Year Cases per 100,000 1990 30.78 1991 30.41 1992 29.85 1993 29.39 1994 28.87 1995 28.41 1996 27.83 1997 27.35 1998 26.79 1999 26.42 2000 26.04 2001 25.58 2002 25.15 2003 24.7 2004 24.32 2005 23.95 2006 23.63 2007 23.3 2008 22.96 2009 22.66 2010 22.29 2011 21.81 2012 22.55 2013 22.19 2014 21.95 2015 21.77 2016 21.59