Year Cases per 100,000 1990 19.94 1991 20.12 1992 20.3 1993 20.48 1994 20.67 1995 20.86 1996 19.59 1997 18.4 1998 17.29 1999 16.25 2000 15.27 2001 15.62 2002 15.97 2003 16.34 2004 16.72 2005 17.11 2006 17.49 2007 17.88 2008 18.28 2009 18.69 2010 19.13 2011 18.98 2012 18.83 2013 18.69 2014 18.55 2015 18.42 2016 18.29