Year Cases per 100,000 1990 25.82 1991 25.55 1992 25.91 1993 26.21 1994 26.45 1995 26.71 1996 26.83 1997 26.78 1998 26.56 1999 26.38 2000 26.44 2001 26.45 2002 26.31 2003 25.82 2004 25.37 2005 24.77 2006 24.14 2007 23.59 2008 23.13 2009 22.58 2010 22.15 2011 21.73 2012 21.35 2013 21.09 2014 20.7 2015 20.54 2016 20.55