The WHO also established in 2000 the Global Outbreak and Alert Response Network (GOARN) with the aim of managing disease outbreak and alerts at the international level. However, some have questioned whether current GOARN places too much emphasis on avoiding epidemic outbreaks spreading to developed countries rather than preventing such outbreaks in developing countries in the first place (Davies, 2008, Elbe, 2010). Increasing life expectancy explains little of the rising health care costs experienced in previous decades.