Year Cases per 100,000 1990 50.43 1991 48.9 1992 48.28 1993 47.68 1994 47.85 1995 47.76 1996 46.23 1997 44.31 1998 42.27 1999 41.03 2000 39.65 2001 38.79 2002 37.86 2003 37.54 2004 38.19 2005 38.48 2006 38.01 2007 37.24 2008 35.36 2009 33.82 2010 32.63 2011 31.43 2012 30.1 2013 28.24 2014 26.5 2015 25.41 2016 25.56