Year Cases per 100,000 1990 37.92 1991 37.95 1992 37.61 1993 37.23 1994 36.76 1995 36.29 1996 36.17 1997 35.54 1998 35.62 1999 35.65 2000 36.84 2001 37.26 2002 37.9 2003 38.73 2004 39.7 2005 41.24 2006 42.23 2007 43.35 2008 44.19 2009 44.78 2010 45.56 2011 46.87 2012 47.61 2013 48.07 2014 48.9 2015 49.57 2016 49.98