Year Cases per 100,000 1990 4.27 1991 4.25 1992 4.24 1993 4.15 1994 4.07 1995 3.99 1996 3.85 1997 3.73 1998 3.71 1999 3.7 2000 3.61 2001 3.55 2002 3.6 2003 3.41 2004 3.35 2005 3.29 2006 3.28 2007 3.3 2008 3.23 2009 3.24 2010 3.16 2011 3.08 2012 3.1 2013 3.08 2014 3.06 2015 3.03 2016 3