Year Cases per 100,000 1990 4.56 1991 4.58 1992 4.6 1993 4.67 1994 4.76 1995 4.83 1996 4.9 1997 4.93 1998 4.94 1999 4.9 2000 4.79 2001 4.72 2002 4.65 2003 4.54 2004 4.51 2005 4.43 2006 4.34 2007 4.2 2008 4.09 2009 4.05 2010 4.06 2011 4.1 2012 4.13 2013 4.1 2014 4.04 2015 3.98 2016 3.93