Year Cases per 100,000 1990 6.14 1991 6.15 1992 6.17 1993 6.18 1994 6.17 1995 6.17 1996 6.18 1997 6.2 1998 6.2 1999 6.13 2000 5.98 2001 5.81 2002 5.72 2003 5.73 2004 5.68 2005 5.67 2006 5.81 2007 5.87 2008 5.86 2009 5.78 2010 5.64 2011 5.54 2012 5.46 2013 5.53 2014 5.58 2015 5.62 2016 5.65