Year Cases per 100,000 1990 67.45 1991 66.83 1992 65.49 1993 63.7 1994 61.62 1995 60.75 1996 58.43 1997 57.24 1998 56.72 1999 55.32 2000 55.14 2001 54.32 2002 53.21 2003 52.53 2004 50.96 2005 49.88 2006 48.57 2007 47.99 2008 47.22 2009 46.14 2010 44.97 2011 43.79 2012 43.21 2013 42.71 2014 41.31 2015 41.15 2016 41.21