Year Cases per 100,000 1990 64.85 1991 62.79 1992 61.03 1993 59.5 1994 59.7 1995 60.02 1996 59.03 1997 58.52 1998 58.61 1999 57.33 2000 56.05 2001 53.66 2002 52.08 2003 51.23 2004 50.48 2005 50.06 2006 49.81 2007 48.31 2008 47.61 2009 48.02 2010 47.69 2011 48.15 2012 49.03 2013 49.74 2014 50.41 2015 50.05 2016 50.21