Year Cases per 100,000 1990 7.55 1991 6.93 1992 6.28 1993 5.62 1994 5.11 1995 4.74 1996 4.46 1997 4.35 1998 4.22 1999 4.2 2000 4.22 2001 4.24 2002 4.29 2003 4.38 2004 4.47 2005 4.6 2006 4.51 2007 4.46 2008 4.43 2009 4.38 2010 4.34 2011 4.3 2012 4.28 2013 4.25 2014 4.24 2015 4.22 2016 4.21