Year per 1,000 adults 2007 128.77 2008 160.20999999999998 2009 166.54 2010 187.05 2011 188.585 2012 224.89 2013 225.45499999999998 2014 259.01 2015 253.3 2016 258.05 2017 260.53 2018 260.08 2019 265.37 2020 246.765 2021 262.18