Year Cases per 100,000 1990 20.86 1991 19.87 1992 19.61 1993 19.19 1994 18.94 1995 19.16 1996 19.22 1997 19.38 1998 19.64 1999 19.31 2000 19.01 2001 18.73 2002 18.47 2003 18.23 2004 18.01 2005 17.78 2006 17.53 2007 17.25 2008 17.01 2009 16.8 2010 16.62 2011 16.42 2012 16.21 2013 16.06 2014 15.9 2015 15.75 2016 15.61