Year per 1,000 population at risk 2000 330.432425850495 2001 322.670462807767 2002 293.255700248044 2003 248.700302815297 2004 187.827338738701 2005 147.368298347519 2006 134.578651797563 2007 129.230455537388 2008 153.188981348494 2009 197.024327171611 2010 233.910835395841 2011 255.254724964739 2012 257.997882076871 2013 249.884608874024 2014 240.592214474377 2015 233.621409137809 2016 228.331238621689 2017 228.144835916018 2018 227.907967657111 2019 228.369638641243 2020 230.208154767591 2021 228.918421017786 2022 230.535985113903