Year Cases per 100,000 1990 18.99 1991 19.57 1992 20.44 1993 20.52 1994 20.79 1995 19.43 1996 19.01 1997 17.05 1998 17.73 1999 18.36 2000 18.35 2001 17.95 2002 17.5 2003 16.65 2004 16.59 2005 15.91 2006 15.17 2007 15.2 2008 15.1 2009 14.74 2010 14.24 2011 13.72 2012 13.59 2013 13.5 2014 12.96 2015 12.85 2016 12.68