Year Cases per 100,000 1990 51.46 1991 50.93 1992 50.03 1993 49.15 1994 47.74 1995 45.83 1996 43.33 1997 41.55 1998 40.86 1999 40.6 2000 40.47 2001 40.17 2002 39.99 2003 39.86 2004 39.81 2005 39.79 2006 39.61 2007 39.28 2008 39 2009 38.62 2010 38.11 2011 37.57 2012 36.97 2013 36.33 2014 35.68 2015 35.13 2016 34.6