Year per 1,000 adults 2008 41.27 2009 57.05 2010 67.78 2011 78.87 2012 90.06 2013 112.78 2014 123.13 2015 124.76 2016 105.56 2017 148.08 2018 227.53 2019 249.69 2020 203.09 2021 141.4