Year per 1,000 1990 20.5 1991 20.3 1992 20.2 1993 20.2 1994 20.2 1995 20.2 1996 20.2 1997 20.3 1998 20.4 1999 20.5 2000 20.5 2001 20.5 2002 20.4 2003 20.3 2004 20.2 2005 20 2006 19.8 2007 19.6 2008 19.3 2009 19.1 2010 18.8 2011 18.6 2012 18.4 2013 18.1 2014 18 2015 17.8 2016 17.6 2017 17.3 2018 17.1 2019 16.9 2020 16.8 2021 16.6 2022 16.4