Year Cases per 100,000 1990 21.32 1991 22.01 1992 22.11 1993 22.58 1994 23.64 1995 23.82 1996 23.59 1997 22.26 1998 21.34 1999 20.76 2000 19.59 2001 19.02 2002 19.7 2003 20.17 2004 21.02 2005 20.98 2006 21.46 2007 21.72 2008 21.49 2009 20.74 2010 20.2 2011 19.85 2012 19.41 2013 18.93 2014 18.47 2015 18.6 2016 18.06