Year per 100,000 adults 2004 18.14 2005 18.28 2006 18.65 2007 18.95 2008 19.55 2009 21.1 2010 21.31 2011 21.61 2012 21.91 2013 22.24 2014 22.47 2015 21.72 2016 20.4 2017 18.6 2018 17.11 2019 16.42 2020 15.48 2021 15.02