Year Cases per 100,000 1990 5.9 1991 5.8 1992 5.72 1993 5.65 1994 5.58 1995 5.51 1996 5.41 1997 5.32 1998 5.21 1999 5.19 2000 5.16 2001 5.1 2002 5.05 2003 5.02 2004 4.99 2005 4.93 2006 4.91 2007 4.81 2008 5.18 2009 5.58 2010 5.4 2011 5.2 2012 5.01 2013 4.88 2014 4.76 2015 4.65 2016 4.53