Year Deaths per 1000 1990 44 1991 42.9 1992 42 1993 40.8 1994 39.7 1995 38.5 1996 37.4 1997 36.2 1998 35.1 1999 33.9 2000 32.7 2001 31.8 2002 30.7 2003 29.8 2004 28.8 2005 27.7 2006 26.6 2007 25.5 2008 24.4 2009 23.3 2010 22.2 2011 21.3 2012 20.4 2013 19.7 2014 19.1 2015 18.3