Year Cases per 100,000 1990 5.26 1991 5.16 1992 5.06 1993 4.97 1994 4.88 1995 4.79 1996 4.82 1997 4.86 1998 4.9 1999 4.93 2000 4.98 2001 5.04 2002 5.11 2003 5.18 2004 5.26 2005 5.35 2006 5.26 2007 5.17 2008 5.1 2009 5.03 2010 4.96 2011 4.87 2012 4.8 2013 4.72 2014 4.64 2015 4.57 2016 4.5