Year Cases per 100,000 1990 24.64 1991 24.3 1992 24.35 1993 24.01 1994 23.81 1995 23.74 1996 23.45 1997 23.34 1998 23.19 1999 23.07 2000 22.59 2001 22.05 2002 21.5 2003 21.07 2004 20.66 2005 20.19 2006 19.81 2007 19.49 2008 19.16 2009 18.92 2010 18.64 2011 18.36 2012 18.12 2013 17.85 2014 17.7 2015 17.55 2016 17.29