Year Cases per 100,000 1990 45 1991 44.35 1992 43.98 1993 43.74 1994 44.01 1995 45.18 1996 46.59 1997 48.52 1998 51.28 1999 54 2000 56.92 2001 58.4 2002 59.44 2003 59.24 2004 57.21 2005 53.46 2006 50.59 2007 48.33 2008 46.18 2009 43.61 2010 42.12 2011 41.12 2012 41.43 2013 40.75 2014 40.85 2015 41.13 2016 41.61