Year per 1,000 1990 5.4 1991 5.3 1992 5.3 1993 5.2 1994 5.2 1995 5.2 1996 5.1 1997 5.1 1998 5 1999 5 2000 5 2001 4.9 2002 4.9 2003 4.8 2004 4.8 2005 4.7 2006 4.7 2007 4.6 2008 4.6 2009 4.5 2010 4.5 2011 4.4 2012 4.4 2013 4.6 2014 4.2 2015 4.2 2016 4.1 2017 4.1 2018 4 2019 4.2 2020 3.9 2021 3.8 2022 4.1