Year Cases per 100,000 1990 44.4 1991 44.06 1992 46.71 1993 45.46 1994 46.05 1995 41.83 1996 40.22 1997 38.88 1998 38.37 1999 38.33 2000 37.3 2001 35.79 2002 35.61 2003 36.18 2004 35.57 2005 35.3 2006 35.3 2007 35.28 2008 35.86 2009 35.17 2010 34.94 2011 32.75 2012 31.5 2013 30.7 2014 30.06 2015 29.62 2016 29.23