Year Cases per 100,000 1990 6.87 1991 6.41 1992 6.17 1993 6.52 1994 6.4 1995 6.45 1996 6.48 1997 6.18 1998 5.89 1999 5.64 2000 5.38 2001 5.13 2002 4.94 2003 4.85 2004 4.91 2005 5 2006 4.86 2007 4.76 2008 4.69 2009 4.47 2010 4.29 2011 4.16 2012 4.09 2013 4.02 2014 3.99 2015 4.02 2016 4.08