Year Cases per 100,000 1990 4.16 1991 4.22 1992 4.26 1993 4.29 1994 4.26 1995 4.29 1996 4.36 1997 4.36 1998 4.23 1999 4.13 2000 4.12 2001 4 2002 4.02 2003 4.03 2004 3.99 2005 3.96 2006 3.93 2007 3.89 2008 3.88 2009 3.85 2010 3.92 2011 3.97 2012 3.83 2013 3.72 2014 3.64 2015 3.57 2016 3.49