Year Cases per 100,000 1990 4.06 1991 4.06 1992 4.06 1993 4.07 1994 4.07 1995 4.08 1996 4.06 1997 4.04 1998 4 1999 3.9 2000 3.82 2001 3.79 2002 3.78 2003 3.78 2004 3.78 2005 3.79 2006 3.8 2007 3.74 2008 3.69 2009 3.64 2010 3.61 2011 3.56 2012 3.53 2013 3.47 2014 3.42 2015 3.44 2016 3.44