Year Cases per 100,000 1990 52.4 1991 49.64 1992 47.25 1993 44.87 1994 42.48 1995 40.18 1996 39.93 1997 40.07 1998 40.59 1999 40.38 2000 40.18 2001 39.79 2002 39.71 2003 39.66 2004 38.92 2005 38.42 2006 37.18 2007 36.82 2008 35.6 2009 35.65 2010 35.53 2011 36.06 2012 36.14 2013 35.91 2014 36.03 2015 35.86 2016 35.65