Year per 1,000 1990 48 1991 46.8 1992 45.6 1993 44.3 1994 43 1995 41.7 1996 40.3 1997 38.9 1998 37.4 1999 36 2000 34.5 2001 33.2 2002 31.9 2003 30.8 2004 29.7 2005 28.7 2006 27.7 2007 26.9 2008 26.1 2009 25.4 2010 24.8 2011 24.3 2012 23.8 2013 23.3 2014 22.9 2015 22.5 2016 22.1 2017 21.8 2018 21.4 2019 21 2020 20.6 2021 20.2 2022 19.7