Year per 1,000 population at risk 2000 271.478952421497 2001 269.0338461775452 2002 260.7023658536323 2003 255.45475955392598 2004 243.18212626750727 2005 230.41691284994263 2006 221.53543291524494 2007 210.279717506703 2008 203.81208466738127 2009 207.01267627759935 2010 208.01756154385424 2011 203.03047999396648 2012 200.1522136692644 2013 193.59230566406399 2014 186.30511696489802 2015 181.7187348107442 2016 175.497501318916 2017 176.60933986654365 2018 166.9785182492057 2019 162.16408905594068 2020 165.73523976485987 2021 164.0993723535488 2022 161.96164468193794