Year per 1,000 1990 31 1991 17.4 1992 17.8 1993 18.1 1994 18.5 1995 18.8 1996 19.1 1997 19.4 1998 19.6 1999 19.8 2000 20 2001 20.2 2002 20.3 2003 20.4 2004 20.5 2005 20.5 2006 20.6 2007 20.6 2008 20.6 2009 20.6 2010 20.6 2011 20.5 2012 20.4 2013 20.3 2014 20.3 2015 20.2 2016 20.1 2017 19.9 2018 19.7 2019 19.4 2020 19.2 2021 19 2022 18.8