Year Cases per 100,000 1990 34.85 1991 34.86 1992 34.22 1993 34.03 1994 33.58 1995 32.25 1996 31.28 1997 29.94 1998 28.46 1999 26.84 2000 26.48 2001 24.35 2002 23.29 2003 22.14 2004 21.54 2005 21.25 2006 21.29 2007 20.41 2008 20.26 2009 19.95 2010 19.88 2011 19.35 2012 19.26 2013 19.42 2014 19.93 2015 20.39 2016 20.77