Year Cases per 100,000 1990 22.01 1991 22.23 1992 22.26 1993 22.07 1994 22.16 1995 22.18 1996 22.23 1997 22.16 1998 22.06 1999 21.72 2000 21.43 2001 21.14 2002 20.87 2003 20.66 2004 20.43 2005 20.2 2006 19.94 2007 19.63 2008 19.3 2009 18.99 2010 18.79 2011 18.6 2012 18.41 2013 18.42 2014 18.4 2015 18.34 2016 18.37