Year Cases per 100,000 1990 75.43 1991 75.14 1992 76.8 1993 78.35 1994 75.89 1995 72.31 1996 74.33 1997 68.91 1998 69.63 1999 70.77 2000 73.38 2001 66.6 2002 64.36 2003 62.37 2004 58.72 2005 56.3 2006 56.85 2007 53.72 2008 52.13 2009 51.15 2010 49.01 2011 47.55 2012 47.7 2013 46.93 2014 47.27 2015 44.84 2016 44.71