Year per 1,000 1990 5.4 1991 5.3 1992 5.3 1993 5.2 1994 5.2 1995 5.1 1996 4.9 1997 4.7 1998 4.6 1999 4.5 2000 4.5 2001 4.5 2002 4.6 2003 4.6 2004 4.7 2005 4.7 2006 4.7 2007 4.6 2008 4.5 2009 4.3 2010 4.2 2011 4.1 2012 4 2013 4.1 2014 4.2 2015 4.3 2016 4.4 2017 4.4 2018 4.5 2019 4.7 2020 5 2021 5.4 2022 5.9