Year per 1,000 adults 2008 665.59 2009 742.16 2010 588.33 2011 564.89 2012 613.07 2013 631.34 2014 627.97 2015 635.64 2016 392.1 2017 405.44 2018 345.64 2019 334.45 2020 373.38 2021 363.16