Year Cases per 100,000 1990 4.78 1991 4.64 1992 4.49 1993 4.5 1994 4.45 1995 4.29 1996 4.3 1997 4.27 1998 4.1 1999 3.99 2000 3.83 2001 3.96 2002 3.98 2003 4 2004 3.97 2005 3.95 2006 4.05 2007 4.07 2008 4.22 2009 4.19 2010 4.21 2011 4.02 2012 4.07 2013 3.86 2014 3.84 2015 3.76 2016 3.68