Year per 100,000 adults 2004 32.6 2005 31.77 2006 33.58 2007 35.489999999999995 2008 35.985 2009 36.03 2010 35.18 2011 34.334999999999994 2012 31.104999999999997 2013 29.72 2014 28.08 2015 27.55 2016 26.435000000000002 2017 24.884999999999998 2018 23.235 2019 22.35 2020 21.259999999999998 2021 18.915