Year per 100,000 adults 2008 36.73 2009 36.21 2010 35.44 2011 35.27 2012 33.2 2013 31.64 2014 30.74 2015 28.72 2016 28.02 2017 26.68 2018 25.58 2019 23.66 2020 22.6 2021 21.66