Year Cases per 100,000 1990 37.92 1991 36.82 1992 36.08 1993 35.42 1994 34.69 1995 34.45 1996 33.79 1997 32.93 1998 32.31 1999 32.04 2000 31.32 2001 30.7 2002 30 2003 29.33 2004 28.67 2005 28.28 2006 27.5 2007 26.7 2008 26.21 2009 25.28 2010 24.56 2011 24.03 2012 23.5 2013 22.79 2014 22.15 2015 22.07 2016 21.92