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The XV International AIDS Conference was held in Bangkok, the capital city of Thailand, from July 11 to July 16, 2004. The main venue for the conference was the IMPACT Muang Thong Thani convention centre at Nonthaburi, north-east of downtown Bangkok. It was the first international AIDS conference to be held in Southeast Asia. International AIDS conferences have been held regularly since the first one in Atlanta in 1985.
At the opening ceremony on the evening of July 11, the main speakers were the Thai Prime Minister, Thaksin Shinawatra, and the Secretary-General of the United Nations, Kofi Annan. The opening was screened live on Thai national television.
Thaksin, whose government had been criticised by foreign observers for its harsh attitude to injecting drug users, surprised the conference by pledging to adopt a "harm minimization" approach to AIDS prevention among drug users, and to work co-operatively with non-government organizations, including the Thai Drug Users' Network. AIDS activists suggested that Thaksin had been promised greatly increased funding from the Global Fund to Fight AIDS, Tuberculosis and Malaria if he adopted a more flexible attitude.
Annan, in a forceful speech, praised Thaksin and also the President of Uganda, Yoweri Museveni, who was seated in the front row, for their leadership in developing strategies for fighting AIDS in developing countries. But he said that much more was needed, including a radical change in attitudes to women in many countries, since HIV infection is now increasing more rapidly among young women in developing countries that in any other population group. Annan said the empowerment of women, particularly in African and Asian countries, was the key to preventing the further spread of HIV infection.
The conference was attended by more than 20,000 delegates and a large contingent of local and international media. Many people with HIV/AIDS and delegates from developing countries were subsidized to attend the conference by governments, the United Nations, other international organizations and drug companies.
The United States, however, significantly reduced its official presence at the conference as compared to previous conferences. The Department of Health and Human Services, which spent US$3.6 million to send 236 people to the XIV International AIDS Conference in Barcelona in 2002, spent US$500,000 and sent only 50. The move was seen as a response to events in Barcelona, when Health and Human Services Secretary Tommy Thompson was shouted down by protestors.
The co-chairs of the conference were Dr. Vallop Thaineua of Thailand and Joep Lange of the Netherlands, president of the International AIDS Society, which was the formal host organization. The content of the conference was run by three program committees, the Community Program Committee, chaired by Senator Mechai Viravaidya and Donald De Gagne, the Scientific Program Committee chaired by Professor Prasert Thongcharoen and Professor David Cooper, and the Leadership Program Committee chaired by Pakdee Pothisiri and Debrework Zewdie.
The Leadership Program section of the Conference was, however, thrown into doubt by security concerns. On July 7 the Thai government cancelled a meeting on HIV/AIDS for national leaders planned as part of the conference. The leaders of 13 countries and United Nations Secretary-General Kofi Annan were invited to the summit, which was to be hosted by Thai Prime Minister Thaksin Shinawatra, but only one national leader and Annan accepted.
As at previous international AIDS conferences, both local and international organizations staged protests about various aspects of HIV/AIDS policy at the Bangkok conference. Activists protested during the opening of the conference to call attention to what they said were failures by governments worldwide in fighting AIDS. Tight security prevented any disruption to the ceremony, although Prime Minister Thaksin was heckled during his speech by some sections of the audience.
The protests were co-ordinated by Thailand's AIDS Access Foundation. They called for increased worldwide access to antiretroviral treatments and greater financial support for treatment and prevention. Activists said that the United States and other Western nations were backtracking on funding pledges made at the Barcelona conference.