Year per 1,000 1990 17.8 1991 17.6 1992 17.5 1993 17.5 1994 17.4 1995 17.4 1996 17.5 1997 17.7 1998 17.9 1999 18.1 2000 18.2 2001 18.3 2002 18.2 2003 18 2004 17.8 2005 17.5 2006 17.2 2007 16.9 2008 16.7 2009 16.4 2010 16.2 2011 15.9 2012 15.7 2013 15.6 2014 15.4 2015 15.1 2016 14.7 2017 14.4 2018 14.1 2019 13.7 2020 13.3 2021 13 2022 12.6