Year Cases per 100,000 1990 29.37 1991 28.8 1992 28.16 1993 27.79 1994 26.93 1995 26.54 1996 25.48 1997 24.71 1998 23.88 1999 23.16 2000 22.52 2001 21.8 2002 21.14 2003 20.73 2004 20.28 2005 20 2006 19.76 2007 19.51 2008 19.31 2009 19.1 2010 18.97 2011 18.8 2012 18.6 2013 18.4 2014 18.21 2015 18.04 2016 17.93