Year Cases per 100,000 1990 29.43 1991 28.33 1992 27.06 1993 26.73 1994 26.83 1995 27.33 1996 26.93 1997 25.56 1998 24.76 1999 24.06 2000 23.46 2001 23.36 2002 23.2 2003 23 2004 23.06 2005 22.67 2006 22.55 2007 22.25 2008 21.9 2009 22.12 2010 22.31 2011 22.01 2012 21.71 2013 21.68 2014 21.22 2015 20.97 2016 20.86