Year per 1,000 1990 23.4 1991 23.1 1992 22.9 1993 22.8 1994 22.8 1995 22.8 1996 22.8 1997 22.8 1998 22.8 1999 22.8 2000 22.8 2001 22.8 2002 22.8 2003 22.8 2004 22.8 2005 22.8 2006 22.7 2007 22.5 2008 22.2 2009 21.8 2010 21.3 2011 20.8 2012 20.3 2013 19.9 2014 19.4 2015 19 2016 18.6 2017 18.2 2018 17.8 2019 17.4 2020 17 2021 16.6 2022 17.7