Year Number per 1,000 adults 2008-01-01 196.28799999999998 2009-01-01 208.12500000000000 2010-01-01 205.83500000000000 2011-01-01 211.09500000000000 2012-01-01 211.93500000000000 2013-01-01 218.13600000000000