Year per 1,000 adults 2004 150.14 2005 154.4 2006 163.3 2007 187.61 2008 226.29 2009 244.91 2010 187.9 2011 164.34 2012 219.33 2013 202 2014 191.58 2015 264.95 2016 184.23 2017 174.46 2018 193.62 2019 232.83 2020 184.59 2021 176.95