Year per 1,000 adults 2004 81.38 2005 58.34 2006 64.04 2007 72.99 2008 213.34 2009 197.27 2010 158.83 2011 157.23 2012 156.92 2013 168 2014 248.41 2015 235.8 2016 219.65 2017 230.96 2018 216.34 2019 230.93 2020 237.94 2021 263.13