Year Cases per 100,000 1990 29.86 1991 31.4 1992 33.09 1993 34.91 1994 36.89 1995 39.05 1996 40.03 1997 41.06 1998 42.13 1999 43.24 2000 44.39 2001 44.93 2002 45.48 2003 46.06 2004 46.66 2005 47.29 2006 46.81 2007 46.35 2008 45.93 2009 45.55 2010 45.2 2011 44.31 2012 43.46 2013 42.63 2014 41.82 2015 41.05 2016 40.3