Year Cases per 100,000 1990 45.28 1991 44.4 1992 45.47 1993 46.41 1994 48.22 1995 46.78 1996 44.22 1997 41.25 1998 38.18 1999 35.85 2000 33.52 2001 32.38 2002 31.97 2003 32.04 2004 32.32 2005 33.14 2006 33.46 2007 33.7 2008 33.09 2009 32.55 2010 31.64 2011 30.86 2012 29.9 2013 29.05 2014 28.19 2015 27.45 2016 26.68