Year per 1,000 1990 5.9 1991 5.7 1992 5.6 1993 5.5 1994 5.4 1995 5.4 1996 5.5 1997 5.5 1998 5.6 1999 5.6 2000 5.5 2001 5.3 2002 5.1 2003 4.9 2004 4.7 2005 4.7 2006 4.6 2007 4.6 2008 4.7 2009 4.7 2010 4.6 2011 4.5 2012 4.3 2013 4.1 2014 3.9 2015 3.7 2016 3.6 2017 3.4 2018 3.3 2019 3.3 2020 3.4 2021 3.7 2022 4.2