Year Cases per 100,000 1990 47.36 1991 45.92 1992 46.13 1993 43.47 1994 43.46 1995 41.21 1996 41.89 1997 44.69 1998 45.16 1999 46.52 2000 49.3 2001 48.45 2002 49.07 2003 49.83 2004 50.16 2005 50.44 2006 50.28 2007 48.43 2008 46.3 2009 45 2010 44.41 2011 43.28 2012 41.96 2013 42.21 2014 43.57 2015 44.14 2016 44.59