Year Cases per 100,000 1990 6.45 1991 6.44 1992 6.4 1993 6.37 1994 6.35 1995 6.34 1996 6.33 1997 6.33 1998 6.34 1999 6.31 2000 6.24 2001 6.25 2002 6.21 2003 6.13 2004 6.03 2005 5.91 2006 5.78 2007 5.67 2008 5.56 2009 5.48 2010 5.4 2011 5.32 2012 5.27 2013 5.14 2014 5.02 2015 4.96 2016 4.91