Year Cases per 100,000 1990 40.67 1991 38.72 1992 35.51 1993 32.12 1994 32.6 1995 31.39 1996 30.4 1997 29.79 1998 29.37 1999 29.65 2000 29.87 2001 30.07 2002 29.9 2003 29.57 2004 29 2005 28.44 2006 26.85 2007 25.51 2008 24.68 2009 24.34 2010 24.88 2011 25.8 2012 23.61 2013 21.73 2014 20.93 2015 20.43 2016 20.02