Year per 100,000 adults 2007 42.2 2008 41.33 2009 39.31 2010 38.92 2011 38.17 2012 37.83 2013 36.77 2014 36.12 2015 31.99 2016 31.76 2017 27.85 2018 28.1 2019 24.38 2020 24.65 2021 24.65