Year per 100,000 adults 2004 33.61 2005 28.07 2006 27.7 2007 28.66 2008 27.57 2009 25.22 2010 23.02 2011 21.31 2012 19.65 2013 17.35 2014 14.79 2015 13.99 2016 12.46 2017 11.92 2018 10.94 2019 9.24 2020 6.99 2021 5.45