Year per 1,000 people 1991 19.8999996185 2000 6.29 2001 6.04 2002 5.95 2003 5.82 2004 5.67 2005 5.54 2006 5.39 2007 5.36 2008 5.21 2009 5.1 2010 5.19 2011 5.05 2012 4.97 2013 4.85 2014 4.73 2015 4.73 2016 4.69 2017 4.65 2018 4.63