Year Cases per 100,000 1990 30.55 1991 30.36 1992 30.68 1993 31.11 1994 31.03 1995 30.62 1996 30.55 1997 30.3 1998 29.94 1999 29.68 2000 28.92 2001 27.8 2002 26.92 2003 26.13 2004 25.31 2005 24.56 2006 23.83 2007 23.62 2008 23.4 2009 23.54 2010 23.56 2011 23.34 2012 22.85 2013 22.23 2014 21.61 2015 21.28 2016 20.98