Year Cases per 100,000 1990 4.46 1991 4.5 1992 4.54 1993 4.58 1994 4.62 1995 4.66 1996 4.59 1997 4.52 1998 4.46 1999 4.4 2000 4.34 2001 4.28 2002 4.22 2003 4.17 2004 4.12 2005 4.07 2006 4.09 2007 4.12 2008 4.15 2009 4.18 2010 4.21 2011 4.24 2012 4.27 2013 4.3 2014 4.34 2015 4.37 2016 4.41