Year per 1,000 adults 2004 6.25 2005 7.75 2006 14.78 2007 25.27 2008 36.2 2009 37.16 2010 37.76 2011 49.52 2012 38.91 2013 45.05 2014 64.38 2015 40.62 2016 38.4 2017 40.94 2018 42.12 2019 41.14 2020 40.89 2021 39.8