Year Cases per 100,000 1990 28.15 1991 27.34 1992 27.23 1993 26.93 1994 26.64 1995 26.72 1996 26.42 1997 25.94 1998 25.68 1999 25.27 2000 25.95 2001 24.82 2002 24.57 2003 24.41 2004 25.64 2005 27.01 2006 28.17 2007 29.61 2008 30.26 2009 31.26 2010 32.82 2011 34.79 2012 37.4 2013 40.08 2014 43.56 2015 45.83 2016 46.74