Year per 1,000 adults 2005 157.26 2006 174.1 2007 191.8 2008 216.7 2009 238.69 2010 263.73 2011 283.45 2012 255.84 2013 228.88 2014 232.11 2015 227.54 2016 219.25 2017 223.08 2018 225.35 2019 212.27 2020 176.46 2021 129.2