Average Standardized Incidence Rates (SIR) and Relative Risk for period of record. Horizontal axis lists time (year), left vertical axis corresponds to histogram and describes the SIR (neuroinvasive Cases/100,000 people), and right vertical axis relates to curvlinear line and indicates estimated Relative Risk with respect to 2004–2018 median risk (straight, horizontal line at Relative Risk RR = 0.75). Shaded area around curvlinear line provides the 95% credible interval. Relative Risk is the ratio of model estimated disease cases to the expected case number given the population size. A Relative Risk value of 1 indicates that model predicted cases were comparable to the expectation, values below 1 indicate periods of relatively low risk, and values above 1 suggest increased risk.