Year Cases per 100,000 1990 5.26 1991 5.05 1992 4.9 1993 4.78 1994 4.66 1995 4.57 1996 4.37 1997 4.2 1998 4.01 1999 3.93 2000 3.83 2001 3.73 2002 3.68 2003 3.61 2004 3.72 2005 3.62 2006 3.52 2007 3.45 2008 3.4 2009 3.35 2010 3.31 2011 3.27 2012 3.23 2013 3.19 2014 3.13 2015 3.12 2016 3.11