Year Cases per 100,000 1990 38.67 1991 38.53 1992 38.04 1993 36.57 1994 36.26 1995 35 1996 32.88 1997 30.66 1998 28.45 1999 26.47 2000 25.05 2001 24.85 2002 22.63 2003 21.59 2004 20.98 2005 20.24 2006 19.59 2007 19.35 2008 20.46 2009 20.46 2010 20.04 2011 19.61 2012 19.52 2013 21.49 2014 20.83 2015 20.75 2016 20.65