Year Cases per 100,000 1990 40.92 1991 41.23 1992 42.12 1993 44.82 1994 45.88 1995 42.47 1996 36.98 1997 34.78 1998 34.9 1999 32.15 2000 31.18 2001 32.19 2002 31.55 2003 31.01 2004 31 2005 32.3 2006 33.11 2007 32.7 2008 31.1 2009 29.28 2010 28.78 2011 27.8 2012 27.72 2013 26.87 2014 25.91 2015 25.55 2016 25.33