Year Cases per 100,000 1990 23.75 1991 23.66 1992 23.73 1993 23.8 1994 23.74 1995 23.5 1996 22.62 1997 21.34 1998 20.91 1999 20.1 2000 19.09 2001 18.88 2002 18.69 2003 18.59 2004 18.13 2005 17.87 2006 17.58 2007 17.41 2008 17.3 2009 16.7 2010 16.25 2011 16.17 2012 15.96 2013 15.65 2014 15.61 2015 15.6 2016 15.56