Year Cases per 100,000 1990 4.22 1991 4.21 1992 4.2 1993 4.19 1994 4.18 1995 4.17 1996 4.25 1997 4.33 1998 4.41 1999 4.5 2000 4.6 2001 4.55 2002 4.51 2003 4.48 2004 4.45 2005 4.43 2006 4.38 2007 4.35 2008 4.32 2009 4.29 2010 4.28 2011 4.21 2012 4.14 2013 4.08 2014 4.03 2015 3.97 2016 3.92