Year per 1,000 adults 2004 77.24 2005 89.89 2006 97.44 2007 134.64 2008 221.5 2009 218.8 2010 208.78 2011 103.09 2012 107.63 2013 148.65 2014 132.32 2015 111.63 2016 121.2 2017 165.58 2018 230.92 2019 155.79 2020 137.99 2021 205.25