Year Cases per 100,000 1990 4.78 1991 4.72 1992 4.67 1993 4.61 1994 4.56 1995 4.52 1996 4.43 1997 4.35 1998 4.28 1999 4.27 2000 4.26 2001 4.19 2002 4.11 2003 4.04 2004 3.98 2005 3.92 2006 3.96 2007 3.99 2008 4.01 2009 4.03 2010 4.05 2011 4.1 2012 4.16 2013 4.22 2014 4.28 2015 4.34 2016 4.4