The original proposal, brought by the United States and some 50 others, condemned Russia's actions but stopped short of immediately suspending its voting rights at the U.N. health agency as some had earlier sought.
Both resolutions expressed "grave concerns over the ongoing health emergency in and around Ukraine", but only the Western-led proposal says the emergency is "triggered by the Russian Federation's aggression against Ukraine".
Ukraine's ambassador to the United Nations in Geneva Yevheniia Filipenko called Russia's counter-proposal a "twisted alternative reality". "The Russian Federation has failed in its cynical attempt to deceive this forum," she said of the outcome.