Year Cases per 100,000 1990 4.21 1991 4.2 1992 4.19 1993 4.18 1994 4.18 1995 4.17 1996 4.24 1997 4.31 1998 4.38 1999 4.46 2000 4.54 2001 4.5 2002 4.46 2003 4.42 2004 4.38 2005 4.35 2006 4.28 2007 4.21 2008 4.15 2009 4.09 2010 4.03 2011 4.05 2012 4.07 2013 4.1 2014 4.12 2015 4.14 2016 4.17