Year Cases per 100,000 1990 27.78 1991 28.11 1992 28.47 1993 28.85 1994 29.22 1995 29.64 1996 29.22 1997 28.83 1998 28.46 1999 28.1 2000 27.76 2001 26.98 2002 26.25 2003 25.54 2004 24.86 2005 24.22 2006 23.88 2007 23.52 2008 23.19 2009 22.86 2010 22.57 2011 22.37 2012 22.2 2013 22.03 2014 21.86 2015 21.69 2016 21.55