Year Cases per 100,000 1990 19.75 1991 19.57 1992 19.44 1993 19.35 1994 19.41 1995 19.61 1996 19.94 1997 20.32 1998 20.72 1999 21.09 2000 21.41 2001 21.66 2002 21.82 2003 21.88 2004 21.83 2005 21.73 2006 21.58 2007 21.41 2008 21.25 2009 21.13 2010 20.98 2011 20.78 2012 20.58 2013 20.39 2014 20.18 2015 19.98 2016 19.79