Year per 1,000 adults 2004 54.87 2005 57.12 2006 84.04 2007 71.25 2008 90.43 2009 86.64 2010 97.4 2011 124.58 2012 154.72 2013 144.18 2014 146.01 2015 137.85 2016 142.98 2017 163.98 2018 173.66 2019 174.7 2020 179.15 2021 195.09