Year Cases per 100,000 1990 46.16 1991 45.39 1992 44.94 1993 44.15 1994 42.84 1995 41.33 1996 39.48 1997 38.07 1998 36.09 1999 34.42 2000 32.66 2001 31.19 2002 30.56 2003 29.56 2004 29.05 2005 28.7 2006 28.17 2007 28.16 2008 27.86 2009 27.6 2010 27.35 2011 27.12 2012 26.86 2013 26.59 2014 26.34 2015 26.09 2016 25.86