Year per 1,000 population at risk 2000 110.308597059076 2001 108.792996509914 2002 107.871735614981 2003 109.892187009031 2004 94.856570764362 2005 91.7865062608719 2006 83.3683572366741 2007 77.6690593459728 2008 64.2509779373378 2009 32.462974957082 2010 36.0904832662224 2011 46.1062768266374 2012 24.2220195026942 2013 27.049989059458 2014 56.3823027528808 2015 73.9135172392821 2016 95.3416800554803 2017 73.6716093571778 2018 55.3736707134548 2019 41.9852508606022 2020 44.8519140604508 2021 44.8520403365219 2022 44.8519353000408