Year per 100,000 adults 2004 18.83 2005 18.73 2006 18.56 2007 18.62 2008 19.19 2009 19.19 2010 18.67 2011 19.19 2012 20.41 2013 20.53 2014 21.24 2015 20.85 2016 20.34 2017 19.51 2018 18.98 2019 18.7 2020 17.88 2021 17.13