Year per 1,000 1990 24 1991 23.9 1992 23.7 1993 23.4 1994 23.2 1995 25.2 1996 22.6 1997 22.3 1998 22 1999 21.8 2000 21.8 2001 21.8 2002 21.9 2003 22 2004 22.2 2005 22.3 2006 22.3 2007 22.1 2008 21.9 2009 21.6 2010 21.3 2011 21 2012 20.7 2013 20.4 2014 20 2015 19.6 2016 19.2 2017 18.7 2018 18.2 2019 17.7 2020 17.2 2021 16.7 2022 16.2