Year Cases per 100,000 1990 5.64 1991 5.58 1992 5.53 1993 5.49 1994 5.44 1995 5.39 1996 5.21 1997 5.04 1998 4.87 1999 4.71 2000 4.56 2001 4.45 2002 4.35 2003 4.25 2004 4.15 2005 4.05 2006 3.99 2007 3.93 2008 3.88 2009 3.82 2010 3.77 2011 3.81 2012 3.84 2013 3.88 2014 3.92 2015 3.96 2016 4