Year Cases per 100,000 1990 4.45 1991 4.42 1992 4.39 1993 4.36 1994 4.34 1995 4.34 1996 4.33 1997 4.33 1998 4.36 1999 4.36 2000 4.28 2001 4.22 2002 4.2 2003 4.11 2004 4.03 2005 3.95 2006 3.88 2007 3.79 2008 3.74 2009 3.67 2010 3.57 2011 3.45 2012 3.35 2013 3.26 2014 3.16 2015 3.07 2016 3