Year Cases per 100,000 1990 4.79 1991 4.8 1992 4.81 1993 4.81 1994 4.82 1995 4.84 1996 4.84 1997 4.85 1998 4.86 1999 4.88 2000 4.89 2001 4.89 2002 4.89 2003 4.9 2004 4.91 2005 4.92 2006 4.87 2007 4.83 2008 4.78 2009 4.74 2010 4.71 2011 4.68 2012 4.66 2013 4.64 2014 4.62 2015 4.6 2016 4.58