Year per 1,000 population at risk 2000 269.140777497127 2001 272.508603597929 2002 239.035630597095 2003 235.302861308107 2004 232.208291023518 2005 235.801641096515 2006 236.771845015319 2007 231.873219819832 2008 233.826081910459 2009 242.131985722383 2010 243.36572830807 2011 227.438243104036 2012 214.27957092212 2013 206.365769020632 2014 209.292041081433 2015 210.860339937894 2016 209.18005076771 2017 211.404322842109 2018 219.526385177858 2019 213.717367649312 2020 206.289334613257 2021 203.731592177109 2022 207.407734902444