Year per 1,000 live births 1990 50.4 1991 48.7 1992 47.1 1993 45.5 1994 44 1995 42.5 1996 40.8 1997 39.3 1998 37.8 1999 36.2 2000 34.7 2001 33.2 2002 31.8 2003 30.5 2004 29.3 2005 28.1 2006 26.9 2007 25.6 2008 24.5 2009 23.5 2010 22.7 2011 22 2012 21.8 2013 21.2 2014 20.4 2015 19.8 2016 19.1 2017 18.6 2018 18.2 2019 17.7 2020 17.1 2021 16.8 2022 16.2