Year per 100,000 adults 2004 22.32 2005 32.06 2006 36.41 2007 40.72 2008 45.51 2009 43.94 2010 41.24 2011 39.75 2012 37.45 2013 33.7 2014 30.4 2015 29.54 2016 29.41 2017 27.92 2018 27.52 2019 27.6 2020 27.35 2021 26.43