.
The meeting is being attended by 30 presidents and heads of government, and some of the African leaders spoke of the desperate need for more funds to fight the disease.
"To say that adequate funding is critical to the success of our HIV and Aids response is an understatement," said Nigerian President Goodluck Jonathan, whose country has the highest number of HIV-positive people after South Africa.
Gabon's President Ali Bongo Ondimba said that resources available for Africa "remain insufficient given the size of the HIV/Aids impact on the continent".
More than 9m people still do not get retroviral treatment to keep HIV/Aids at bay, and an estimated 1.8m people die each year from Aids.
UN URGES MORE FUNDS FOR EARLY HIV TREATMENT
An Indian woman walks past a poster advertising an Aids-awareness programme in Bangalore (file) In India, the rate of new HIV infections fell by more than 50%, according to UNAids
The UN Programme on HIV/Aids (UNAids) has called for increased funding for the early treatment of people with HIV.
The head of the agency, Michael Sidibe, said a new study showed it could reduce the risk of HIV transmission by 96%.
He said the challenge was to expand access to drugs, and deal with social factors which stigmatise the disease.
On Thursday, a UN report said there had been a nearly 25% decline in new HIV infections and a reduction in Aids-related deaths during the past decade.
It was published ahead of the 30th anniversary on Sunday of the first official report on Aids by the US Centers for Disease Control and Prevention.
The General Assembly is to meet at UN headquarters to discuss the epidemic next week, with 20 world leaders and more than 100 ministers expected to attend.
An estimated 34 million people were living with HIV at the end of 2010 and nearly 30 million have died from Aids-related causes since 1981, the report said.
'Shunned disease'
In the report published ahead of the anniversary, UNAids said the global rate of new HIV infections had declined by nearly 25% between 2001 and 2009.
Continue reading the main story
30 years of HIV
5 June 1981: Center for Disease Control mentions a new virus in its weekly mortality report
1982: The term Aids (acquired immunodeficiency syndrome) first used
1984: Virus identified and named HIV
1985: Rock Hudson dies of Aids, teenage haemophiliac Ryan White expelled from school because infected through treatment
1987: First showing of Aids Memorial Quilt on National Mall in Washington DC
1991: Jeremy Irons wears red ribbon and basketball's Magic Johnson has the virus
1993: Philadelphia film wins two Oscars
2000: Infection rate in US among African Americans overtakes that in gay men
2011: Global death toll 22m, infections 60m
How a red ribbon conquered the world
'More money needed' for HIV cure
In India, the rate of new HIV infections fell by more than 50% and in South Africa by more than 35%; both countries have the largest number of people living with HIV on their continents.
The report found that in the third decade of the epidemic, people were starting to adopt safer sexual behaviour, reflecting the impact of HIV prevention and awareness efforts. But there were still important gaps, it warned, with young men more likely to be informed about HIV prevention than young women.
There has also been significant progress in preventing new HIV infections among children as increasing numbers of mothers living with HIV have gained access to antiretroviral prophylaxis during pregnancy, delivery and breastfeeding.
About 6.6 million people in low- and middle-income countries were receiving antiretroviral drugs at the end of 2010, a nearly 22-fold increase since 2001.
"Thirty years ago this mystery disease was called a gay plague - it was a shunned disease, people were scared about each other," Mr Sidibe said. "Now it's a completely different world - we've been breaking the conspiracy of silence."
However, the report found that at the end of last year nearly nine million people who needed treatment were not getting it, and that treatment access for children was lower than for adults.
And while the rate of new HIV infections has declined globally, the total number of HIV infections remains high, at about 7,000 per day.
The report also noted that there had been an increase in the rate of new HIV infections in Eastern Europe and in the Middle East and North Africa, and that HIV was the leading cause of death among women of reproductive age.
'Game-changer'
UNAids also said that while funding for HIV treatments in low- and middle-income countries had risen 10-fold between 2001 and 2009, international resources had declined in 2010. Many states remain dependant on external financing.
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“Start Quote
Access to treatment will transform the Aids response in the next decade”
Michael Sidibe Executive Director, UNAIDS
"I am worried that international investments are falling at a time when the Aids response is delivering results for people," Mr Sidibe said. "If we do not invest now, we will have to pay several times more in the future."
He stressed the importance of a recent trial, which found that if a person living with HIV adhered to an effective antiretroviral regimen, the risk of transmitting the virus to their uninfected sexual partner could be reduced by 96%.
"Access to treatment will transform the Aids response in the next decade. We must invest in accelerating access and finding new treatment options.
"Antiretroviral therapy is a bigger game-changer than ever before - it not only stops people from dying, but also prevents transmission of HIV to women, men and children," he added.
Mr Sidibe said the challenge was to expand access to drugs, and deal with social factors that in some countries continue to stigmatise the disease and make women particularly vulnerable.
To do this, UNAids believes an investment of at least $22bn is needed by 2015, $6bn more than is available today. It estimates such funds would stop 12m new HIV infections and 7.4m Aids-related deaths by 2020.
Friday, June 10, 2011
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