Year per 1,000 people 1990 45.22 1991 44.86 1992 44.5 1993 44.14 1994 43.78 1995 43.42 1996 43.06 1997 42.7 1998 42.1 1999 41.4 2000 40.9 2001 40.2 2002 39.6 2003 38.8 2004 38.1 2005 37.3 2006 36.7 2007 35.855 2008 33.45 2009 33.406 2010 33.727 2011 33.382 2012 32.894 2013 32.521 2014 32.477 2015 32.726 2016 31.921 2017 30.973 2018 30.126 2019 29.466 2020 28.8 2021 28.236 2022 27.69