Year Cases per 100,000 1990 47.97 1991 49.31 1992 50.46 1993 50.1 1994 50.04 1995 50.54 1996 47.74 1997 43.69 1998 39.78 1999 39.38 2000 38.75 2001 37.3 2002 36.21 2003 35.78 2004 36.02 2005 36.33 2006 34.7 2007 35.48 2008 35.46 2009 31.82 2010 30.14 2011 28.98 2012 29.46 2013 29.15 2014 27.73 2015 27.51 2016 27.39