Year Cases per 100,000 1990 20.3 1991 19.78 1992 19.18 1993 18.73 1994 18.1 1995 17.9 1996 17.52 1997 17.05 1998 16.71 1999 16.49 2000 16.04 2001 15.6 2002 15.15 2003 14.84 2004 14.38 2005 14.18 2006 13.66 2007 13.28 2008 12.92 2009 12.63 2010 12.26 2011 11.97 2012 11.76 2013 11.42 2014 11.15 2015 11 2016 10.87