Year per 1,000 adults 2008 218.14 2009 223.39 2010 233.1 2011 261.05 2012 274.08000000000004 2013 302.92 2014 326.29 2015 348.97 2016 363.51 2017 385.39 2018 413.83 2019 383.9 2020 414.78 2021 468.92