Year Cases per 100,000 1990 29.49 1991 30.62 1992 31.98 1993 33.35 1994 35.09 1995 37.14 1996 39.19 1997 41.6 1998 44.52 1999 45.75 2000 47.52 2001 48.75 2002 49.35 2003 50.19 2004 51.52 2005 52.77 2006 52.6 2007 52.9 2008 52.78 2009 52.47 2010 52.61 2011 52.71 2012 52.44 2013 52.18 2014 52.08 2015 51.81 2016 51.45