Year Cases per 100,000 1990 4.53 1991 4.09 1992 3.89 1993 4.1 1994 4.21 1995 4.71 1996 4.91 1997 4.95 1998 4.85 1999 5 2000 5.05 2001 4.65 2002 4.58 2003 4.19 2004 3.99 2005 4.03 2006 4 2007 4.12 2008 4.22 2009 4.22 2010 4.13 2011 3.83 2012 3.78 2013 3.47 2014 3.6 2015 3.62 2016 3.66