Year Cases per 100,000 1990 29.63 1991 29.66 1992 30.15 1993 30.33 1994 31.24 1995 31.57 1996 32.22 1997 33.73 1998 35.18 1999 36.72 2000 38.24 2001 39.63 2002 41.65 2003 43.33 2004 45.49 2005 47.11 2006 48.31 2007 49.05 2008 49.62 2009 49.93 2010 50.55 2011 50.55 2012 50.61 2013 50.67 2014 50.59 2015 50.22 2016 50.01