Year per 100,000 adults 2004 18.2 2005 17.75 2006 16.96 2007 17 2008 16.74 2009 16.4 2010 16.72 2011 16.57 2012 16.19 2013 15.72 2014 15.35 2015 15.07 2016 14.86 2017 14.42 2018 14.53 2019 14.39 2020 14.09 2021 13.87