Year	per 100,000 adults
2009	38.35
2010	37.54
2011	35.4
2012	34.77
2013	34.18
2014	30.82
2015	28.99
2016	25.91
2017	25.6
2018	23.99
2019	23.75
2020	20.91
2021	19.41