Year Cases per 100,000 1990 5.09 1991 4.98 1992 4.97 1993 4.86 1994 4.89 1995 4.99 1996 5.11 1997 5.09 1998 5.15 1999 5.23 2000 5.32 2001 5.23 2002 5.24 2003 5.24 2004 5.19 2005 5.08 2006 4.92 2007 4.73 2008 4.68 2009 4.62 2010 4.48 2011 4.35 2012 4.19 2013 4.12 2014 4.04 2015 3.98 2016 3.92