Year Cases per 100,000 1990 6.41 1991 6.75 1992 7.1 1993 7.36 1994 7.81 1995 8.23 1996 8.53 1997 8.71 1998 8.9 1999 8.85 2000 8.67 2001 8.49 2002 8.22 2003 8.04 2004 7.58 2005 7.25 2006 6.98 2007 6.66 2008 6.3 2009 6.03 2010 5.77 2011 5.52 2012 5.28 2013 5.05 2014 4.81 2015 4.64 2016 4.51