Year per 100,000 adults 2004 19.79 2005 19.6 2006 19.4 2007 19.45 2008 19.82 2009 19.68 2010 21.55 2011 21.87 2012 21.85 2013 21.48 2014 20.85 2015 20.07 2016 18.87 2017 17.89 2018 17.35 2019 16.76 2020 16.15 2021 15.2