Year per 1,000 adults 2008 127.60499999999999 2009 144.1 2010 154.86 2011 136.69 2012 108.38 2013 111.45 2014 172.55 2015 145.3 2016 165.35 2017 200.18 2018 177.95 2019 157.32 2021 148.32