Year per 1,000 people 1990 2.9109 1991 2.8961 1992 2.9409 1993 2.9571 1994 3.0191 1995 3.0496 1996 3.1175 1997 3.161 1998 3.226 1999 3.2903 2000 3.2998 2011 4.618 2012 4.697 2013 4.719 2014 4.877 2015 5.051 2016 4.277 2017 4.33 2018 4.386 2019 4.434