Year Cases per 100,000 1990 33.29 1991 33.23 1992 33.09 1993 32.71 1994 32.39 1995 32.38 1996 32.61 1997 32.25 1998 31.51 1999 30.01 2000 27.88 2001 27.35 2002 26.27 2003 26.38 2004 24.96 2005 23.86 2006 22.95 2007 22.16 2008 21.97 2009 21.62 2010 21.68 2011 21.64 2012 21.49 2013 20.5 2014 20.99 2015 20.26 2016 19.65