Year Cases per 100,000 1990 44.8 1991 44.27 1992 44.48 1993 45 1994 44.7 1995 44.49 1996 43.09 1997 42.18 1998 41.69 1999 41.23 2000 41.03 2001 39.85 2002 38.78 2003 37.73 2004 36.65 2005 36.5 2006 36.6 2007 36.68 2008 36.79 2009 36.87 2010 37 2011 37.27 2012 37.68 2013 38.13 2014 38.78 2015 39.48 2016 40.22