Year Cases per 100,000 1990 44.11 1991 43.09 1992 41.93 1993 40.54 1994 39.05 1995 37.85 1996 36.52 1997 35.18 1998 33.87 1999 32.74 2000 31.42 2001 30.19 2002 29.12 2003 28.24 2004 27.62 2005 27.02 2006 26.43 2007 25.84 2008 25.23 2009 24.56 2010 24.03 2011 23.41 2012 23.31 2013 23.03 2014 22.85 2015 22.77 2016 22.7