Year Cases per 100,000 1990 63.5 1991 62.14 1992 61.3 1993 60.38 1994 60.17 1995 59.04 1996 58.44 1997 57.06 1998 55.69 1999 54.54 2000 53.61 2001 52.78 2002 52.15 2003 51.33 2004 51.03 2005 50.02 2006 49.09 2007 48.13 2008 48.32 2009 48.38 2010 48.48 2011 48.1 2012 47.81 2013 48.12 2014 48.41 2015 49 2016 49.46