Year Cases per 100,000 1990 46.18 1991 45.9 1992 46.31 1993 46.47 1994 47.14 1995 47.45 1996 47.18 1997 47.24 1998 47.47 1999 47.08 2000 46.27 2001 44.87 2002 43.71 2003 43.55 2004 42.93 2005 42.44 2006 41.61 2007 41.29 2008 40.82 2009 40.57 2010 40.02 2011 39.56 2012 39.27 2013 39.26 2014 39.07 2015 38.76 2016 38.37