Year Cases per 100,000 1990 55.24 1991 53 1992 54.5 1993 59.97 1994 61.02 1995 55.96 1996 50.1 1997 44.91 1998 42.36 1999 43.39 2000 43.75 2001 42.33 2002 41.83 2003 41.01 2004 39.69 2005 39.21 2006 36.45 2007 35.3 2008 34.9 2009 32.92 2010 32.4 2011 31.01 2012 29.42 2013 28.86 2014 28.65 2015 28.75 2016 28.61