Year Cases per 100,000 1990 47.6 1991 46.88 1992 46.73 1993 46.05 1994 45.63 1995 43.79 1996 39.89 1997 36.2 1998 33.16 1999 30.93 2000 28.44 2001 27.55 2002 27.88 2003 27.99 2004 27.91 2005 28.12 2006 28.07 2007 27.5 2008 26.92 2009 26.71 2010 26.16 2011 25.5 2012 25.06 2013 24.58 2014 23.9 2015 23.01 2016 22.91