Year Cases per 100,000 1990 4.59 1991 4.61 1992 4.63 1993 4.66 1994 4.68 1995 4.7 1996 4.57 1997 4.44 1998 4.31 1999 4.19 2000 4.07 2001 4 2002 3.93 2003 3.86 2004 3.79 2005 3.73 2006 3.71 2007 3.69 2008 3.68 2009 3.66 2010 3.64 2011 3.71 2012 3.79 2013 3.86 2014 3.94 2015 4.01 2016 4.09