Year Cases per 100,000 1990 53.86 1991 54.42 1992 55.18 1993 56.51 1994 55.71 1995 55.24 1996 53.41 1997 51.31 1998 49.98 1999 48.55 2000 46.18 2001 44.76 2002 44.19 2003 42.01 2004 41.59 2005 40.6 2006 38.66 2007 36.28 2008 35.75 2009 34.88 2010 34.1 2011 33.35 2012 31.06 2013 29.5 2014 28.16 2015 27.85 2016 27.67