Year per 1,000 1990 6.5 1991 5.9 1992 5.4 1993 5.1 1994 4.9 1995 4.8 1996 4.8 1997 4.8 1998 4.8 1999 4.8 2000 4.9 2001 5.1 2002 5.2 2003 5.3 2004 5.2 2005 5 2006 4.8 2007 4.6 2008 4.4 2009 4.4 2010 4.4 2011 4.4 2012 4.3 2013 4.2 2014 4 2015 3.8 2016 3.8 2017 3.8 2018 3.8 2019 3.9 2020 4.1 2021 4.2 2022 4.4