Year Cases per 100,000 1990 33.52 1991 31.51 1992 30.43 1993 29.12 1994 28.71 1995 28.42 1996 28.54 1997 28.75 1998 27.85 1999 26.58 2000 25.67 2001 25.01 2002 24.63 2003 24.34 2004 24.55 2005 24.32 2006 24.47 2007 24.58 2008 24.38 2009 25.37 2010 24.93 2011 25.06 2012 23.83 2013 23.36 2014 22.72 2015 22.22 2016 22.76