Year Cases per 100,000 1990 30.51 1991 29.8 1992 29.4 1993 29.37 1994 29.07 1995 29.27 1996 28.16 1997 28.54 1998 28.36 1999 27.03 2000 26.29 2001 25.31 2002 24.83 2003 24.21 2004 23.34 2005 23.6 2006 23.31 2007 23.18 2008 22.88 2009 22.6 2010 22.14 2011 21.82 2012 21.18 2013 20.7 2014 20.32 2015 20 2016 19.7