Year Cases per 100,000 1990 29.65 1991 28.51 1992 27.6 1993 26.77 1994 27.15 1995 29 1996 28.67 1997 28.57 1998 28.34 1999 27.4 2000 26.55 2001 26.14 2002 26.14 2003 25.9 2004 24.21 2005 23.99 2006 22.82 2007 22.15 2008 21.7 2009 21.46 2010 21.02 2011 21.02 2012 20.67 2013 20.84 2014 20.81 2015 20.76 2016 20.95