Year Cases per 100,000 1990 37.1 1991 38.6 1992 40.17 1993 41.81 1994 43.53 1995 45.34 1996 45.17 1997 45.03 1998 44.89 1999 44.77 2000 44.66 2001 44.1 2002 43.57 2003 43.04 2004 42.53 2005 42.03 2006 40.99 2007 39.97 2008 38.98 2009 38.03 2010 37.1 2011 36.91 2012 36.73 2013 36.54 2014 36.36 2015 36.19 2016 36.02