Year Cases per 100,000 1990 4.58 1991 4.62 1992 4.65 1993 4.69 1994 4.76 1995 4.84 1996 4.94 1997 5.07 1998 5.25 1999 5.38 2000 5.36 2001 5.32 2002 5.22 2003 5.14 2004 5 2005 4.95 2006 4.84 2007 4.74 2008 4.7 2009 4.56 2010 4.41 2011 4.31 2012 4.18 2013 3.96 2014 3.77 2015 3.62 2016 3.49