Year Cases per 100,000 1990 54.94 1991 55.62 1992 56.32 1993 57.03 1994 57.75 1995 58.49 1996 57.96 1997 57.44 1998 56.93 1999 56.42 2000 55.93 2001 55.6 2002 55.29 2003 54.97 2004 54.67 2005 54.37 2006 53.86 2007 53.36 2008 52.87 2009 52.39 2010 51.92 2011 51.72 2012 51.52 2013 51.33 2014 51.14 2015 50.95 2016 50.77