In a Denver community, 50 cases of diabetes were reported among 15-19 years old out of a total population of 46,000 between September 1 to December 31, 2016. Ten percent (4,600) of the population were between 15-19 years old on April 1, 2016 and the size and age distribution of the population has remained constant. An investigation of the cases in the 15-19-year age group revealed that 22 of the reported cases were contracted prior to September 1. In addition, another 18 cases developed in April and May but were clinically resolved before September 1. What was the cumulative incidence rate of disease in 15-19 year olds per 1,000 population in this Denver commmunity during the period September 1 to December 31, 2016