Year Cases per 100,000 1990 6.69 1991 6.68 1992 6.67 1993 6.66 1994 6.65 1995 6.64 1996 6.64 1997 6.64 1998 6.63 1999 6.63 2000 6.63 2001 6.52 2002 6.41 2003 6.3 2004 6.19 2005 6.09 2006 6.08 2007 6.06 2008 6.05 2009 6.04 2010 6.03 2011 6.1 2012 6.18 2013 6.25 2014 6.33 2015 6.41 2016 6.49