Year Cases per 100,000 1990 31.62 1991 33.03 1992 34.51 1993 36.06 1994 37.69 1995 39.4 1996 39.06 1997 38.74 1998 38.44 1999 38.15 2000 37.88 2001 39.16 2002 40.49 2003 41.87 2004 43.3 2005 44.78 2006 45.05 2007 45.32 2008 45.6 2009 45.88 2010 46.18 2011 46.09 2012 46.01 2013 45.93 2014 45.85 2015 45.77 2016 45.7