Year per 100,000 adults 2004 21.09 2005 25.09 2006 27.24 2007 34.65 2008 41.77 2009 43.58 2010 39.78 2011 40.28 2012 40.57 2013 42.42 2014 41.9 2015 42.99 2016 44.27 2017 43.63 2018 43.62 2019 40.85 2020 38.1 2021 25.75