Year per 100,000 adults 2004 35.72 2005 34.4 2006 33.75 2007 32.97 2008 33.52 2009 34.16 2010 27.99 2011 27 2012 24.43 2013 22.79 2014 21.8 2015 21.86 2016 21.61 2017 20.75 2018 20.44 2019 19.89 2020 19.2 2021 16.06