An estimated 36 million to 46 million people are living with AIDS, two - thirds of them in Africa, but only 440,000 people in developing countries were receiving treatment by the end of 2003, the UN health agency said in its annual report. " Without treatment, all of them will die a premature and in most cases painful death, "the WHO said in the 169 page World Health Report. Most people living with AIDS will die a premature and painful death