Year Cases per 100,000 1990 26.52 1991 26.46 1992 26.63 1993 26.77 1994 26.99 1995 27.18 1996 27.33 1997 27.62 1998 27.92 1999 27.69 2000 27.17 2001 26.47 2002 25.71 2003 24.93 2004 23.95 2005 23.27 2006 22.66 2007 21.92 2008 21.16 2009 20.54 2010 20.05 2011 19.59 2012 19.25 2013 18.97 2014 18.71 2015 18.46 2016 18.18