Year Cases per 100,000 1990 55.88 1991 54.41 1992 53.08 1993 51.76 1994 50.22 1995 49.28 1996 47.87 1997 47.37 1998 46.51 1999 45.39 2000 43.96 2001 42.57 2002 41.51 2003 40.36 2004 39.22 2005 38.24 2006 37.34 2007 36.57 2008 36.01 2009 35.47 2010 34.99 2011 34.48 2012 33.95 2013 33.45 2014 33 2015 32.58 2016 32.23