Year per 100,000 adults 2004 24.22 2005 20.85 2006 20.67 2007 22.03 2008 23.34 2009 21.6 2010 21.51 2011 21.52 2012 20.09 2013 21.78 2014 18.75 2015 31.21 2016 30.96 2017 33.59 2018 33.01