Year per 1,000 population at risk 2000 19.8653903851688 2001 19.9136702741235 2002 18.4079463182909 2003 19.3694372074758 2004 21.1559301179489 2005 22.5126690547836 2006 18.1072002760513 2007 17.2983697056009 2008 17.8286304026668 2009 18.0619903683883 2010 17.3928313067587 2011 14.7248510331224 2012 11.8076224704701 2013 9.0660691634983 2014 9.12990691921499 2015 9.65607170248285 2016 9.89384860767055 2017 7.39369231110793 2018 5.27451272271117 2019 4.29463190232564 2020 3.75363408787146 2021 3.63793125706123 2022 2.55957045879707