Year per 100,000 adults 2004 42.36 2005 40.21 2006 40.85 2007 40.45 2008 46.85 2009 46.32 2010 46.18 2011 47.42 2012 48.42 2013 49.02 2014 54.04 2015 54.36 2016 53.72 2017 53.18 2018 51.43 2019 55.07 2020 46.63 2021 39.65