Year Cases per 100,000 1990 4.36 1991 4.38 1992 4.5 1993 4.61 1994 4.7 1995 4.82 1996 4.72 1997 4.9 1998 5.04 1999 5.19 2000 5.37 2001 5.28 2002 5.23 2003 5.18 2004 5.04 2005 4.92 2006 4.77 2007 4.66 2008 4.57 2009 4.48 2010 4.39 2011 4.3 2012 4.22 2013 4.14 2014 4.06 2015 3.98 2016 3.9