Year Cases per 100,000 1990 22.26 1991 22.22 1992 22.81 1993 23.42 1994 23.53 1995 23.21 1996 22.79 1997 22.27 1998 21.58 1999 21.11 2000 20.48 2001 19.87 2002 19.44 2003 18.88 2004 18.16 2005 17.47 2006 16.71 2007 16.16 2008 15.99 2009 16.13 2010 16.03 2011 15.64 2012 15.11 2013 14.52 2014 13.91 2015 13.87 2016 13.82