Year Cases per 100,000 1990 37.78 1991 39.12 1992 40.51 1993 41.96 1994 43.47 1995 45.04 1996 43.86 1997 42.73 1998 41.62 1999 40.56 2000 39.52 2001 40.08 2002 40.65 2003 41.23 2004 41.83 2005 42.45 2006 42.29 2007 42.13 2008 41.99 2009 41.84 2010 41.71 2011 41.65 2012 41.59 2013 41.54 2014 41.48 2015 41.43 2016 41.38