Year Cases per 100,000 1983 26.12 1984 27.99 1985 30.38 1986 32.48 1987 35.87 1988 39.76 1989 41.47 1990 42.56 1991 42.92 1992 43.29 1993 43.67 1994 44.05 1995 44.44 1996 44.15 1997 43.88 1998 43.61 1999 43.34 2000 43.08 2001 42.65 2002 42.23 2003 41.82 2004 41.41 2005 41.01 2006 40.41 2007 39.82 2008 39.24 2009 38.67 2010 38.11 2011 37.46 2012 36.82 2013 36.19 2014 35.58 2015 34.97 2016 34.4