Year Cases per 100,000 1990 18.17 1991 18.31 1992 18.46 1993 18.6 1994 18.75 1995 18.91 1996 18.81 1997 18.73 1998 18.64 1999 18.55 2000 18.47 2001 18.26 2002 18.05 2003 17.85 2004 17.66 2005 17.47 2006 17.68 2007 17.88 2008 18.09 2009 18.3 2010 18.53 2011 18.9 2012 19.28 2013 19.68 2014 20.08 2015 20.5 2016 20.94