Year Cases per 100,000 1990 5.95 1991 5.32 1992 5.04 1993 5.38 1994 5.41 1995 5.25 1996 5.28 1997 5.42 1998 5.14 1999 5.12 2000 5.12 2001 5.02 2002 5.13 2003 5.3 2004 5.42 2005 5.47 2006 5.49 2007 5.48 2008 5.46 2009 5.19 2010 4.73 2011 4.35 2012 3.95 2013 3.54 2014 3.48 2015 3.56 2016 3.61