Year Cases per 100,000 1990 44.01 1991 43.08 1992 40.4 1993 37.99 1994 34.63 1995 31.15 1996 29.87 1997 30.1 1998 29.77 1999 29.83 2000 29.98 2001 30.25 2002 31 2003 32.6 2004 33.7 2005 34.07 2006 34.63 2007 35.02 2008 37.84 2009 40.38 2010 42.73 2011 45.05 2012 47.31 2013 46.86 2014 47.36 2015 46.13 2016 45.53