Year Cases per 100,000 1990 24.73 1991 25.36 1992 25.62 1993 26.27 1994 27.61 1995 27.38 1996 26.59 1997 25.49 1998 25.08 1999 25.14 2000 24.32 2001 23.8 2002 22.92 2003 22.05 2004 21.58 2005 19.66 2006 19.98 2007 19.77 2008 19.63 2009 19.13 2010 18.82 2011 18.83 2012 18.83 2013 18.98 2014 19.42 2015 18.98 2016 18.44