Year Cases per 100,000 1990 51.03 1991 50.7 1992 50.2 1993 49.73 1994 49.83 1995 49.06 1996 48.47 1997 48.27 1998 48.41 1999 48.27 2000 47.73 2001 47.66 2002 47.54 2003 46.65 2004 46 2005 45.27 2006 45.23 2007 45.01 2008 44.66 2009 44.48 2010 44.21 2011 44.02 2012 43.87 2013 43.7 2014 43.37 2015 43.09 2016 42.72