Year Cases per 100,000 1990 8.46 1991 8.13 1992 8.29 1993 7.92 1994 7.93 1995 7.48 1996 7.08 1997 6.71 1998 6.55 1999 6.47 2000 6.14 2001 5.77 2002 5.58 2003 5.13 2004 5 2005 4.81 2006 4.51 2007 4.11 2008 4.27 2009 4.19 2010 3.9 2011 4.07 2012 4.1 2013 4.12 2014 4.14 2015 4.16 2016 4.17