Year Cases per 100,000 1990 42.23 1991 41.98 1992 41.73 1993 41.5 1994 41.26 1995 41.04 1996 40.29 1997 39.57 1998 38.86 1999 38.18 2000 37.51 2001 37.36 2002 37.22 2003 37.08 2004 36.95 2005 36.83 2006 36.68 2007 36.53 2008 36.38 2009 36.24 2010 36.11 2011 35.98 2012 35.86 2013 35.74 2014 35.62 2015 35.51 2016 35.4