Year Cases per 100,000 2000 5.6 2001 5.7 2002 5.3 2003 5.2 2004 4.9 2005 4.8 2006 4.7 2007 4.6 2008 4.7 2009 4.6 2010 4 2011 4.1 2012 4.7 2013 4.6 2014 4.4 2015 4.6 2016 4.8 2017 4.9 2018 4.8 2019 5.1 2020 4.7