Year Cases per 100,000 1990 40.16 1991 40.99 1992 42.06 1993 43.29 1994 44.66 1995 46.75 1996 48.61 1997 49.61 1998 49.54 1999 47.95 2000 45.17 2001 42.82 2002 41.02 2003 39.67 2004 38.59 2005 37.63 2006 36.25 2007 34.67 2008 33.41 2009 32.93 2010 32.66 2011 31.61 2012 30.45 2013 29.36 2014 28.02 2015 27.44 2016 26.97