Year Cases per 100,000 1990 20.12 1991 20.32 1992 20.45 1993 20.37 1994 20.54 1995 20.91 1996 21.21 1997 21.59 1998 21.99 1999 22.02 2000 22.02 2001 21.71 2002 21.85 2003 21.84 2004 21.61 2005 21.34 2006 20.96 2007 20.48 2008 20.19 2009 19.84 2010 19.32 2011 18.86 2012 18.55 2013 18.35 2014 18.22 2015 18.1 2016 18.02