Year Cases per 100,000 1990 45.42 1991 45.2 1992 44.71 1993 44.57 1994 44.78 1995 45.59 1996 46.29 1997 47.37 1998 48.19 1999 48.59 2000 49.2 2001 48.75 2002 48.6 2003 48.11 2004 47.42 2005 46.65 2006 46.16 2007 45.6 2008 45.47 2009 45.18 2010 44.26 2011 43.88 2012 43.64 2013 43.59 2014 43.67 2015 43.75 2016 43.88