Year Cases per 100,000 1990 52.25 1991 51.98 1992 51.47 1993 50.75 1994 50.5 1995 50.41 1996 50.09 1997 49.22 1998 48.44 1999 47.54 2000 46.5 2001 45.42 2002 44.94 2003 44.39 2004 43.43 2005 42.36 2006 41.89 2007 41.72 2008 41.13 2009 40.31 2010 39.29 2011 38.73 2012 38.22 2013 37.66 2014 37.06 2015 37.14 2016 37.09