Year Cases per 100,000 1990 59.6 1991 60.19 1992 60.27 1993 60.46 1994 59.76 1995 59.4 1996 58.41 1997 57.72 1998 58.13 1999 57.77 2000 57.65 2001 56.34 2002 55.59 2003 54.26 2004 53.46 2005 52.41 2006 51.62 2007 51.13 2008 50.43 2009 50.34 2010 48.64 2011 47.97 2012 46.67 2013 45.85 2014 45.24 2015 45.41 2016 45.58