Year Cases per 100,000 1990 5.19 1991 5.06 1992 4.93 1993 4.81 1994 4.69 1995 4.58 1996 4.51 1997 4.44 1998 4.38 1999 4.32 2000 4.26 2001 4.26 2002 4.26 2003 4.26 2004 4.26 2005 4.27 2006 4.21 2007 4.14 2008 4.09 2009 4.03 2010 3.97 2011 3.96 2012 3.94 2013 3.93 2014 3.91 2015 3.9 2016 3.88