Year per 1,000 people 1990 5.01 1991 4.873 1999 4.069 2000 4.011 2001 3.936 2002 3.999 2003 4.347 2004 4.37 2005 4.477 2006 4.583 2007 4.715 2008 4.941 2009 5.115 2010 5.335 2011 5.486 2012 5.781 2013 5.778 2014 5.979 2015 6.013 2016 5.324 2017 5.422 2018 5.605