Year per 1,000 adults 2004 84.13 2005 79.69 2006 87.09 2007 92.5 2008 107.95 2009 95.42 2010 104.29 2011 135.45 2012 134.91 2013 153.24 2014 168.36 2015 165.31 2016 188.12 2017 193 2018 201.34 2019 221.99 2020 235.46 2021 245.44