Year Cases per 100,000 1990 4.78 1991 4.68 1992 4.59 1993 4.51 1994 4.42 1995 4.34 1996 4.42 1997 4.49 1998 4.57 1999 4.66 2000 4.74 2001 4.68 2002 4.61 2003 4.55 2004 4.49 2005 4.44 2006 4.43 2007 4.43 2008 4.43 2009 4.43 2010 4.43 2011 4.5 2012 4.57 2013 4.64 2014 4.71 2015 4.78 2016 4.86