Year per 100,000 population 2000 21.4 2001 21.9 2002 22.1 2003 21.1 2004 20.5 2005 20.8 2006 20.7 2007 20.9 2008 20.5 2009 20.5 2010 20.3 2011 20.7 2012 20.3 2013 19.6 2014 18.8 2015 18.3 2016 18 2017 17.8 2018 17.6 2019 17.4