Year Cases per 100,000 1990 29.73 1991 29.88 1992 31.36 1993 31.85 1994 31.48 1995 29.46 1996 28.28 1997 26.54 1998 25.5 1999 24.97 2000 23.93 2001 23.77 2002 23.21 2003 23.4 2004 23.36 2005 23.8 2006 23.89 2007 23.49 2008 23.81 2009 23.53 2010 23.07 2011 22.62 2012 21.68 2013 20.88 2014 20.78 2015 20.84 2016 20.33