Year per 1,000 1990 53.8 1991 51 1992 48.3 1993 45.6 1994 43 1995 40.4 1996 38 1997 35.7 1998 33.4 1999 31.4 2000 29.3 2001 27.3 2002 25.4 2003 23.6 2004 21.7 2005 19.9 2006 18.1 2007 16.4 2008 14.8 2009 13.3 2010 11.9 2011 10.6 2012 9.5 2013 8.4 2014 7.5 2015 6.7 2016 6 2017 5.4 2018 5 2019 4.6 2020 4.3 2021 4.1 2022 3.9