Year Cases per 100,000 1990 50.69 1991 50.51 1992 50.34 1993 50.19 1994 50.03 1995 49.89 1996 49.24 1997 48.61 1998 48 1999 47.4 2000 46.83 2001 46.49 2002 46.17 2003 45.86 2004 45.56 2005 45.28 2006 44.8 2007 44.32 2008 43.85 2009 43.4 2010 42.96 2011 42.82 2012 42.69 2013 42.57 2014 42.44 2015 42.32 2016 42.21