Year Cases per 100,000 1990 52.83 1991 52.67 1992 52.4 1993 52.12 1994 51.63 1995 51.02 1996 50.18 1997 49.3 1998 48.41 1999 47.46 2000 46.57 2001 45.89 2002 45.33 2003 44.88 2004 44.54 2005 44.27 2006 43.77 2007 43.31 2008 42.87 2009 42.43 2010 42.02 2011 41.51 2012 41.05 2013 40.62 2014 40.22 2015 39.84 2016 39.46