Year per 1,000 population at risk 2000 220.559960476612 2001 248.28545879881 2002 231.242730284336 2003 222.704157180121 2004 185.475092490089 2005 139.153667013661 2006 103.352226275937 2007 77.0685656140507 2008 64.8804130850272 2009 63.5551675132699 2010 65.9557989162071 2011 68.236969013169 2012 69.9370724035563 2013 71.1238352033543 2014 70.5680222824889 2015 68.569134879985 2016 64.6131578059455 2017 64.1083656382748 2018 61.57710809279 2019 59.3292068951603 2020 62.0229416582766 2021 63.6508591844306 2022 63.2548194726359