Year Cases per 100,000 1990 48.95 1991 47.75 1992 46.34 1993 44.87 1994 44.02 1995 44.44 1996 46.13 1997 46.55 1998 45.3 1999 44.06 2000 42.98 2001 42.48 2002 41.46 2003 40.18 2004 39.67 2005 39.44 2006 37.37 2007 35.67 2008 35.11 2009 34.68 2010 33.46 2011 31.58 2012 29.34 2013 27.96 2014 27.69 2015 27.89 2016 28.31