Year Cases per 100,000 1990 5.42 1991 5.3 1992 5.06 1993 5.08 1994 4.95 1995 4.93 1996 4.95 1997 4.87 1998 4.81 1999 4.79 2000 4.77 2001 4.75 2002 4.73 2003 4.74 2004 4.82 2005 4.84 2006 4.78 2007 4.56 2008 4.38 2009 4.31 2010 4.23 2011 4.14 2012 4.1 2013 4.02 2014 3.96 2015 3.92 2016 3.88