Year Cases per 100,000 1990 4.95 1991 4.84 1992 4.59 1993 4.65 1994 4.54 1995 4.55 1996 4.62 1997 4.56 1998 4.52 1999 4.57 2000 4.61 2001 4.62 2002 4.78 2003 4.95 2004 5.19 2005 5.29 2006 5.16 2007 4.93 2008 4.83 2009 4.7 2010 4.59 2011 4.5 2012 4.4 2013 4.27 2014 4.18 2015 4.1 2016 4.03