Year Cases per 100,000 1990 53.33 1991 51.92 1992 50.58 1993 49.3 1994 48.08 1995 46.91 1996 45.38 1997 43.95 1998 42.63 1999 41.39 2000 40.24 2001 40.14 2002 40.06 2003 39.98 2004 39.91 2005 39.85 2006 40.96 2007 42.12 2008 43.35 2009 44.63 2010 45.99 2011 46.48 2012 47 2013 47.53 2014 48.06 2015 48.61 2016 49.18