Year Cases per 100,000 1990 77 1991 77.56 1992 76.41 1993 75.5 1994 74.5 1995 75.47 1996 73.27 1997 70.85 1998 69.5 1999 68.31 2000 67.06 2001 66.83 2002 65.47 2003 64.95 2004 63.18 2005 62.42 2006 61.77 2007 61.14 2008 60.24 2009 59.58 2010 59.02 2011 58.63 2012 57.9 2013 57.29 2014 56.92 2015 56.74 2016 56.62